Lesson 32: Bipolar I Disorder – Alternating Mania and Depression (Lessons 1141–1180) · Course Catalog

1. Overview of Bipolar I Disorder
   To analyze the core characteristics of manic-depressive alternation and its impact on functioning.
2. Manic phase characteristics
   It can identify signals such as high energy, rapid speech, reduced sleep, and risky behavior.
3. Characteristics of the depressive phase
   Understand the typical manifestations of low mood, loss of interest, and feelings of helplessness and self-blame.
4. Causes and risk factors
   The interaction between genetic susceptibility, neurobiology, circadian rhythms, and stress.
5. Diagnostic and Assessment Points
   Using manic episodes as a key clue, combined with scales, disease course, and family history.
6. Treatment pathways and long-term management
   Based on mood stabilizers, combined with psychotherapy and rhythm management.
7. Early warning and self-monitoring of mania
   Establish daily tracking of three indicators: energy, speech rate, and sleep.
8. Identification and classification of depressive episodes
   Identify negative cognition and functional impairments from mild to severe, and intervene as early as possible.
9. Emotional Cycles and Triggering Factors
   Create a personal trigger map: sleep, stress, substances, and rhythms.
10. Impaired judgment and impulsive risk management
    Establish safe boundaries for consumption, driving, socializing, and decision-making.
11. Family collaboration during manic phase high-risk behaviors
    Agree on a "safe word" with relatives and friends, and initiate medical assistance if necessary.
12. Crisis recognition and support during depression
    Pay attention to the risks of despair and self-harm, and prepare an accessible list of crises.
13. Sleep rhythm and mood stability
    Maintain a regular sleep-wake cycle, control light exposure and caffeine intake, and stabilize your circadian rhythm.
14. Drug therapy and adherence strategies
    Understand the effects and adverse reactions, and seek help from reminders and family support.
15. Use of mood tracking logs and scales
    Record your daily mood intensity, sleep duration, and significant events.
16. Transition from mania to depression
    This helps to gradually slow down high emotions and prevents a direct fall into severe depression.
17. Personalized treatment and rehabilitation goals
    The process will be advanced in stages, focusing on three levels: safety, function, and significance.
18. Family Education and Communication Script
    Discuss symptoms and plans using non-blaming language to reduce conflict.
19. Emotional stabilization exercises
    Breathing, muscle relaxation, and grounding reduce physiological activation.
20. Identification and correction of cognitive biases
    Correcting common mindsets such as "all good or all bad/mind reading/catastrophizing".
21. Psychological education: Living with the course of the disease long-term
    Understand slow and fast variables, and maintain realistic and desirable expectations.
22. Life structuring and temporal anchoring
    A "rhythmic four-piece set" of fixed daily routines, meals, exercise, and social interactions.
23. Pre-planning of emotional trigger points
    Prepare response scripts for scenarios such as high voltage, cross time zones, and holidays.
24. The triangle of stress, emotions, and sleep
    Break the vicious cycle through load management and relaxation training.
25. Key points for collaborating with doctors and seeking medical treatment
    Bring an emotional log and a list of questions to improve consultation efficiency.
26. Avoid manic behaviors and substances
    Be wary of sleep deprivation, stimulants, alcohol, and excessive goal-driven behavior.
27. Self-support and energy management during depression
    Micro-movements, light-intensity exercise, and the ability to complete tasks restore a sense of accomplishment.
28. The link between bipolar disorder and diet and exercise
    The combined benefits of stable blood sugar, regular exercise, and sun exposure.
29. Social network and support system construction
    Distinguish between energetic and stable relationships, and clearly define a list of requests for help.
30. Rhythmic arrangement of work and study
    Break down goals and set buffers to avoid emotionally driven overload.
31. Facing repeated fluctuations and feelings of frustration
    Replace "all or nothing" evaluations with phased results and reviews.
32. Stability and predictability in daily planning
    Stabilize your mind and body rhythm with fixed anchor points and routines.
33. Repairing self-identity and self-esteem
    Decouple self-worth from the course of the illness and reconnect with strengths and interests.
34. Substance use and comorbidity risk
    Identify alternative self-medications and turn to safe professional support.
35. Mindfulness and present moment awareness
    Reduce emotional amplitude and reactivity by using non-judgmental attention.
36. Overview of relapse warning signals
    List early signs of personalization and their corresponding "first response actions".
37. Long-term relapse prevention strategy
    Medication adherence, rhythm maintenance, debriefing meetings, and support groups.
38. Long-term care and role synergy
    The "four-corner support" consists of support from the individual, family members, doctors, and peers.
39. Reconstruction of a sense of meaning and motivation for recovery
    Set achievable goals with a value orientation and accumulate small but certain progress.
40. Integration and Summary: Towards Long-Term Stability
    Review the toolkit and guardrails to develop an actionable annual maintenance plan.
41. Traditional Psychological Mandala (Supplementary Course)
    Traditional psychological mandalas are visual healing tools that integrate traditional religious mandala forms with modern psychological symbolism.
42. Lesson 32: Bipolar I Disorder (Lessons 1121-1160) Course Assessment
    Please complete the course evaluation to review your learning and provide suggestions. This will help you deepen your understanding and help us improve the course.