Bipolar Disorder and HIV

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Bipolar Disorder and HIV Medical Case Manager Clinical Conference June 28 th 2007

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Objectives Review Bipolar Disorder Review the impacts of bipolar issue on adherence to HIV pharmaceuticals and dangerous conduct

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Psychiatric issue that causes uncommon moves in a man's Mood Energy Ability to work Resulting in Damaged connections Poor occupation or school execution Suicide

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Understanding Bipolar Disorder Affects 5.7 million grown-ups (2.6%) in a given year Develops in late youth/early adulthood Often not perceived Bipolar issue is a long haul ailment Alcohol and medication manhandle are exceptionally basic among individuals with bipolar issue

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Symptoms Extreme, some of the time eccentric temperaments Range from excessively "high" and additionally crabby to pitiful and sad and afterward back again Periods of highs and lows are called scenes of insanity and wretchedness Severe changes in vitality and conduct go with changes in disposition Often times of ordinary mind-set happen in the middle of

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Increased vitality Overly great, euphoric inclination Extreme touchiness Racing musings and discourse Easily Distracted Little rest required Unrealistic convictions in one's capacities and forces Poor judgment Spending sprees An enduring time of bizarre conduct Increased sexual drive Drug mishandle (cocaine, liquor, and dozing solutions) Provocative, meddlesome, or forceful conduct Denial that anything isn't right Symptoms of Mania

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Hypomania Less ruinous state than lunacy Experience less side effects of madness Shorter span of manifestations Often an exceptionally "masterful" condition of the confusion A flight of thoughts Extremely sharp thinking Increased vitality

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Lasting miserable, on edge, or exhaust mind-set Feelings of misery or negativity Feelings of blame, uselessness, or defenselessness Loss of intrigue or joy in exercises once appreciated Difficulty concentrating, recalling, settling on choices Decreased vitality Restlessness or fractiousness Sleeping excessively, or can't rest Change in hunger Chronic torment not brought about by physical disease or harm Thoughts of death or suicide, or suicide endeavors Symptoms of Depression

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Mixed State Symptoms of craziness and sorrow happen at the same time Ex. tension, hawkishness, perplexity, weariness, sleep deprivation, irritibility, neurosis, hustling musings, eagerness, psychosis, and fury Moods can without much of a stretch and rapidly be moved Suicide endeavors, substance manhandle, and self-mutilation may happen amid this state

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Variations of Bipolar Disorder Rapid Cycling Moods change >4 time a year Slow Cycling Ultra-fast Cycling Moods change a few times each week or day Rare yet genuine Type I versus Sort II Type II more hard to analyze Symptoms contrast between patients

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Diagnosis Symptoms Course of ailment Family history, when accessible Type I at least one hyper or blended scenes Type II no less than one scene of hypomania and wretchedness More basic

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Causes Inheritance Genetics Stressful environment or contrary life occasions Other conceivable "triggers": Antidepressant pharmaceutical → madness Sleep hardship → insanity Hypothyroidism → gloom

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Receiving auspicious and equipped treatment can be troublesome Adherence is scratch Recurrence still conceivable Treatment Can not be cured but rather can be overseen Optimal treatment consolidates drug and psychosocial treatment

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Medication Mood Stabilizers Lithium avoids and controls hyper and depressive scenes Anticonvulsant prescriptions for hard to-treat bipolar scenes valproate or carbamazepine Thyroid supplementation Especially those with quick cycling Lithium treatment may diminish thyroid levels

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Weight pick up Nausea Tremor Reduced sexual drive or execution Anxiety Hair misfortune Movement issues Dry mouth Side Effects Adherence decreases the shot of having intermittent, intensifying scenes

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Psychosocial Treatments Cognitive behavioral treatment Changing pessimistic thought designs Psychoeducation Teaching the patient and family about the ailment Family treatment Reduce the level of misery inside the family Interpersonal and social cadence treatment Improve interpersonal connections

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Bipolar Disorder and HIV

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Bipolar Disorder and HIV Mania as an introducing manifestation Mania as a consequence of HIV Both happen all the more frequently in patients with an AIDS finding Failure to treat craziness may bring about: Nonadherence to HIV solutions Self-dangerous conduct Unsafe sex

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Role of Nurses and Case Managers

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Role of Nurses and Case Managers A decent visualization relies on upon: The right meds Correct dosing An educated patient A decent association with a skilled physicain and advisor Supportive family or huge other An adjusted way of life Regulated stretch level Regular practice Regular rest and wake times

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Role of Nurses and Case Managers Assist patients in keeping a diagram Daily temperament indications Treatments Sleep designs Life occasions Encourage customer/tolerant in proceeding with their treatment Adherence methods Accompanying them to emotional wellness arrangements

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Role of Nurses and Case Managers Providing support as patient/customer "tries out" treatment arranges Supporting patient's/customer's family as they adapt to modified conduct, spending sprees, and withdrawal Offering referrals to care groups for patient/customers and their families

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Questions? Emotional well-being Services Locator Christina Price, MPH