Options for Identifying and Treating Bipolar Disease with Roger Rivera Mente Suave Psychiatry TRANSCRIPT

Empowered Patient Podcast

Roger Rivera, psychiatric mental health nurse practitioner at Mente Suave Psychiatry, discusses the different types of bipolar disorder, the potential causes of the disease, available treatment options, and the importance of early detection and management. Roger emphasizes the need for a comprehensive approach to care and highlights the impact of bipolar disorder on patients' lives and society as a whole. While there are currently no biological markers for bipolar disorder, ongoing research and initiatives, including the use of AI, show promise in improving diagnosis and treatment.

Roger explains, "So rather than bipolar disorder, it should probably be called bipolar disorders just because of the different manifestations that it has. One of those manifestations could be manic episodes. Manic episodes could be described as just expansive mood, inflated self-esteem, decreased need for sleep, more targeted flight of ideas, and all these other things, which have a very strong correlation with functional impairment. And that's just one of the variations of bipolar disorder."

"We also have bipolar II, which has more hypomanic type features. So, if we look at the diagnostic manual that we use in psychiatry, we'll see that for bipolar I, it highlights we need at least one manic episode, but we didn't need a depressive episode. Yet, when we look at bipolar II, we usually need at least one depressive episode associated with that."

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