Nice bipolar (The guidelines)
In this brief article, we will be talking about NICE bipolar, the NICE guideline for patients with bipolar disorder, assessment of NICE bipolar disorder, and more information about NICE bipolar.
What Is Bipolar Disorder?
Bipolar disorder is a mood disorder that is characterized by the rapid shifting in moods that can make the person appear moody and having two sides of the person which is depression and mania.
People with this disorder can have days when they are feeling tired and unmotivated and hyperactive in some days.
In between periods of being depressive or manic, they will go back to their normal mood state.
This is why this kind of disorder is named as such.
Manic means the periods where the person feels high self-esteem to do anything he or she puts his or her mind into.
Hypomania describes milder symptoms of mania in which someone does not have delusions or hallucinations or psychotic symptoms in a sense and their high symptoms do not disrupt their everyday life.
While depressive means that the person feels sad almost all the time and doesn’t have the motivation to do things that he or she is pleased to do.
You can think of the depression in this kind of disorder as similar to those who are suffering from unipolar depression.
Most people with this kind of disorder tend to have more depressive episodes than manic episodes.
Symptoms Of Bipolar Disorder
In this kind of disorder, affected people don’t have organized patterns of manic and depressive moods.
In this case, some affected people will have more times of being depressed and other times of being manic.
These kinds of episodes can last for weeks, months or even years.
The chronicity of these symptoms varies from each affected person and they may change in the later years whether they worsen or get better.
The following are the symptoms of mania:
- Excessive joyfulness, hopefulness, and excitement
- Unexpected changes from being joyful to being irritable, angry, and hostile
- Rapid speech and low concentration
- Elevated energy and less need for sleep
- Unexpectedly high sex drive
- Making grand and unattainable plans
- Manifesting poor judgment
- Drug and alcohol abuse
- Becoming more impulsive
The following are the symptoms of depressive episode in people with this kind of disorder:
- Loss of energy
- Feelings of hopelessness or uselessness
- Not having fun with things they once liked
- Trouble concentrating
- Uncontrollable crying
- A complication in making decisions
- Needing more sleep
- Appetite changes that make them lose or gain weight
- Thoughts of death or suicide
- Attempting suicide
People with this kind of disorder who have substance abuse as well will be more likely to engage in drugs when they are depressed or manic.
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Causes Of Bipolar Disorder
There is no direct cause of eliciting this kind of disorder.
The following causes have been found that may have triggered this kind of disorder
- Brain changes
Studies are still validating whether the mentioned factors can process the creation of this disorder.
Some researchers accept the fact that this kind of disorder is triggered by the combination of these factors.
Studies are still accumulating to know more about the triggers of this disorder.
The knowledge of these causes can create psychological interventions for people with this kind of disorder.
In other words, psychological treatments become available for people with this kind of disorder such as medications and therapy.
This kind of disorder tends to be prolonged which means the affected person may be struggling for a long time with this kind of condition which makes it vital for them to receive these kinds of treatments immediately.
Assessment Of People With Bipolar Disorder
In the early days of the assessment, the carer should know how to share information to people with this kind of disorder so that they can understand what kinds of decisions they are going to make.
The confidentiality process of this psychological assessment will include the carer in the process if the person with this kind of disorder is found to be disabled due to this kind of condition.
The carers should also apply a collaborative approach with the patient to instil the appropriate independence in the patient.
The assessor will be stating the risks and advantages that can occur in the course of this assessment.
The carers will also be observing your symptoms of this disorder and take care of them appropriately.
If you are found to have a new depressive episode with different symptoms, you will be taken care of by secondary care.
If the affected person is already taking lithium as a maintenance treatment for this disorder, the assessor will be checking the lithium plasma levels if the patient is having optimised levels of this medication.
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Diagnosis Of Bipolar Disorder
If you know someone or you have this kind of disorder, you need to seek professional help immediately.
When you are about to be diagnosed, the doctor will ask you about how your symptoms are affecting your life and the psychological history of your family to know if you might have this kind of disorder in the family.
The affected person will get a psychological assessment to determine if he or she has this kind of disorder.
This kind of assessment can also help determine the cause of this disorder which can be another psychological disorder such as substance abuse disorder.
The following are the most observed symptoms of people with this kind of disorder
- highs or lows in mood
- changes in sleep, energy, thinking, and behaviour
The mental health professional can also interview people who were close to the affected person to know about the behaviours and cognitions that may indicate this kind of disorder.
In NICE, this kind of disorder in affected young people should be based on the long-term assessment and diagnosis by people who are trained to do these kinds of assessments that can lead to long-term treatments that can alleviate these kinds of symptoms as well.
This is based on the NICE guidelines for taking care of people with bipolar disorder.
Management Of People With Bipolar Disorder
The following are the methods that mental health professionals engage in to manage this kind of disorder in patients:
- a psychological intervention that has been invented specifically for this kind of disorder and has a published evidence-based manual describing how it should be delivered
- a high‑intensity psychological intervention such as cognitive behavioural therapy, interpersonal therapy or behavioural couples therapy in line with recommendations in the NICE clinical guideline on people with depression.
As mentioned before, mental health professionals have to discuss to the patient about the things that he or she will be going through in the assessment and treatment of his or her mood disorder.
Mental health professionals need to observe and manage the symptoms of this disorder that can arise in this kind of patient.
As mentioned before, people with this disorder who have developed another episode should be referred to secondary care immediately.
In the midst of controlling the episodes of this disorder in affected people, these kinds of professionals will offer them mood stabilizers such as olanzapine to control their mood.
As mentioned before, the patient who is taking lithium should be checked if he or she has been taking the optimum amount of this treatment.
These kinds of professionals can also add other mood stabilizers in the medical treatment such as risperidon.
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Bipolar Disorder In Adults
The peak age of onset of this disorder in adults is 15-19 where there are times that this disorder will be paused in some years.
These people present themselves in mental health settings when they feel psychotic symptoms that are considered in manic episodes and this means that these people have only taken psychological intervention after the initial onset.
The prevalence of this disorder for a lifetime is 1% since most affected people will be more likely to have hypomania or depression alone than have mania and depression.
This disorder can occur in both men and women equally.
Some women who have this disorder will only feel this disorder once they experience psychotic symptoms.
This disorder will affect women in their childbirth which can make them accidentally kill the baby.
This is based on the studies from NICE on bipolar disorder.
Adults who are going through this disorder will be taken care of by mental health professionals who are looking at their healing as the top priority.
NICE Clinical Guideline For People With Bipolar Disorder
The NICE clinical guideline holds that the assessment and management of this disorder should be given to adults who are aged 13 years old and above.
This guideline also applies to affected people who are diagnosed with a related mood disorder such as mixed episodes or cyclothymic disorder.
Affective disorders are not included in this disorder are not included in this guideline since they have their own guideline.
People with this disorder should be cared for by a team filled with different professionals that specialize in the management of this disorder.
This guideline is made for mental health professionals who will be giving high-quality psychological interventions for people with this disorder.
Although there are still lapses that can’t be addressed in this guideline.
There are a lot of research recommendations to provide people with this disorder with the most effective care based on research evidence but this is not yet possible in the present time.
For now, NICE is hoping that there is support from these professionals to people with this disorder.
Those mental health professionals that are made to treat people with this disorder should be ready in intervening if they are having chronic symptoms of this disorder.
Healthcare professionals will be responsible in giving people with this disorder psychological interventions.
Commissioners that work with health care professionals should be active in giving referrals to people with this disorder if symptoms become too dysfunctional.
You can learn more about how these health professionals carry out their responsibilities to patients with this disorder by buying this book on this website.
Treatment Of People With Bipolar Disorder
Fortunately, this disorder can be treated with different psychological interventions.
As mentioned before, this disorder should be treated through long-term interventions.
Medication is the core treatment for this disorder and mood stabilizers such as lithium should be used in the first signs of this disorder.
Antipsychotic and antidepressant medications have also been prescribed to people with this disorder and the following are these medications:
- olanzapine (Zyprexa)
- quetiapine (Seroquel)
- lurasidone (Latuda)
- cariprazine (Vraylar)
These medications tend to go together with other medications to bring effective treatment.
Therapies have also been widely suggested by these professionals as well.
People who have more episodes from this disorder or have comorbid disorders such as substance abuse disorder will need more treatments than just one due to a lot of challenges.
This is why these professionals have decided to mix some psychological interventions for these affected people in the long term.
You can learn more about the many treatments of this disorder by buying this book here.
In this brief article, we have talked about NICE bipolar, the NICE guideline for patients with bipolar disorder, assessment of NICE bipolar disorder, and more information about NICE bipolar.
If you have any questions about NICE bipolar, please let us know and the team will gladly answer your questions
FAQs: nice bipolar
What is a person with bipolar like?
A person with bipolar is like someone who can’t make up their mood since they constantly shift triggering psychological distress on the affected person.
These kinds of people will have extreme happiness and extreme sadness at various periods.
How serious is bipolar disorder?
Bipolar disorder is very serious by the way it has episodes that can cause risky behaviours.
This is true for bipolar I disorder as a kind of this diagnosis.
This kind of bipolar disorder is described by both mania and depression that can be severe.
Since this kind of disorder has mania, people who have this kind of disorder are more likely to engage in risk-taking behaviours which can lead to death.
Can a bipolar person kill?
No, a bipolar person can’t kill another person.
This kind of disorder only needs to be conquered by the patient to become stronger and able to control oneself.
These kinds of people can try finding strengths of this kind of disorder which can help them adjust in real life.
Can a bipolar person truly love?
No, a bipolar person can’t be said to truly love.
This is because manic episodes can make these kinds of patients feel differently for the one they supposedly love.
Some of these patients are in love with a person due to their manic states.
How do they test for bipolar?
They test for bipolar by using psychological tests during clinical assessment in the mental health centre.
This can help in reaching the diagnosis of this kind of disorder in these affected patients.
This also leads to a proper understanding of what the patient needs to be treated for his or her disorder whatever the chronicity of the symptoms may be.
NCBI. Bipolar Disorder: The NICE Guideline on the Assessment and Management of Bipolar Disorder in Adults, Children and Young People in Primary and Secondary Care.
NICE. Bipolar disorder: assessment and management.
NICE. Bipolar disorder in adults.
WebMD. Bipolar Disorder.