Mood Stabilizing Agents Overview (02:09)
Bipolar disorder is characterized by periods of elation and depression. Antidepressants, mood stabilizers, and atypical antipsychotics are primary treatments. Bipolar disorder is characterized by periods of elation and depression.
Signs and Symptoms (02:23)
Learn about Bipolar I and Bipolar II and hear characteristics of manic and depressive moods. Comorbid conditions include polysubstance abuse and dependence, OCD, migraines, impulse control disorder, panic disorder, bulimia, anorexia, and attention deficit disorder. Objective documentation is critical for an effective care plan.
Pathology of Bipolar Disorder (00:37)
Physical differences in brain structure, neurotransmitter imbalances, heredity, and environment are illness factors.
Interventions for Bipolar Disorder (02:06)
Empathetic listening and appropriate response help obtain patient information. Poor diet, stress, and polysubstance abuse can upset balance needed in effective mental illness management. Bipolar intensifies over time, while schizophrenia lessens. Suicide incidence is high among untreated bipolar patients.
The bipolar disorder medication has been used as a tonic, sedative, anticonvulsant, and diuretic since the 19th century. Side effects include appetite stimulation. It functions as a mood stabilizer for both mania and depression. Dosage depends on the individual.
Divalproex sodium is FDA approved to treat acute mania. Non-FDA approved alternatives include carbamazepine, lamotrigine, topiramate, and oxcarbazepine. Each has a unique effect on brain function and seems to stabilize damaged nervous system membranes. Both lithium and anticonvulsants have side effects.
Atypical Anti-Psychotics (01:26)
Risperidone, olanzapine, ziprasidone, quetiapine, and aripiprazole have been used to treat bipolar disorder. They can cause weight gain. Olanzapine was originally approved for schizophrenia. Symbyax, a combination of Prozac and Zyprexa, was recently approved; hear side effects.
Antidepressants are indicated only if mood stabilizers have failed, and may cause bipolar cycle acceleration. Medications often take four to six weeks to show good improvement.
Intervention Process (01:24)
Documentation before and during treatment helps determine the most effective medication and dosage. Administering psychotropic agents involves trial and adjustment. Liver and kidney function tests are done periodically, and patients and families should be informed of side effects.
Side Effects (05:23)
Lithium increases potency of other drugs, including non-psychotropic medications, and may affect renal function. Anticonvulsants may affect liver function; valproic acid and carbamazepine have therapeutic responses. Hear side effects for lithium and anticonvulsants. Bipolar patients often enjoy hypomania and are non-compliant.
Credits: Mood Stabilizing Agents: Psychotropic Medications (00:39)
Credits: Mood Stabilizing Agents: Psychotropic Medications
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