Bipolar Disorders

Credit

Program Information

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Speaker

James Phelps, MD Related seminars and products

Director of the Mood Disorders Program

Samaritan Mental Health

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Dr. James Phelps, has worked in inpatient, outpatient, and primary care consultation and liaison programs for over 25 years, including private practice, while supporting a closet-academic’s habit of following the psychiatric literature. He is Bipolar Section Editor for Psychiatric Times,is author of A Spectrum Approach to Mood Disorders and has written two other books on bipolar disorders for patients and families. He has specialized in bipolar spectrum variations for over 15 years. He has authored multiple peer-reviewed articles on mood disorders. His non-profit website, PsychEducation.org, focuses on complex bipolar variations; it has received over a million visitors.

Dr. Phelps received his MD from Case Western Reserve University and completed his residency in psychiatry and a fellowship in medical education at the University of New Mexico. Current work focuses on primary care psychiatric consultation. Dr. Phelps has several education projects still underway and he’s helped a professional science film-maker make a documentary about the bipolar spectrum, including cutting-edge research on what causes bipolar disorder: BrainstormTheFilm.

 

Speaker Disclosures:
Financial: Dr. James Phelps receives royalties as a published author. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. James Phelps is a member of the International Society for Bipolar Disorder. He is the founder and medical director of DepressionEducation.org.

 

Additional Info

Program Information

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. You will have access for 90 days after the program for review.

Please note: There will be a 70-minute lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.

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Objectives

1. Differentiate bipolar spectrum symptoms from major depressive disorder and schizophrenia using a dimensional, transdiagnostic framework.
2. Analyze mixed mood states and subtle hypomanic or depressive presentations to improve diagnostic accuracy.
3. Evaluate current research on biological, genetic, neuroimmune, circadian, mitochondrial, and gut microbiota factors contributing to bipolar disorders.
4. Analyze environmental, behavioral, and pharmacologic factors that may destabilize clients within bipolar disorder
5. Choose interventions that stabilize mood, including sleep/circadian regulation, behavioral interventions, and self-monitoring tools.
6. Utilize CBT, FFT, and social rhythm therapy psychotherapies for bipolar disorder.

Outline

Bipolar 101: The Latest Research, Causes, and More

• Recent identification of several key genes
• Circadian clocks: some bipolar brains drift toward a weaker 24-hour rhythm
• Brian fuels
• Reward sensitivity
• The gut microbiome and inflammation

Getting the Right Diagnosis: Beyond the DSM™, Mixed States, and Diagnostic Overlap

• Mania, hypomania, and subtle hypomania
• Are we pathologizing “normal” variations in experience?
• How fast is rapid cycling? Where is the boundary with “borderlinity”?
• Bipolar mixed state – or PTSD with depression? Anxiety with depression? ADHD?
• Mixed mania is straightforward: irritable, agitated, dysphoric
• Mixed depression: unipolar yet bipolar? How does that make sense?
• The most common mixed state symptoms
• Diagnostic overlap
• Compare treatment options when there is no clear path

Treatment Fundamentals

• Stop the cycling
• Start with non-medication approaches
• Destabilizers to target
  • Street stimulants
  • Irregular sleep patterns
• Stabilizers to offer clients
  • Circadian tools: controlling light and darkness
  • Behavioral approaches to sleep
  • Light boxes: under your bipolar-specific guidance
  • Dark therapy
  • Bipolar-tracking app’s and how to use them

Using the Top Bipolar Psychotherapies

• Psychoeducation
• Bipolar-specific CBT
• Social Rhythm therapy (SRT)
• Family-Focused Therapy (FFT)
• Bipolar adaptations of DBT, EMDR, ACT, Mindfulness
• Research, risks and limitations

How Medications and Therapists Fit Together

• Why basic understanding of psychiatric medications is important
• Mood stabilizers with antidepressant effects
• Anti-manics that aren’t antipsychotics
• Antipsychotics
• Lithium

Target Audience

• Counselors
• Social Workers
• Marriage and Family Therapists
• Psychologists
• Psychiatrists
• Registered Psychotherapists
• Nurse Practitioners
• Case Managers
• Other Mental Health Professionals