According to George, what are the four key elements in an integrated treatment
approach for people with bipolar disorder?
According to Cochran, what is the most effective form of therapy for increasing
medication compliance in bipolar patients?
According to Berk, what is the main disadvantage caused by not having a
universal bipolar depression rating scale?
How does George define the process of “mood-repair” in bipolar
According to Koukopoulos, what are the three key difference between a “flight
of ideas” in a manic episode and in a mixed depression episode?
What are the most reliable signs of depression prone to agitation?
According to Sonne, what differences in symptoms do bipolar clients with
comorbid substance-abuse disorders experience?
What are the four stages in Annon’s P-LI-SS-IT model for creating a
sexual health program for a bipolar client?
What four components affect the establishment of a successful work environment
for a bipolar client?
According to Havens, what is the main idea behind the counterprojective
What is Interpersonal and Social Rhythm Therapy?
According to Russell, what are the eight steps in creating a “stay
According to DSM criteria for a Manic Episode, what symptoms must have persisted and have been present to a significant degree?
A. A flight of
ideas in a manic episode in expressed in a greater volume of words;
in a manic episode the content of these ideas and somehow the pattern
of thoughts are reflected in the content and pattern of the speech
itself; and a manic patient will never complain about the flight
of ideas, while the mixed-depressed client will experience it as
B. IPSRT focuses
on maintaining a regular schedule of daily activities to reduce
triggers and improve emotional stability, as well as on avoiding
problems in personal relationships.
C. Total lack
of inhibition in speech and movement; A
certain mental vivacity unusual to inhibited depression; Rich description
of their depressive suffering; Early or middle insomnia rather
than late insomnia.
D. Accept the diagnosis, mindfulness, education,
identify trigger factors, recognize warning signs, manage
sleep and stress, make lifestyle changes, and access support.
bipolar patients are more likely to have frequent hospitalizations
for affective symptoms, earlier onset of bipolar disorder,
more rapid cycling, and more mixed mania
F. When mood is induced
by atypical means, the memory response to the event is more
likely to be happy when the client is depressed, and vice versa.
For example, a bored client may “mood repair” by
thinking of past vacations, triggering a manic episode in which
she books expensive holidays.
G. Permission to discuss sexual issues,
limited information about sexual health, specific suggestions,
and intensive therapy.
H. Sharing feelings with the client, whether
manic or depressive, reduces those feelings.
I. Cognitive behavioral
J. Individual factors relating to the
course of the client’s illness; support from family,
friends, coworkers, and the client’s boss; factors
relating to the work environment including flexibility
of hours and accommodation of the illness; and wider context
components including stigmatization of the disorder and
K. Symptoms of mixed depression such as
lability, increased speech and motor drive, and agitation
are not included on any standard unipolar depression rating
scales, and the resulting inability to measure mixed episode
may lead to an incorrect diagnosis of unipolar depression
and inappropriate treatment
L. Engagement and psycho-education, a
focus on relapse prevention, cognitive therapy and personal
vulnerability, and group support.
M. inflated self-esteem or grandiosity; decreased need for sleep; more talkative than usual or pressure to keep talking; flight of ideas or subjective experience that thoughts are racing; distractibility; increase in goal-directed activity; and excessive involvement in pleasurable activities that have a high potential for painful consequences