Bipolar Depression Disorder

Patient education is an effective tool in supporting compliance and treatment for a diagnosis. It is important to consider effective ways to educate patients and their families about a diagnosis—such as coaching, brochures, or videos—and to recognize that the efficacy of any materials may differ based on the needs and learning preferences of a particular patient. Because patients or their families may be overwhelmed with a new diagnosis, it is important that materials provided by the practitioner clearly outline the information that patients need to know.(Comprehensive Essay Example on Bipolar Depression Disorder)

Comprehensive Essay Example on Bipolar Depression Disorder

For this Assignment, you will pretend that you are a contributing writer to a health blog. You are tasked with explaining important information about an assigned mental health disorder in language appropriate for child/adolescent patients and/or their caregivers. (Comprehensive Essay Example on Bipolar Depression Disorder)

RESOURCES

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

TO PREPARE

  • By Day 1, your Instructor will assign a mood or anxiety disorder diagnosis for you to use for this Assignment.
  • Research signs and symptoms for your diagnosis, pharmacological treatments, nonpharmacological treatments, and appropriate community resources and referrals.(Comprehensive Essay Example on Bipolar Depression Disorder)

THE ASSIGNMENT

In a 300- to 500-word blog post written for a patient and/or caregiver audience, explain signs and symptoms for your diagnosis, pharmacological treatments, nonpharmacological treatments, and appropriate community resources and referrals.Although you are not required to respond to colleagues, collegial discussion is welcome. (Comprehensive Essay Example on Bipolar Depression Disorder)

BY DAY 7 OF WEEK 5

Submit your Assignment. 

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area. 

  1. To submit your completed assignment, save your Assignment as WK5Assgn+last name+first initial.
  2. Then, click on Start Assignment near the top of the page.
  3. Next, click on Upload File and select Submit Assignment for review.
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Rubric

NRNP_6665_Week5_Assignment_Rubric

NRNP_6665_Week5_Assignment_Rubric

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeIn a 300- to 500-word blog post written for a patient and/or caregiver audience: • Explain signs and symptoms for the assigned diagnosis in children and adolescents.(Comprehensive Essay Example on Bipolar Depression Disorder)

30 to >26.0 pts

Excellent

The response accurately and concisely explains signs and symptoms of the assigned diagnosis in language and tone that are engaging and appropriate for a patient/caregiver audience.

26 to >23.0 pts

Good

The response accurately explains signs and symptoms of the assigned diagnosis in language and tone appropriate for a patient/caregiver audience.(Comprehensive Essay Example on Bipolar Depression Disorder)

23 to >20.0 pts

Fair

The response somewhat vaguely or inaccurately explains signs and symptoms of the assigned diagnosis. Language and tone are mostly appropriate for a patient/caregiver audience.(Comprehensive Essay Example on Bipolar Depression Disorder)

20 to >0 pts

Poor

The response vaguely or inaccurately explains signs and symptoms of the assigned diagnosis. Language and tone are not appropriate for a patient/caregiver audience. Or the response is missing.

30 pts

This criterion is linked to a Learning Outcome· Explain pharmacological and nonpharmacological treatments for children and adolescents with the diagnosis.(Comprehensive Essay Example on Bipolar Depression Disorder)

30 to >26.0 pts

Excellent

The response accurately and concisely explains pharmacological and nonpharmacological treatments in language and tone that are engaging and appropriate for a patient/caregiver audience.

26 to >23.0 pts

Good

The response accurately explains pharmacological and nonpharmacological treatments in language and tone that are appropriate for a patient/caregiver audience.(Comprehensive Essay Example on Bipolar Depression Disorder)

23 to >20.0 pts

Fair

The response somewhat vaguely or inaccurately explains pharmacological and nonpharmacological treatments. Language and tone are mostly appropriate for a patient/caregiver audience.(Comprehensive Essay Example on Bipolar Depression Disorder)

20 to >0 pts

Poor

The response vaguely or inaccurately explains pharmacological and nonpharmacological treatments. Language and tone are not appropriate for a patient/caregiver audience. Or the response is missing.(Comprehensive Essay Example on Bipolar Depression Disorder)

30 pts

This criterion is linked to a Learning Outcome· Explain appropriate community resources and referrals for the assigned diagnosis.

25 to >22.0 pts

Excellent

The response accurately and concisely explains appropriate community resources and referrals for the assigned diagnosis in language and tone that are engaging and appropriate for a patient/caregiver audience.(Comprehensive Essay Example on Bipolar Depression Disorder)

22 to >19.0 pts

Good

The response accurately explains appropriate community resources and referrals for the assigned diagnosis in language and tone that are appropriate for a patient/caregiver audience.(Comprehensive Essay Example on Bipolar Depression Disorder)

19 to >17.0 pts

Fair

The response somewhat vaguely or inaccurately explains community resources and referrals for the assigned diagnosis. Language and tone are mostly appropriate for a patient/caregiver audience.(Comprehensive Essay Example on Bipolar Depression Disorder)

17 to >0 pts

Poor

The response vaguely or inaccurately explains community resources and referrals for the assigned diagnosis. Language and tone are not appropriate for a patient/caregiver audience. Or the response is missing.(Comprehensive Essay Example on Bipolar Depression Disorder)

25 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.(Comprehensive Essay Example on Bipolar Depression Disorder)

5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.(Comprehensive Essay Example on Bipolar Depression Disorder)

4 to >3.5 pts

Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.

3.5 to >3.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.

3 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity <60% of the time. No purpose statement, introduction, or conclusion were provided.(Comprehensive Essay Example on Bipolar Depression Disorder)

5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation(Comprehensive Essay Example on Bipolar Depression Disorder)

5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors

4 to >3.5 pts

Good

Contains one or two grammar, spelling, and punctuation errors

3.5 to >3.0 pts

Fair

Contains several (three or four) grammar, spelling, and punctuation errors

3 to >0 pts

Poor

Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/narrative in-text citations, and reference list.

5 to >4.0 pts

Excellent

Uses correct APA format with no errors

4 to >3.5 pts

Good

Contains one or two APA format errors

3.5 to >3.0 pts

Fair

Contains several (three or four) APA format errors

3 to >0 pts

Poor

Contains many (five or more) APA format errors

5 pts

Total Points: 100

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Comprehensive Essay Example on Bipolar Depression Disorder

(Comprehensive Essay Example on Bipolar Depression Disorder)

What is bipolar disorder?

Bipolar disorder (BD) is a chronic mood disorder and psychiatric health condition characterized by intense alterations in mood, thought patterns, energy levels, and behavior (American Psychiatric Association [APA], 2019). The alterations can last hours, days, weeks, or even months, affecting an individual’s capacity to carry out daily tasks. BD is more common in older children and adolescents than younger ones. Bipolar disorder occurs in different forms, including manic, hypomanic, and depressive episodes. This blog focuses on BD depression.(Comprehensive Essay Example on Bipolar Depression Disorder)

What is bipolar disorder depression (BD-D?

BD-D is a type of bipolar disorder in which depressive episodes dominate manic and hypomanic episodes. An adequate understanding of the symptoms and timely diagnosis is necessary to initiate treatment interventions for depressive episodes in children and adolescents diagnosed with BD-D (Baldessarini et al., 2020). Depressive episodes are more common in bipolar II disorder than bipolar I disorder (APA, 2019).(Comprehensive Essay Example on Bipolar Depression Disorder)

Signs and Symptoms

A patient should present five or more symptoms associated with a depressed mood or loss of pleasure/interest that occurs for at least two weeks;

  1. Depressed mood – This must happen most of the day and nearly every day as reported by the client or observed by others.
  2. Diminished pleasure/interests – This can be in all or almost every activity for most of the day and almost daily.
  3. Feelings of worthlessness.
  4. Hypersomnia or insomnia
  5. Psychomotor retardation/agitation
  6. Significant weight loss/gain – Weigh is lost/gained without a dieting plan, i.e., a change in at least 5% of the body weight in a month. Individuals can experience decreased appetite almost daily.
  7. Loss of energy or fatigue is experienced almost daily.
  8. Recurring thoughts of death – Children and adolescents can experience fear of dying and suicide ideation, despite having no intent, plan, or attempt.
  9. Indecisiveness or reduced thinking or concentration ability almost every day – this can be subjective or observable by others.

Pharmacological Treatments

There are various medications approved for treating bipolar depression by the FDA. A client may need to try different medications with guidance from the healthcare provider to determine which works best. The drugs approved for BD-D include antidepressants, mood stabilizers, and atypical antipsychotics (Levenber & Cordner, 2022). The FDA-approved medications include a combination of olanzapine (atypical antipsychotic) and fluoxetine (antidepressant), lithium (mood stabilizer), quetiapine, and lurasidone (Butler et al., 2018). It should be noted that there is no FDA-approved medication for pediatric patients below ten years. When taking drugs, the patient and the caregiver should talk with the healthcare provider to understand the medication’s benefits, risks, and side effects. Moreover, any other drugs or supplements should be disclosed to the healthcare provider. The medications should be taken consistently, and side effects should be reported.(Comprehensive Essay Example on Bipolar Depression Disorder)

Nonpharmacological treatments

Common nonpharmacological interventions for bipolar depression include psychoeducation, interpersonal and social rhythm therapy (IPSRT), family-focused therapy (FFT), and cognitive behavioral therapy (CBT). Psychoeducation, IPSRT, FFT, and CBT have been shown effective in reducing depressive symptoms, preventing relapse, and delaying periods of experiencing mood changes (Rabelo et al., 2021; Goldstein et al., 2018; Miklowitz et al., 2020). Patients and caregivers should work with healthcare providers to identify the most appropriate intervention. (Comprehensive Essay Example on Bipolar Depression Disorder)

Community Resources and Referrals.

If a patient is experiencing suicide ideation, it is critical to seek immediate attention. Call the Suicide & Crisis Lifeline at 988 or 911. The local chapters of the depression and bipolar support alliance and the balanced mind foundation offer resources and support to families that have a member diagnosed with bipolar depression. A comprehensive psychiatric assessment by a mental health practitioner is necessary for a definitive diagnosis.(Comprehensive Essay Example on Bipolar Depression Disorder)

References

American Psychiatric Association. (2019). Diagnostic and statistical manual of mental disorders (7th ed.). American Psychiatric Publishing, Inc.   

Baldessarini, R. J., Vázquez, G. H., & Tondo, L. (2020). Bipolar depression: a major unsolved challenge. International Journal of Bipolar Disorders8(1), 1-13. https://doi.org/10.1186/s40345-019-0160-1

Butler, M., Urosevic, S., Desai, P., Sponheim, S. R., Popp, J., Nelson, V. A., & Sunderlin, B. (2018). Treatment for bipolar disorder in adults: a systematic review. Available at: https://www.ncbi.nlm.nih.gov/sites/books/NBK532193/table/ch2.tab1/ (Accessed 27 December 2022)

Goldstein, T. R., Merranko, J., Krantz, M., Garcia, M., Franzen, P., Levenson, J., … & Frank, E. (2018). Early intervention for adolescents at-risk for bipolar disorder: A pilot randomized trial of Interpersonal and Social Rhythm Therapy (IPSRT). Journal of Affective Disorders235, 348-356. https://doi.org/10.1016/j.jad.2018.04.049

Levenberg, K., & Cordner, Z. A. (2022). Bipolar depression: a review of treatment options. General Psychiatry35(4). http://dx.doi.org/10.1136/gpsych-2022-100760

Miklowitz, D. J., Schneck, C. D., Walshaw, P. D., Singh, M. K., Sullivan, A. E., Suddath, R. L., … & Chang, K. D. (2020). Effects of family-focused therapy vs. enhanced usual care for symptomatic youths at high risk for bipolar disorder: a randomized clinical trial. JAMA Psychiatry77(5), 455-463. https://doi.org/10.1001/jamapsychiatry.2019.4520

Rabelo, J. L., Cruz, B. F., Ferreira, J. D. R., de Mattos Viana, B., & Barbosa, I. G. (2021). Psychoeducation in bipolar disorder: A systematic review. World Journal of Psychiatry11(12), 1407. https://doi.org/10.5498%2Fwjp.v11.i12.1407

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