Bipolar Disorder And Substance Abuse Paper

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Relationship Between Bipolar Disorder and Substance Abuse Paper Angella Outley April 24, 2012 Dr. Alice Crawford With the millions of people in the world living with mental illnesses, I found Bipolar Disorder to be most intriguing as my studies from the works of Alan C. Swann and others will prove that the combination of substance abuse and Bipolar Disorder affects the impulsivity and mental thought process of individuals as suicidal attempts and alcohol abuse are a result. Alan C. Swann’s article “Bipolar Disorder and Substance Abuse: Two Disorders or One” examines the mental and physical consequences of abusing substances while being bipolar. Swann examined the bipolar disorder in relation to substance use disorders, drugs, and alcoholism.…show more content…
Swann article states that Persons with Bipolar Disorder have a heightened increase of manic episodes when they are also diagnosed with abusing substances. People who are Bipolar and also abuse substances have an impaired decision-making thought process. Swann (2009) states “The Iowa Gambling Task (IGT) observed deficits on the IGT in subjects with substance-use disorders and with lesions of the ventromedial prefrontal cortex.” (280) According to this study, IGT performance correlates with the impulsivity of individuals. Therefore, decision making may very well be connected to substance abuse and if one is impaired mentally, then the impulsivity experienced can be negatively affected as well in regard to…show more content…
As a result, an increased suicidal mind state is present. In order to test their hypothesis, Swann (2004) compared impulsivity in inter-episode and manic bipolar subjects with and without substance abuse. According to the article, “Acute administration of either alcohol or cocaine increase behavioral impulsivity compared to persons who are bipolar and do not abuse substances.” (205) When bipolar subjects abuse substances, more manic episodes are experienced and their impulse to situations are more severe compared to those who are only bipolar and do not abuse substances. As a result, the authors found that performance impulsivity is increased in Inter-episode bipolar disorder only if a history of substance abuse is present. Reference Page Swann, A.C. 1997. Manic-depressive illness and substance abuse. Psychiatr.Ann 27: 507-511 Swann A. Bipolar Disorder and Substance Abuse: Two Disorders or One?. Journal Of Dual Diagnosis [serial online]. June 2005;1(3):9-23. Available from: SocINDEX with Full Text, Ipswich, MA. Accessed April 24, 2012. Swann AC, Dougherty DM, Pazzaglia PJ, Pham M, Moeller FG. Impulsivity: a link between bipolar disorder and substance abuse. Bipolar Disord 2004: 6: 204–212. ª Blackwell Munksgaard,

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