1BIOPSYCHOSOCIAL ASSESSMENT OF BIPOLAR DISORDERBipolar is a mental health disorder that is characterised by episodes of depression and mania or hypomania [ CITATION Roy15 \l 1033 ]. A survey by AMPS revealed that 2.0% of the population screened positive for bipolar disorder [ CITATION McM16 \l 1033 ]. Bipolar disorders have long episodes and close to 60% of the patients relapse in the first two years, and about 75% in over five years following the initial diagnosis[ CITATION Naj16 \l 1033 ]. Due to the above statistics, there is need for effective bipolar management. This has led to theneed of evaluation of biopsychosocial factors that help to inform the appropriate managementinterventions. Genetic FactorsBipolar disorder has been strongly to genetic factors even though the specific genetic abnormalities that contribute to bipolar disorder are unknown[ CITATION Nol11 \l 1033 ]. First-degree relatives of people with bipolar disorder are 5 to 10 times more prone to both bipolar disorder and depressive disorders than relatives of people without bipolar[ CITATION Far07 \l 1033 ]. This can be a factor on Susan’s case as there is family history of bipolar since the brother was diagnosed with bipolar. Brain AbnormalitiesBrain imaging techniques like have brought great advancement in the study of bipolar disorder. Through them, it has been identified that people with bipolar disorder have enlargedventricle spaces. Enlarged ventricles are an indication of less brain tissue in the brain which suggests that there has been loss of cells in the brain or that brains of people with bipolar develop differently than normal brain[ CITATION Nem09 \l 1033 ]. It has been observed that there is also a reduction in the glial cells in bipolar brains. This has led to inefficient communication within the brain. Abnormalities in the structure and functioning of the amygdala and prefrontal cortex have been implicated in bipolar. The amygdala processes

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