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8/27/2020 Mania - Coggle Diagram
8/27/2020 Mania
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Medication
Lithium is the oldest and most well-known mood stabilizer and is highly effective for treating mania. Lithium can also help bipolar depression. However, it is not as effective for mixed episodes or rapid cycling forms of bipolar disorder.
Mood stabilizers. You'll typically need mood-stabilizing medication to control manic or hypomanic episodes. ...
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Pathophysiology
The amygdala is hyperactive in patients with BD, and the hippocampus and prefrontal cortex are hypoactive. This increased activity in the amygdala along with decreased activity in cortical regions may be the reason why the executive function is impaired in mania while the emotions are heightened and unrestrained.
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Important Assessments
History. Taking a history with a client in a manic phase often proves difficult; obtaining data in several short sessions, as well as talking to family members, may be necessary.
General appearance and motor behavior. Client with mania experience psychomotor agitation and seem to be in perpetual motion; sitting still is difficult; this continual movement has many ramifications; clients can be exhausted or injure themselves.
Mood and affect. Mania is reflected in periods of euphoria, exuberant activity, grandiosity, and false sense of well being.
Thought process and content. Cognitive ability or thinking is confused and jumbled with thoughts racing one after another, which is often referred to as flight of ideas; clients cannot connect concepts, and they jump from one subject to another.