Strengths Based Biopsychosocial Approach to Recovery from Bipolar
Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC
Executive Director, AllCEUs
Podcast Host: Counselor Toolbox and Happiness Isn’t Brain Surgery
Objectives
What is bipolar
What causes bipolar disorder (and how to mitigate it)
Emotionally (Stress reduction, Anger Mangement, Happiness)
Mentally (Cognitive Errors and Negativity, Self-Esteem)
Physically (Exercise, Nutrition, Sleep, Medication)
Environmentally
Understanding your bipolar
Triggers (Depression & Mania) and interventions
Warning Signs (Depression & Mania) and interventions
Symptoms (Depression & Mania)
Co-Occurring Conditions (and interventions)
Why I Care/How It Impacts Recovery
Uncontrolled bipolar disorder puts people at risk for
Suicide
Addictions and Addiction Relapse
Extreme risk taking behavior
Poorly controlled bipolar disorder can leave people feeling hopeless and helpless
Well controlled bipolar, like well controlled addictions helps a person feel happy, optimistic, motivated and energized.
What is Bipolar Disorder
It is a brain a disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks.
Many very successful people have managed their bipolar disorder including
Mel Gibson
Demi Lovato
Axl Rose
Britney Spears
Jean-Claude Van Damme
Mark Vonnegut
Amy Winehaus
Lee Thompson Young & Robin Williams were both quite successful and revered in their fields, despite losing the battle with bipolar
What Causes Bipolar Disorder
What causes bipolar disorder
Imbalances in neurochemicals, especially dopamine, serotonin and norepinephrine
Imbalances can be genetic, triggered by sex-hormone changes or stress-hormone changes
Prevalence
More than 1 in 50 adults are classified as having bipolar disorder in any 12-month period (2.6% of the adult population)
Among patients seen in a primary care setting for depressive and/or anxiety symptoms, 20% to 30% are estimated to have bipolar disorder.
Bipolar disorder is still underrecognized, primarily due to misdiagnosis as unipolar depression.
Understanding Your Bipolar
Understanding your bipolar
Symptoms
Depression
Feel very sad, down, empty, or hopeless
Have very little energy
Have decreased activity levels
Sleeping changes
Feel worried and empty
Have trouble concentrating
Forget things a lot
Eat too much or too little
Feel tired or “slowed down”
Understanding Your Bipolar
Understanding your bipolar
Symptoms
Mania
Feel very “up,” “high,” or elated
Have a lot of energy and increased activity levels
Feel “jumpy” or “wired”
Have trouble sleeping
Talk really fast about a lot of different things
Be agitated, irritable, or “touchy”
Feel like their thoughts are going very fast
Think they can do a lot of things at once
Engage in risky and/or reckless behavior
Understanding Your Bipolar
Understanding your bipolar
Symptoms
Mixed
Includes symptoms of both manic and depressive symptoms
Feeling very sad, empty, or hopeless AND
Feeling extremely energized.
Bipolar I: At least one manic episode
Understanding Your Bipolar
Bipolar I patients experiencing depressive symptoms more than 3 times as frequently as manic or hypomanic symptoms
Bipolar II patients experiencing depressive symptoms approximately 39 times more often than hypomanic symptoms.
Common misdiagnoses
Generalized anxiety disorder
Goal directed activity is often related to an anxiety theme
Mood is more irritable and energetic vs. elated