Increased Precautions We're Taking in Response to COVID-19

LAST UPDATED ON 10/09/2020

As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at Cascade Behavioral Health Hospital to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, on-site visitation is no longer allowed at Cascade Behavioral Health Hospital.

  • This restriction has been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • Options for telehealth visitation are continuously evaluated so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff has received infection prevention and control training.
  • Thorough disinfection and hygiene guidance has been provided.
  • Patient care supplies such as masks and hand sanitizer are being monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.
  • We are in communication with our local health department to receive important community-specific updates.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit https://www.cdc.gov/coronavirus/2019-ncov/index.html

Symptoms, Signs & Effects of Bipolar Disorder

Understanding Bipolar Disorder

Understanding bipolar disorder

Bipolar disorder is an illness of the brain that includes a variety of symptoms indicative of exaggerated mood states. Individuals with this condition display unusual shifts in mood, activity level, and energy. Additionally, they may lack motivation, have decreased desire to engage in interpersonal interactions, and have difficulty functioning normally on a day to day basis. Symptoms of bipolar disorder differ somewhat in severity depending on the type of the disorder, however, no matter which form the illness takes the symptoms are significantly different from the regular ups and downs that we all experience from time to time.

There are three primary types of bipolar disorder. Bipolar I includes manic with or without the occurrence of depressive symptoms or mixed episodes. Those suffering from Bipolar II experience at least one hypomanic episode, a milder form of mania, and one major depressive episode. Cyclothymic disorder includes hypomanic-like symptoms and depressive symptoms, both of which are below threshold for meeting the criteria for either condition.

Mania encompasses greatly enhanced energy levels, euphoria, less need for sleep, excessive talking, and sometimes delusional grandiose plans for completing tasks the individual may not have the skills to accomplish. Depression involves extreme sadness, fatigue, a poverty of speech, and the loss of motivation to carry out even important tasks.

Although most adults don’t cycle often, the times between cycles are often filled with excessive anxiety related to the onset of the next extreme mood state. Given the distress caused by the anxiety, even the neutral periods between the mood states are experienced as overwhelming.

Bipolar disorder symptoms can result in broken relationships, declines in job or school productivity and achievement, and financial ruin. However, despite how devastating this condition may be, it can be effectively treated with the appropriate medication, psychotherapy, and follow-up. People suffering from this disorder can gain control over their symptoms and lead happy and fulfilling lives.

Statistics

Statistics of bipolar disorder

The 12 month prevalence rate for bipolar I for adults in the U.S. has been estimated to be .6%. There is no significant gender difference for this type. For bipolar II the 12 month prevalence rate of U.S. adults has been estimated at .8%. Similarly, there has been no gender differences discovered. While no 12 month prevalence rates have been reported, the lifetime prevalence rate for adults in the U.S. with cyclothymic disorder has been estimated to range from .4% to 1%.

Co-Occurring Disorders

Co-occurring disorders

There are numerous psychiatric and substance use disorders that may co-occur with bipolar disorders in adults. These include:

  • Specific phobias
  • Social anxiety/social phobia
  • Panic disorder
  • Agoraphobia
  • Generalized anxiety disorder
  • Substance/medication induced anxiety disorder
  • Anorexia
  • Bulimia
  • Binge eating disorder
  • Adult ADHD
  • Intermittent explosive disorder
  • Substance use disorders including alcohol abuse, stimulant abuse, and benzodiazepine abuse
  • Metabolic disorder
Causes

Causes of bipolar disorder

While there is support for certain factors regarding their role in the development of bipolar disorders, it is generally agreed upon that ultimately it takes a combination of factors to cause this condition to manifest. It is also accepted that these disorders likely result from different combinations for different individuals and condition type.

  • Genetic-Similar to other mood related disorders, it is clear that bipolar disorders run in families. Current thinking also reflects research indicating that genetic contributions to bipolar disorder are complex and likely involve a number of gene mutations, chromosomal abnormalities, and the interaction of certain genes linked to mood and mood regulation.
  • Brain Structure and Functioning– In the front of the brain is an area responsible for impulse control, emotional regulation, and the ability to alter actions and reactions to rapidly changing situations. Imaging studies have determined that this area of the brain is smaller and does not function as well in those with bipolar disorder compared to those without these disorders
  • Physiological Predisposition – In addition to role of genetics and specific structures within the brain in the development of bipolar disorder, it is believed that there is an inborn predisposition related to this disorder. However, whether or not the predisposition leads to the development of a bipolar condition is dependent on the interaction with environmental factors. Specifically environmental stressors and negative life events are believed to trigger this predisposition in some individuals.
Signs and Symptoms

Signs and symptoms of bipolar disorder

The symptoms of the two general mood states found in bipolar disorder are listed below.

Manic/Hypomanic Symptoms (The two types of symptoms differ by degree of severity):

  • Excessively elevated mood
  • Being overly optimistic
  • Irritability
  • Excessive energy and activity level
  • Physical agitation, restlessness, the inability to sit still
  • Significantly increased goal related activity that the individual does not have the skills to complete
  • Delusions of grandeur regarding capabilities, popularity, and social position, among other areas
  • Excessive involvement in activities with great risk for resulting in harm (e.g. investing in schemes with no foundation, promiscuous sexual activity, driving at high speeds)
  • Increased self-esteem
  • Less need for sleep
  • Decreased appetite
  • Pressured or rapid speech or increase overall speech output
  • Racing thoughts
  • Flight of ideas
  • Decreased ability to maintain attention or severe distractibility
  • Impaired judgment

Depressive Symptoms (must occur minimally over a two week period for Type I or Type II; for Cyclothymic Disorder depressive symptoms are less severe and occur over a shorter period):

  • Depressed mood (based on self-report or observation by others)
  • Loss of enjoyment in previously pleasurable activities
  • Feeling numb or empty
  • Change in appetite and/or unintended weight loss or weight gain amounting to at least a 5% change in body weight in a single month
  • Sleeping significantly more or less than usual
  • Psychomotor retardation or agitation (must be observed by others even when it is reported by the person)
  • Decreased energy, tiredness
  • Loss motivation to engage in even important activities
  • Social withdrawal
  • Inability to perform well at work or school
  • Feeling worthless, shameful or overly guilty without cause (may be delusional)
  • Difficulty concentrating, thinking logically, or paying attention
  • Impaired decision making
  • Difficulty remembering even recently learned information
  • Thoughts of death, suicidal ideation
Effects

Effects of bipolar disorder

The consequences of living with untreated bipolar disorder affect every area of an individual’s life, along with those around them. The effects of bipolar disorder include:

  • Reduced functional capacity
  • Loss of important relationships
  • Marital problems and divorce
  • Legal problems
  • Financial problems and increasing debt
  • Increasing anxiety between mood states
  • Decreased work productivity, lost work days, and inability to maintain employment
  • Family problems and fractures due to the negative effects on each member’s quality of life
  • Damaged relationships leading to the loss of a social support network
  • Poor job or school performance, leading to lack of achievement
  • Physical problems from prolonged abuse of drugs, alcohol, or prescriptions taken in an effort to self-medicate
  • Self-injury
  • Suicide
  • Sense of hopelessness and helplessness that the future will get better
  • Increased need for physical health services
  • Increased dependency on others for day to day functioning results in feelings of weakness and uselessness
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