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7/26/2019 Bipolar Disorder Ppt
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BIPOLAR DISORDER
SEISA GUMELAR NASTITY
201510401011055
DM RSJ MENUR SURABAYA A-24
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DEFINITION
According to DSM-IV-TR
Bipolar I disorder!"#$ !"d "t %$"&t on$
$'i&od$ o( )"ni"* "ndon$ d$'r$&&i#$
$'i&od$&
Bipolar II disorder!"#$ " !i&tor+ o( )",or
d$'r$&&i#$ $'i&od$&"nd !+'o)"nic$'i&od$& on%+
Bipolar disorder nototherwise specifed
!"#$ $#id$nc$ o( )ood%"i%it+* !+'o)"ni"* "ndd$'r$&&i#$ &+)'to)&
.t ("i% to )$$t crit$ri"(or i'o%"r II di&ord$r
Cyclothyicdisorder$/'$ri$nc$ n.)$ro.&'$riod& o( d$'r$&&i#$
&+)'to)& "ndn.)$ro.& '$riod& o(
!+'o)"nic &+)'to)&(or "t %$"&t 2 +$"r&
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EIDEMILGY
Bi'o%"r I 03 o( t!$ "d.%t 'o'.%"tion
Bi'o%"r II 05 o( t!$ 'o'.%"tion
A$ct& )$n "nd 6o)$n ("ir%+ $7."%%+
R$'ort$d " )$"n "g$ "t on&$t o( 21+$"r&
n&$t o( )"ni" "(t$r "g$ 80 i& %$&&
%i9$%+ to $ "&&oci"t$d 6it! " (")i%+!i&tor+ o( i'o%"r di&ord$r
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An $'i&odic* %i($%ong i%%n$&& 6it! " #"ri"%$co.r&$
M$n "r$ )or$ %i9$%+ t!"n 6o)$n to $ initi"%%+)"nic* .t ot! "r$ )or$ %i9$%+ to !"#$ " :r&t$'i&od$ o( d$'r$&&ion
Bi'o%"r di&ord$r &!o.%d "%6"+& $ con&id$r$d int!$ di$r$nti"% di"gno&i& o( d$'r$&&ion
S.icid$ r"t$& "r$ !ig! ")ong i'o%"r di&ord$r'"ti$nt&
Bi'o%"r di&ord$r c".&$& &.&t"nti"% '&+c!o&oci"%)oridit+
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SO!ATIC TREAT!ENTS OFAC"TE !ANIC
AND !I#ED EPISODESLIT$I"!I)'%$)$nt"tion
"nd do&ing
L"or"tor+)$"&.r$& "ndot!$r di"gno&tict$&t& ;BUN "ndcr$"tinin*'r$gn"nc+*t!+roid (.nction*
E00 )g
tid* &$r.)conc$ntr"tion o(05-12 )$7?%it$r
SIDE E@@E
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DI%ALPROE#
I)'%$)$nt"tion "nddo&ing
initi"% do&$
20C>0 )g? 9g '$rd"+ in in'"ti$nt& 250 )g tid in
o.t'"ti$nt& &$r.) conc$ntr"tion
o( 50C125 )cg?)% )"/i).) do&$ o(
80 )g?9g '$r d"+
SIDE E@@E
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CARBA!A&EPINE
I)'%$)$nt"tion "nddo&ing
D"i%+ do&$ o( 200C800 )g* gi#$n in
t!r$$ to (o.r di#id$ddo&$&
Do&$& c"n r"ng$(ro) 200 to 1300)g?d"+
SIDE E@@E
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SO!ATIC TREAT!ENTS OFAC"TE DEPRESSI%E EPISODES
T!$ 'ri)"r+ go"% i& r$)i&&ion o( t!$&+)'to)& o( )",or d$'r$&&ion "nd "
r$t.rn to nor)"% %$#$%& o('&+c!o&oci"% (.nctioning
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Lithi'
Anti(Con)'lsant Di#"%'ro"t
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!AINTENANCE T$ERAP*
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PS*C$OSOCIALINTER%ENTION
Mo&t '"ti$nt& 6it! i'o%"r di&ord$r &tr.gg%$ 6it! &o)$ o(t!$ (o%%o6ing i&&.$&
E)otion"% con&$7.$nc$& o( $'i&od$& o( )"ni" "ndd$'r$&&ion
co)ing to t$r)& 6it! !"#ing " 'ot$nti"%%+ c!ronic )$nt"%i%%n$&&
'ro%$)& "&&oci"t$d 6it! &tig)"tiF"tion
d$%"+& or )",or d$#i"tion& in d$#$%o')$nt
($"r& o( r$c.rr$nc$ "nd con&$7.$nt in!iition o( )or$
".tono)o.& (.nctioning int$r'$r&on"% dic.%ti$&* inc%.ding i&&.$& '$rt"ining to
)"rri"g$* (")i%+* c!i%d$"ring* "nd '"r$nting
"c"d$)ic "nd occ.'"tion"% 'ro%$)&
ot!$r %$g"%* &oci"%* "nd $)otion"% 'ro%$)& t!"t "ri&$
(ro) r$c9%$&&* in"''ro'ri"t$* 6it!dr"6n* or #io%$nt