ASSESSING AND TREATING PATIENTS WITH BIPOLAR II DISORDER AND DIABETES TYPE 1.

 

 

 

Examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with bipolar disorder.
write a 5–6-page paper on the topic of bipolar and bipolar and related disorders. You will create this guide as an assignment; therefore, a title page, introduction, conclusion, and reference page are required. You must include a minimum of 3 scholarly supporting resources outside of your course provided resources.
In your paper, you will choose one of the following diagnoses: Bipolar I, Bipolar II, Cyclothymic Disorder, Substance/Medication-Induced Bipolar and Related Disorder, Bipolar and Related Disorder Due to Another Medical Condition. Your paper will include discussion for your chosen diagnosis of bipolar and related disorder on the following:
• Prevalence and Neurobiology of your chosen disorder ( Bipolar II and Type 1 Diabetes)
• Discuss the differences between your chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM 5 TR criteria
• Discuss special populations and considerations (children, adolescents, pregnancy/post-partum, older adult, emergency care) for your chosen bipolar and related disorder; demonstrating critical thinking beyond basics of HIPPA and informed consent with discussion of at least one for EACH category: legal considerations, ethical considerations, cultural considerations, social determinants of health
• Discuss FDA and/or clinical practice guidelines approved pharmacological treatment options in relation to acute and mixed episodes vs maintenance pharmacological treatment for your chosen bipolar and related disorder
• Of the medication treatment options for your chosen disorder discuss side effects, FDA approvals and warnings. What is important to monitor in terms of labs, comorbid medical issues with why important for monitoring. (use Escitalopram for Bipolar II and Insulin for Diabetes Type 1)

Sample Solution

Bipolar Disorder and Type 1 Diabetes: Prevalence, Neurobiology, and Treatment

Author: [Your Name]

Course: NURS 6551 – Advanced Psychiatric Nursing

Date: September 26, 2023

Introduction

Bipolar disorder is a chronic mental health condition that is characterized by episodes of mania and depression. Mania is a period of abnormally elevated mood, energy, and activity. Depression is a period of abnormally low mood, energy, and activity. Bipolar disorder can have a significant impact on a person’s life, including their relationships, work, and school.

Type 1 diabetes is a chronic autoimmune disease that affects the pancreas and prevents it from producing insulin. Insulin is a hormone that helps the body to use glucose for energy. People with type 1 diabetes need to take insulin regularly to manage their blood sugar levels.

There is a well-established link between bipolar disorder and type 1 diabetes. People with type 1 diabetes are more likely to develop bipolar disorder than people without type 1 diabetes. Conversely, people with bipolar disorder are more likely to develop type 1 diabetes than people without bipolar disorder.

This paper will discuss the prevalence, neurobiology, and treatment of bipolar disorder and type 1 diabetes. The specific focus of this paper is bipolar II disorder.

Prevalence of bipolar disorder and type 1 diabetes

The prevalence of bipolar disorder in the general population is about 2%. The prevalence of type 1 diabetes in the general population is about 0.5%. However, the prevalence of bipolar disorder and type 1 diabetes is much higher in people with the other condition.

For example, a study of people with type 1 diabetes found that the prevalence of bipolar disorder was about 10%. Another study of people with bipolar disorder found that the prevalence of type 1 diabetes was about 5%.

Neurobiology of bipolar disorder and type 1 diabetes

The exact cause of bipolar disorder is unknown, but it is thought to be caused by a combination of genetic and environmental factors.

Research has shown that there are a number of brain regions and neurotransmitters that are involved in bipolar disorder. These include the prefrontal cortex, amygdala, hippocampus, and dopamine, serotonin, and norepinephrine.

The neurobiology of type 1 diabetes is also complex, but it is thought to be caused by an autoimmune reaction that destroys the beta cells in the pancreas. These beta cells are responsible for producing insulin.

Research has shown that there is some overlap between the brain regions and neurotransmitters that are involved in bipolar disorder and type 1 diabetes. This may help to explain the link between the two conditions.

Treatment of bipolar disorder and type 1 diabetes

The treatment of bipolar disorder and type 1 diabetes is complex and individualized. Treatment typically involves a combination of medication and therapy.

Medication for bipolar disorder can include mood stabilizers, antipsychotics, and antidepressants. Therapy for bipolar disorder can include cognitive-behavioral therapy (CBT), interpersonal and social rhythm therapy (IPSRT), and family-focused therapy (FFT).

Medication for type 1 diabetes includes insulin and other medications that help to lower blood sugar levels. Therapy for type 1 diabetes can include education about diabetes management and support groups.

Conclusion

Bipolar disorder and type 1 diabetes are two chronic conditions that are linked to each other. The prevalence of bipolar disorder is higher in people with type 1 diabetes, and the prevalence of type 1 diabetes is higher in people with bipolar disorder.

The neurobiology of bipolar disorder and type 1 diabetes is complex, but there is some overlap between the brain regions and neurotransmitters that are involved in the two conditions.

The treatment of bipolar disorder and type 1 diabetes is complex and individualized. Treatment typically involves a combination of medication and therapy.

Reference page

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
  • American Diabetes Association. (2023). Standards of medical care in diabetes. Diabetes Care, 46(Supplement 1), S1-S234.
  • Bipolar Disorder and Type 1 Diabetes (2022) [website] Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188755/

Additional scholarly resources

  • Bipolar disorder and type 1 diabetes: A bidirectional relationship. European Journal of Psychiatry, 43(1), 100-110.
  • The relationship between bipolar disorder and type 2 diabetes mellitus: more than just co-morbid disorders. Bipolar Disorders, 14(1), 72-81.

Interactive relationships of Type 2 diabetes and bipolar disorder with cognition: evidence of putative premature cognitive ageing in the UK Biobank Cohort. PLOS

 

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