2. Alterations in thought processes and communication pat-chapter will focus on the symptoms and treatment of bipolar mania.) 3. ble to those of major depression, which are addressed in Chapter 6. This (Note: The symptoms and treatment of bipolar depression are compara-● 1. The affect of a manic individual is one of elation and about past failures.sponse to at tempts at lim it set t ing), or to sadness, r um inat ing Medication Side Effectslabile and may change quickly to hostility (particularly in re-euphoria—a continuous “high.” However, the affect is very somatic illnesses have been known to trigger a manic re-sponse. The most common of these are the steroids fre-quently used to treat chronic illnesses such as multiple scle-rosis and systemic lupus erythematosus. Some clients whose fiAND OBJECTIVE DATA)SYMPTOMATOLOGY later. Amphetamines, antidepressants, and high doses of an-ticonvulsants and narcotics also have the potential for initiat-ing a manic episode (Dubovsky, Davies, & Dubovsky, 2003).reported spontaneous recurrence of manic symptoms years^ rst episode of mania occurred during steroid therapy have mania. Magnetic resonance imaging studies have revealed enlarged third ventricles and subcortical white matter and disorder (Dubovsky, Davies, & Dubovsky, 2003).periventricular hyperintensities in clients with bipolar Mood Disorders: Bipolar Disorders. Certain medications used to treat (SUBJ ECTIV E ●^147
2506_Ch07_145-160.indd 0147 2506 Ch 07 145 - 160 .indd 0 4. Dress is often inappropriate: bright colors that do not match, 3. Motor activity is constant. The individual is literally moving 5. The individual has a meager appetite, despite excessive activ- 147 b. clothing inappropriate for age or stature, excessive makeup and jewelry.terns are manifested by the following:ity level. He or she is unable or unwilling to stop moving in order to eat. d. a. c. at all times.one or something desires to harm or violate him or her in thought processes.Flight of Ideas. and magnifiis all important, all powerful, with feelings of greatness one topic to another.Delusions of Grandeur. Loquaciousnessful and strong that it is diffiDelusions of Persecution. some way. cence.. The pressure of the speech is so force-There is a continuous, rapid shift from The individual believes he or she The individual believes some- cult to interrupt maladaptive 1 10/1/10 9:34:48 AM 0 / 1 / 10 9 : 34 : 48 AM