This essay explores the effects of bipolar disorder on cognition, including language and attention problems, memory and problem-solving difficulties, and impaired social cognition. It emphasizes the importance of early diagnosis and treatment.
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Table of Contents INTRODUCTION...........................................................................................................................1 MAIN BODY...................................................................................................................................1 CONCLUSION................................................................................................................................4 REFERENCES................................................................................................................................5
INTRODUCTION Psychology refers to study of mind and behaviour as it is a multifaceted disciple. It involves the criterion of analysing relevant sub-fields such as human development, sports, health, clinical, social behaviour and cognitive processes (Samalinandet. al., 2017). However, the psychological disorders affect the entire health condition which is required to be improved effectively. This project will focus on bipolar disorder and its impact on mental state of an individual. It will also include effects of bipolar disorders and its cognitive impact on patient. MAIN BODY What effects does bipolar disorder have on cognition? Are people with bipolar disorder cognitively impaired? Critically evaluate the literature and, based on research evidence, present a strong argument that justifies your conclusions. Bipolar disorder can be defined as a kind of mental problem that can be marked by extreme shifts in mood. It includes the mood condition of mania and episodes if depression due it which it is also known as bipolar disease or manic depression. Basically, it has been analysed that bipolar disorder has mainly three symptoms including mania, hypomania and depression. It consist the condition when an individual feeling excited, euphoric, impulsive and full of energy. Meanwhile, some of people experience manic episodes then they can involve in spending sprees, unprotected sex and drug use. The condition of hypomania is usually linked with bipolar II disorder which is quite similar to mania and hypomania that may not encourage any kind of trouble. It is observed that bipolar disorder results into cognitive impairments as it develop episodes of depressions. It includes several symptoms like hopelessness, loss of energy, lack of interest in activities they once enjoyed, periods of too little or too much sleep, suicidal thoughts and deep sadness. The bipolar disorder is responsible to develop cognitive impairments which consists number of difficulties faced by people. It includes emotional problems, emotional regulation issues, and otherrelevantimpulsivitywithinbipolardisorderisobserved(Baandrup,Fagerlundand Glenthoj,2017). Meanwhile, it includes the manic episodes which are responsible for impairing cognitive functions. It is observed that people experience problems in verbal and working memory which impact negatively on daily routine of life. It consist difficulty of reasoning function and problem solving etc. However, it has been evaluated that people face several problem including trouble in remembering, learning new things, concentration, and making 1
decisions. The cognitive impairments related to bipolar disorder has range from mild to severe condition. There are number of cognitive impairments which are observed in bipolar disorder patient, they are given here. Language and attentionproblem occurs due to bipolar disorder due to episodes of depression and lack of interest. It includes condition of an individual having insufficient skills to verbally communicate in effective manner. They are not able to concentrate on specific an aspect which is an issue to remain attentive in specific situation. However, it has been analysed that language problem occurs due to which patient are not able to communicate verbally in proper manner. The concentration ability reduced due to which attention skills decreased that develop cognitive impairments for an individual (Coetzer,2018). Memory and problem solvingincludes the common skill which anybody needs to spend their daily life in proper manner. Bipolar disorder is responsible to develop lack of interest and confusing condition of an individual due to which memory impairments occurs which create severe issues at their work place or studies. People are not able to remember anything which impact negatively on their entire life. Meanwhile, it is observed that people are not capable to understand specific situation effectively as they face difficulty in order to solve particular problems. It is necessary to have ability to analyse specific condition according to which effective decision can be made for problem solving which is impaired due to bipolar disorder. Facial recognition and social cognitionincludes the ability to identify the known people with memory. Bipolar disorder is responsible to develop problem of memory reduction due to which patient face difficulty in facial recognition. However, it includes the fact that social recognition is also difficult because of losing memory (Malhiand et. al., 2016). In addition to this, the bipolar disorder to make memory weak which impact negatively on cognitive functions of recognition and social cognition. Bipolar disorder create problem of reducing ability of an individual to think, process, store and use information in various kinds of social situations. The social cognition involves several aspects such as recognise difference between self & others, emotional recognition of others, collaboration, sharing episodic memory, theory of mind, perspective taking and empathy. These skills get disrupted because of occurring bipolar disorder among people. Moreover cognitive impairment occurs which develop severe effects in life of a person. On the other hand, the cognitive impairments consists several factors such as confusion, poor motor coordination, loss of short terms or long term memory, identity confusion and impaired 2
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judgement. It includes the development of several problems like impaired decision making, inability of problem solving, disrupted physical working, ineffective performance and many more. It has been analysed that bipolar disorder develops a condition in which impact negatively on mental as well as physical functioning of the human body. It impact to reduce necessary cognitiveskillsincludingsustainedattention,responseinhibition,speedofinformation processing, cognitive flexibility & control, multiple simultaneous attention, category information and pattern recognition. It is necessary to make diagnosis earlier and intake proper treatment because bipolar disorder attacks the health of an individual severely. It includes the fact that cognitive impairments are required to be measured earlier and treated effectively to avoid severe symptoms (Levinand et. al., 2016). However, bipolar disorder develops cognitive impairment which impact normal physical and mental capabilities of an individual due to which they affect patients’ life severely. Moreover, symptoms of bipolar disorder including mania ad depression episodes create cognitive difficulties for an individual which affect their skill of decision making, motor coordination, problem solving language issue etc. The bipolar disorder results into impaired cognitive ability facilitating impaired social interaction which may have number of reasons behind. It includes possible reasons including biochemical imbalances, disturbed thought processes and excessive hyperactivity and agitation. Meanwhile, it is necessary for people to immediately contact with registered physicians or specialist to consult about their problem of bipolar disorder. It includes diagnosing the cause and specific type of disorder according to which doctor can treat the health problem effectively. The nursing intervention includes several aspects which are mentioned here. Firstly, it includes making patient join with other patient to get involved in non-stimulating activities like drawing, board games etc. if they are not manic. Secondly, it is necessary to provide atmosphere having minimum stimuli including soft music, dim light, quiet etc. Thirdly, it is required to prefer solitary activities needs less attention that helps to reduce tension in constructive way. The ration of bipolar disorder take place between male and female is equal. It includes several symptoms which are observed among women to analyse cognitive impairments related to bipolar disorder. Initially, it includes the fact that bipolar disorder diagnosed later in their lives in their age of 20 to 30 years and they have milder episodes of mania. Meanwhile, it includes their experience of more depressive episodes as compared to manic episodes. Females can have four or more maniac episodes as well as depression in a year which is known as rapid cycling. It is 3
observed that women can face several issues including thyroid disease, obesity, anxiety and migraines. However, it has been evaluated that women have higher lifetime risk of alcohol use disorder. Bipolar disorder is known to be a mental health problem which takes place often due to hormonal changes related to menopause. In contrary to this, men shows several symptoms related bipolar disorders such as severe episodes of specially manic episodes, they have substance abuse issues, act out during manic episodes and it can be diagnosed earlier in life. However, it has been analysed that male suffering from bipolar disorder are less likely as compared to females to seek medical care on their own. Meanwhile, it has been identified that there are different types of disorder occurs among people which are explained here. Initially, the bipolar I can be described as condition indicates at least single maniac episode and hypomanic or major depressions symptoms take place (Zytoandet. al., 2016). It is observed in men and women in equal ratio that occurs among people generally. Secondly, the Bipolar II includes the condition of experiencing major depressive episodes which lasts at least two weeks. It involves the symptoms of at least one hypomanic episode that lasts for about the duration of four days. It consist the fact that Bipolar II is mostly take place among women. Thirdly, the cyclothymia includes symptoms of episodes hypomania and depressions. Mostly people are suffered with this kind of bipolar disorder which results into cognitive impairments. CONCLUSION From the above essay, it has been concluded that bipolar disorder mainly has symptoms of depressive episodes and mania which create cognitive impairments. It includes the decline in cognitive abilities. Like language & attention, problem solving, motor coordination and many more. However, it is necessary for people to immediately consult with doctor to take proper treatment by observing earlier symptoms to avoid severe condition and become wellbeing. 4
REFERENCES Books and journals Samalin, L. & et. al. (2017). Residual depressive symptoms, sleep disturbance and perceived cognitive impairment as determinants of functioning in patients with bipolar disorder.Journal of affective disorders,210, 280-286. Baandrup, L., Fagerlund, B., & Glenthoj, B. (2017). Neurocognitive performance, subjective well-being, and psychosocial functioning after benzodiazepine withdrawal in patients with schizophrenia or bipolar disorder: a randomized clinical trial of add-on melatonin versus placebo.European archives of psychiatry and clinical neuroscience,267(2), 163-171. Coetzer, R. (2018).Anxiety and mood disorders following traumatic brain injury: Clinical assessment and psychotherapy. Routledge. Malhi, G. S. & et. al. (2016). The Lithium Battery: assessing the neurocognitive profile of lithium in bipolar disorder.Bipolar disorders,18(2), 102-115. Levin, J. B. & et. al. (2016). Medication adherence in patients with bipolar disorder: a comprehensive review.CNS drugs,30(9), 819-835. Zyto, S. & et. al. (2016). A pilot study of a combined group and individual functional remediation program for patients with bipolar I disorder.Journal of affective disorders,194, 9- 15. 5