双相情感障碍的家庭和预防医学系ppt课件.pptVIP

Bipolar Disorder;Varieties of Bipolar Disorder – According to DSM-IV;;DSM-IV CRITERIA FOR A MANIC EPISODE Manic Episode is defined by a distinct period during which there is an abnormally and persistently elevated, expansive, or irritable mood. This period of abnormal mood must last at least 1 week (or less if hospitalization is required). The mood disturbance must be accompanied by at least three additional symptoms from this list: -inflated self-esteem or grandiosity, -decreased need for sleep, -pressure of speech, -flight of ideas, -distractibility, -increased involvement in goal-directed activities or psychomotor agitation, and -excessive involvement in pleasurable activities with likelihood of painful consequences If the mood is irritable (rather than elevated or expansive), at least four of the above symptoms must be present . . . . The disturbance must be sufficiently severe to cause marked impairment in social or occupational functioning or to require hospitalization, or it is characterized by the presence of psychotic features . . . . . ;Screening Questions for Mania/Hypomania;Manic Episode: DIGFAST;Mixed Episode;Bipolar Disorder N.O.S.;Rapid-Cycling Specifier for Bipolar Disorder;Bipolar Disorder: Under-Recognized as a Cause of Disability in Young Adults;Standardized Mortality Ratios (SMR) of Treated and Untreated Bipolar Patients;Lifetime Prevalence of Bipolar Disorder: Major Studies;Issues that Impede Diagnosis and Recognition of B.D.;2000 National DMDA Bipolar Survey;The Comorbidity Triangle;Substance Abuse and Bipolar Disorder;;Schizoaffective Disorder;Epidemiology of Bipolar Disorder;Course/Prognosis;Bipolar Disorder-Major Public Health Issue;An Unquiet Mind by Kay Redfield Jamison KEY:H= Asylum or psychiatric hospital; S= Suicide; SA = Suicide Attempt Writers Hans Christian Andersen, Honore de Balzac, James Barrie, William Faulkner (H), F. Scott Fitzgerald (H), Ernest Hemingway (H, S), Hermann Hesse (H, SA), Henrik Ibsen, H