Bipolar Disorder Powerpoint
Bipolar Disorder Powerpoint
Bipolar Disorder Powerpoint
Social circumstances
She lives with her husband in a house in Guilden Morden since 1976.
Her hobbies include Yoga, reading and painting.
There is no issue with ADLs
Psychoeducation
ECT
Management of Mania/Hypomania: NICE
If not on any mood stabiliser…
• If lithium is not suitable or ineffective (for example, because the person does not agree to
routine blood monitoring), consider adding valproate
If on lithium, check plasma lithium levels + consider adding haloperidol, olanzapine, quetiapine
or risperidone,
If they are already taking valproate or another mood stabiliser as prophylactic treatment,
consider increasing the dose, up to the maximum level depending on clinical response. If there is
no improvement - add haloperidol, olanzapine, quetiapine or risperidone
If the clinical presentation is of a mixed affective state, characterised by both manic and
depressive symptoms, follow recommendations above for the treatment of mania, and monitor
closely for the emergence of depression.
Electroconvulsive therapy - for severe mania that hasn’t responded to other treatment
Reviewing treatment for mania
Within 4 weeks of resolution of symptoms, discuss with the person, and their
carers if appropriate, whether to continue treatment for mania or start long-term
treatment. Explain the potential benefits of long-term treatment and the risks,
including side effects of medication used for long-term treatment.
If the person decides to continue treatment for mania, offer it for a further
3-6 months, and then review.
Managing Bipolar Depression
Psychological interventions
Manage with lowest dose of maintenance medication and aim for single agent if
possible, however need a mood stabiliser + low dose antipsychotic or mood stabiliser
+ low dose antidepressant
Long-term management of BPAD
Pharmacological interventions
Take into account drugs that have been effective during episodes of mania or bipolar
depression. Discuss with the person whether they prefer to continue this treatment or switch
to lithium, and explain that lithium is the most effective long-term treatment for bipolar
disorder.