Friday, September 4, 2020

cheats :: essays research papers

110,000 Credits In 30 Minutes Purchase a Toyota Integra Type-R and update it to the most extreme. Presently go to the Type-R meeting in the begginer leauge. Do the arrangement race (5 races) and you get 5,000 for each race and 10,000 toward the end. 35,000 as of now! Presently you get an Acura worth 75,000. Sell this and you have increased 110,000 credits in a short time. Income sans work! 75% finishing Complete 75% of the game and you will be remunerated with a Mazda 787B. Quicken quicker In the event that your riggings are in programmed, at that point hold R1 when you begin to move and hold up to the Rev gets to the Red piece and discharge ( You should discharge it - in any case the vehicle wont switch gear! ) All Japanese GT Championship prize (Amateur League) Win the All Japanese GT Championship in the Amateur League to open the Honda Arta NSX JGTC and Denso Supra Race Car. Altezza Championship Race prize (Amateur League) Win the Altezza Championship Race in the Amateur League to open Tom's X540 Chaser and Toyota Vitz RS 1.5. Most ideal approach to begin the game Your first vehicle ought to be the PT cruiser, at that point set aside and purchase a chevrolet camaro SS, at that point purchase a Toyota Supra. Set aside and completely tune it, it will have around 1000bhp! At that point ensure you have the IA permit and enter the super speedway perseverance race. This will take around 60 minutes, it will at that point win you a F1 vehicle and 200000cr!! The F1 vehicle can enter and effectively win most races. Be cautioned however in light of the fact that you may not win the F1 vehicle first time round, yet the multiple times I have attempted, I did. Extra tracks Complete every level of tracks in arcade mode on any trouble setting to open the following level of tracks: Level 1 Super Speedway, Midfield Raceway, Smokey Mountain, Swiss Alps, Trial Mountain, Midfield Raceway II. Level 2 Smokey Mountain II, Tokyo R246, Grand Valley Speedway, Laguna Seca Raceway, Rome Circuit, Tahiti Circuit. Level 3 Swiss Alps II, Trial Mountain II, Deep Forest Raceway II, Special Stage Route 5, Seattle Circuit, Test Course. Corvette C5R Essentially beat half of the reproduction game and you'll be given a Corvette C5R. CorvetteZo6 with 793 pull It's not so much a cheat, yet it's a clue. Purchase a CorvetteZo6 for $54,000, and overhaul it to the most extreme. At that point you're all set. Deutsche Tourenwagen Challenge prize (Amateur League) Win the Deutsche Tourenwagen Challenge in the Amateur League to open the Volkswagen Lupo Cup Car, Volkswagen Beetle Cup Racer, Astra Touring Car, and RUF 3400S.

Tuesday, August 25, 2020

Dance analysis Essay Example | Topics and Well Written Essays - 500 words

Move investigation - Essay Example I took a class at my schools Music division studio, with an uncommon guide of the department’s coach in African moves. At long last, after effectively going to a class of the Zulu move I currently have a more profound comprehension of the association that exist between the artists and the service occasioned by the particular move. The Zulu move for the most part includes a conventional move of the two people completely wearing their separate customary move clothing types. The move involves high venturing and an ensuing stepping of the ground in a cadenced way. The artists likewise play out this while holding weapons and shields, where by their hands are habitually brought up in a way that goes in accordance with the mood of the whole move. The weapons that the artists hold normally incorporate a customary lance and a shield. At certain cases, the artists make an interesting kick over their head and deliberately tumble to the ground in a very much oversaw hunker position. Also, the artists usually clothing regulation that contrastingly grandstand the move moves of either men or ladies. This implies the clothing regulation of the move is diverse for the two people. The Zulu move clothing standard is fundamentally a creature skin for the men, while the ladies have skirts that are brightened with hardwood dots (We lsh-Asante, 2010). Besides, while the grown-ups are relied upon to have their thighs secured, the youngsters artists are excluded. Anyway the two people will have restricted garments on their bodies and in this way a considerable piece of their bodies are uncovered. The Zulu move is performed during the conventional Zulu function and is generally joined by amazingly energetic singing and now and again, the pounding of the drums. The move is viewed as remarkably specular as the two people of perform it are for the most part in mixed conventional clothing that coordinates the move. As a conventional perspective for the Zulu culture, it is standard for the unmarried

Saturday, August 22, 2020

The Trail of Tears: Indian Genocide Essay -- Cherokee Indian Removal

â€Å"Our country was conceived in massacre when it grasped the regulation that the first American, the Indian, was a mediocre race.† - ― Martin Luther King Jr. The Trail of Tears is a verifiable title given to an occasion that occurred in 1838.In this occasion, the Cherokee people group of Native Americans was constrained by the USA government to move from their local home in the Southern piece of the contemporary America to what is known as the Indian domains of Oklahoma. While some went by water, a large portion of them went via land. The Cherokees took a half year to finish a 800 miles separation to their goal. The Cherokee walked through, gnawing cold, rains, and day off. Numerous individuals kicked the bucket during this outing from starvation, maladies, introduction, and impulses of obscure territories. The individuals who related this excursion in later years discussed an outing that was loaded up with tears borne of huge affliction and passings during this outing and in this manner the name Trail of Tears. Current researchers and victors of human rights have depicted this occasion as one of the most infamous massacres during the nineteenth Century. This paper will thusly endeavor to demonstrate that, the Cherokee people group experienced human right monstrosities the American government in a matter of seconds prior and during the Trail of Tears. The Cherokee lived in the current day United States of America several years prior to its occupation by the Europeans. History broadcasts that individuals from this network moved from the Great Lakes and settled in the Southern Appalachians. At the point when the Europeans began settling down in America, the Cherokee chose to coincide calmly with her remote neighbors. The Cherokee lands comprised of Alabama, portions of Virginia, Kentucky, North and South Carolina and Georgia. ... ...Tears: expulsion in the South. New York: InfoBase Publishing, 2007. Burgan, Michael. The Trail of Tears. Minneapolis: Compass Point book, 2001. Byers, Ann. The Trail of Tears: A Primary Source of History of the constrained Relocation of the Cherokee Nation. New York: The Rosen Publishing Group, 2003. Gilbert, Joan. The Trails of Tears across Missouri. Missouri: University of Missouri. Snare, Sue. Trails of Tears. New York: ABDO, 2010. Marsico, Katie. The Trails of Tears. Singapore: Marshall Cavendish, 2009. Rozema, Vicki. Voices from the Trails of Tears. Winston-Salem: John F. Blair, Publisher,2003. Salas, Laura. The Trails of Tears,1838. Mankato: Capstone Press, 2003. Sioux, Tracee. Local American Migration. New York: The Rosen Publishing Group, 2004. Sturgis, Amy. The Trails of tears and Indian Removal. Westport: Greenwood Publishing Group,2007.

A Birthday Remembered essays

A Birthday Remembered papers The primary character in A Birthday Remembered is Ellen Simms. She is a lady of around 30, and she lives alone in a house in an unassuming community. In a similar town lives Tobie, who is to some degree like a little girl to her. Ellen has lived with another lady called Jackie. Tobie is the little girl of Jackie. Tobies father is called Roger. Roger and Jackie lived respectively until Jackie chose to leave him to live with Ellen. Roger was extremely irate with Jackie on the grounds that she was leaving him for a lady. Ellen thinks, that it is more in light of the fact that Roger feels offended, than he is upset for losing Jackie. Jackie took Tobie with her when she moved from Roger, thus Ellen and Jackie needed to raise Tobie. When Jackie becomes ill and passes on, Tobie is compelled to move back to her dad, where she despite everything lives at the hour of the story. Tobie will before long be 15 years of age. She calls Ellen Aunt El, despite the fact that she isn't her auntie. Roger is attempting to make a carreer as a business official, and he is clearly self absorbed. He couldn't care less a ton about Tobie. He disallows her to do a great deal of things that she needs to do. Roger is very wealthy, so she could get cash in the event that she required it, however Tobie has an occupation as a library page in her extra time since she gets a kick out of the chance to have her own cash. Tobie has not informed his dad regarding her companion Warrick yet, on the grounds that he presumably would not permit her to have a beau, and certainly not when she is just 14 years of age. Tobie says about her dad, that his principle object in life is by all accounts to demonstrate how much cash he can make and keep. When even his own girl can say this regarding him, it must be valid. Jackie likewise stated: Rogers a penny pincher on a fundamental level: he needs every penny I spend represented, yet hellfire go out and purchase something stunningly gaudy to demonstrate hes got ca sh. Ellens relationship to Tobie is generally excellent. Jackie and Ellen raised her, until she needed to move back to her dad. Ellen is uncertain of wheth... <! A Birthday Remembered articles Love is exceptionally entangled, butterflies in ones stomach, yet it likewise includes a ton of torment. The torment isn't anything but difficult to compel out. We need to defy ourselves with the agony and get over it, however this isn't simple. We control our emotions and attempt to overlook them. This solitary purposes a significantly greater torment. That is the circumstance for Ellen, the fundamental character in this short story. Ellens love life has been confounded, she is a lesbian and obliged to tune in to people groups partialities. Her unparalleled love, Jackie, bites the dust and she isn't permitted to cover her She has not been permitted to do this one final thing for Jackie. To be with her during the last ceremonies. (ll.24-25). In light of Jackies previous spouse, Roger, whom she has left to live with Ellen, yet he was unable to acknowledge her better half being a lesbian and attempted to announce her incidentally crazy (l.15). Jackies little girl then again believes that what Ellen and Jackie had was great and delightful (l.102). When tobie specifies this Ellens thought is God, just because, it was out in the open The short story happens in the 1980-90s in light of the fact that being a gay are not something individuals talk about in this story it is an untouchable. They are not acknowledged at this point, however the issue of being gay are turning into a progressively incorporated piece of our way of life. It happens on Valentines Day, a day when specifically Britain and the USA you demonstrate your adoration to individuals you care about. I don't think it is a fortuitous event that the creator has picked this day to be Ellens birthday daily loaded with adoration is somewhat image for Ellen, a warm and giving individual who contemplates others especially Tobie. Tobie is much the same as a girl to her. Ellen cherishes her and just needs what is best for her Would you like some hot cocoa to warm you up? I know its cold outside (ll. 47-50). Roger is something contrary to Ellen as opposed to being intereste ... <!

Friday, August 21, 2020

Beijing Opera Essay Example | Topics and Well Written Essays - 1250 words

Beijing Opera - Essay Example This customary Chinese performance center varies from show, emulate, and dramatization and puts more accentuation to 'Chang (Singing)', 'Nian (Speaking)', 'Zuo (Acting), and 'Da (Fighting)'. The Beijing Opera began from the center time of the Qing Dynasty (1644-1911) and involves four exhibitions that incorporate Anhui †Sanqing Troupe, Sixi Troupe, Chungong Troupe, and Chun Troupe that dwell in Beijing, Tianjin, and Shanghai China1. In reality, there were numerous names for Beijing Opera in its history, for example, Pihuang, Erhuang, Huang Qiang, Peking Opera, Pingju Opera, and Chinese Opera. In any case, Peking Opera that was conceived when the 'Four Great Anhui Troupes' brought Anhui drama overrides the rest. Beijing Opera shows itself as one of the social fortunes of China. Albeit framed in Beijing, Beijing Opera isn't the local brought into the world however a softening drama. In the Beijing Opera, singing has the specific tune that communicates the conclusion of the emotion al persona. Taiwan protects the artistic expression known as Guoju however it has spread to Japan and the United States. Beijing Opera is the embodiment of Chinese national dramatization and has huge impact in both China and abroad. As per Beijing Opera, acting is the presentation of development and articulation while battling is the hand to hand fighting performed by moving. Simultaneously, Beijing Opera acknowledges the satisfying elaborate and aesthetic congruity of the move and music, and craftsmanship structures. Beijing Opera has severe job division that incorporates Sheng, Dan, Jing, and Chou. 'Sheng' acts the manly positive job, ‘Dan’ acts the female positive job, and ‘Jing’ acts the supporting job of greathearted manly, while 'Chou' goes about as an enthusiastic, entertaining, sharp manly. Every sort of job likewise has distinctive face painting and dressing to show their character. All the more altogether, the Beijing Opera identifies with the pol itical and military battle and has an authentic topic. Beijing Opera really speak to China culture since it keeps together the different components of history, folklore, writing and verse, singing, moving, acting, face painting, stage battling and aerobatic exhibition in Chinese culture2. Be that as it may, during the second 50% of the twentieth century, Beijing saw a consistent decrease in crowd numbers because of an abatement in execution quality and a powerlessness of the customary show structure to catch present day life. Furthermore, the creation prerequisites of the old language, and the impact of Western culture isn't charming to the improvement of Beijing Opera3. Considering Beijing Opera, execution is a workmanship subject that is extremely predominant in this Chinese customary theater. Beijing Opera exhibitions are prestigious for their lively and flawless shaded outfits. A Beijing Opera execution involves story, voice, music, development, ensembles, and cosmetics and stag e properties4. Aria is the music for the voice of Beijing Opera has a place with the Ban-Qiang. Tune music and discourse in a Beijing execution happen all the while with move developments of the entertainer. There are around three sorts of plays in Beijing Opera, which incorporate the conventional play, the authentic play, and the advanced play. The distinctive Beijing execution outfits are crucial in the Beijing Opera execution. The Beijing drama outfits were principally made of fleece or coarse material and beautified with different fastidiously weaved designs with extraordinary and novel showmanship that draws a great deal of appreciation and love by the crowd. Face painting show in Beijing Opera exhibitions to show the character of the particular job and comprehension of the opera’s plot5. Beijing Opera facial work of art falls into four classes

Friday, August 7, 2020

Leaving a Conversation When You Have Social Anxiety

Leaving a Conversation When You Have Social Anxiety Social Anxiety Disorder Treatment and Therapy Social Skills Print How to Leave a Conversation When You Have Social Anxiety By Arlin Cuncic Arlin Cuncic, MA, is the author of Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder and 7 Weeks to Reduce Anxiety. Learn about our editorial policy Arlin Cuncic Medically reviewed by Medically reviewed by Steven Gans, MD on November 08, 2015 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on September 11, 2018 Social Anxiety Disorder Overview Symptoms & Diagnosis Causes Treatment Living With In Children Klaus Vedfelt / Getty Images People with social anxiety sometimes have trouble leaving conversations. Some of the problems you might experience include: Abruptly leaving due to high anxiety  Staying much longer than you want to because you dont know how to excuse yourself  Generally feeling anxious about the etiquette involved in leaving a conversation Knowing how to leave a conversation can sometimes be just as important as knowing how to join one. Some of the reasons you might want to leave a conversation could include Wanting to excuse yourself to talk with someone elseWanting to  get away from someone who is rudeNeeding to use the bathroom or move on to some other taskWanting to gracefully end a conversation that is winding down anyway There are also numerous settings in which you could find yourself in conversation including: Work or school settingsPartiesCasual gatheringsChance meetings with acquaintancesTelephone conversations Below are steps to successfully leave a conversation. How to Leave a Conversation First, distance yourself physically from the  group or individual. Turn yourself partially away and begin to pull back while still listening to what is being said. Stand up if you have been sitting down and start to use shorter responses to what is being said.Wait for a break in the conversation  and then give your reason for leaving. A trip to the bathroom or to get another drink are good excuses if you dont have another reason to leave.To more easily transition into leaving, you could first summarize what has just been said before you mention that you are leaving. For example, you could say Sounds like you had an amazing trip! Id like to see the photos soon. Unfortunately, Ive got a deadline looming and need to get back to work.Turn and leave. Do not wait for anyone to give you permission and do not look back after you leave. What to Say Perhaps youve got a handle on the steps to end a conversation but still arent sure what exactly to say. Below are some examples of what you might say to end a conversation. Ive got to get going, but its been nice talking. Well, Ill let you get back to your shopping. Take care! Great chatting with you! Im going to try and catch Dave before he heads home. Thanks for the chat. Talk soon (on the phone) I am just going to excuse myself to use the restroom. Maybe we can chat later? Tips Do not feel bad about leaving a conversation. Someone has to do it eventually, and when done right there will be no hurt feelings.In a business setting, make concrete plans about when you will be in contact if appropriate  and shake hands before you leave.If you want to leave because of what the other person is saying, consider taking charge. Ask questions that lead to other areas of conversation. If you are in a group, others may be relieved that someone has changed the topic.In general, it helps to have an idea of how long conversations usually last. While talking with a good friend could go on for hours, most conversations with people you dont know will last less than 10 minutes. Dont feel bad about moving on.If you are really stuck in a one-on-one conversation, consider introducing that person to someone else in the hopes that they will hit it off.Sometimes it is okay to ghost or just leave a conversation quietly without saying anything. This works in a group setting with a large number of people. Research on Social Anxiety and Conversation In a 2015 study of the conversations of individuals with social anxiety, it was shown that deficits in joint action led to being less well-liked. What does this mean? In essence, people with social anxiety tend to contribute less to conversations, specifically by not sharing in the conversation when another person is telling a story. Although you may find yourself itching to walk away from a social encounter, try to slow yourself down before making an exit. Be genuinely interested in what the other person has to say. Ask questions, tell related stories about yourself, and find common ground with the other person.

Tuesday, June 23, 2020

What Is Bipolar Disorder - Free Essay Example

Introduction The following case study consists of 50 outpatients diagnosed with Bipolar Disorder Type 1. It focused on some patients who took their medications regularly and some who decided to treat their disorder non-pharmacologically. Some people prefer a spiritual or a finding of ones self approach for treatment. Overall this case study was performed to observe the patients perceptions of the disorder and the psychiatric medication management. Compare and Contrast According to my text book, less than 2% of the population are diagnosed with bipolar disorders. The case study claims that 4-17% are diagnosed with bipolar disorders. They both agree that if this disorder is treated properly with the correct medications, the effected person can live a pretty normal life, meaning they would have less severe and less frequent states of mania or depression. Both the text book and the case study agree on the type of medications that are taken for bipolar disorder. Individuals suffering from a bipolar disorder are usually prescribed antipsychotic mood stabilizers, anticonvulsive mood stabilizers, and lithium. Antipsychotic mood stabilizers are typically used as short-term treatment of hallucinations, delusions, or mania symptoms. Sometimes it is used long term to prevent future occurrences of mania or depression. Anticonvulsive mood stabilizers used to be prescribed to people who didnt respond to lithium, but now they are given with lithium, alone, or wit h an antipsychotic drug. They are used to treat or prevent mood or manic episodes. Lithium is a dangerous medication because it has a narrow margin of safety which is 0.6-1.2 mEq/L. Sometimes the doctor may refer the patient to a psychiatrist to talk about their behavior patterns, thought and feelings. The doctor may also run some lab test or a physical exam to find any other problems that could be the cause of your symptoms. An example of mood charting is having a patient keep a daily record of their moods, sleep patterns, or activity level. There are many other behaviors that are monitored that could help with finding the right treatment for the patient. (MFMER, 2018) The case study mentions some non-pharmacological treatments like massages and other stress relieving activities. Diagnostic/Laboratory Procedures The case study used the Structured Clinical Interview for DSM-5, the young mania rating scale (YMRS), and the Hamilton Depression Scale (Ham-D-17) to exclude any patients experiencing a current affective episode and to establish criteria for euthymia. The book recommends also using the DSM-5 diagnostic criteria for bipolar 1 disorder. It shows the subjective signs that a nurse should monitor. It shows signs of manic episodes, hypomanic episodes, major depressive episodes, and bipolar 1 disorder. (Box 28-6 pg. 1810). The YMRS is an eleven-question test with multiple answers used to measure how severe a manic episode is in children and young adults. The Ham-D-17 is also a questionnaire, but it is used to indicate depression and as a guide to evaluate recovery. According to webmd.com, the best way to diagnose bipolar disorder is by talking openly with a patient. The doctor must know the signs and symptoms the patient is experiencing to diagnose and treat the disorder. Other Therapies St. Johns Wort is known for its ability to naturally enhance a persons mood. St. Johns Wort would be beneficial when the person is in a depressive state. It could help them to feel happier and overcome that depressive episode. Patients should be notified about the dangers of this medicine. Studies have shown that St. Johns Wort can cause a potentially life-threatening increase in serotonin. Some reports have stated that it can worsen the symptoms of bipolar depression and schizophrenia (PubMed, 2017). Meditation is another way to boost a persons mood when they are in a depressive state. This is a great way to boost your mood because there are a variety of ways to do it. There is concentration meditation, mindfulness meditation, and yoga are also a form of meditation. Concentration meditation is exactly what it sounds like. Its is when you concentrate on one thing, like a candle flame, and dont like your mind think about anything else. This improves your ability to concentrate. Mindfu lness meditation is when you pay attention to your wandering thoughts and try not to judge them as good or bad. This meditation helps a person to not be so quick to judge something. Yoga is a way to free your mind through exercise and focus on nothing but that one pose and your breathing. Meditation has may benefits, lower blood pressure, improved blood circulation, less anxiety, lower blood cortisol levels, more feelings of well-being, less stress, and deeper relaxation. (Galam, 2018) Another nonpharmacological treatment for bipolar disorder is light therapy.It has been suggested that on dark days, the serotonin in your skin decreases. Serotonin is a chemical in the body that helps to regulate mood and social behavior. Light therapy is used to replace sunshine with a bright white light. It is usually set in a box, similar to a desktop computer. It is believed to mimic sunshine and boost serotonin levels on dark and gloomy days. Acupuncture can also help to treat bipolar disorder Du ring a session of acupuncture, a provider will apply pressure to the skin with very fine needles. It helps the patients to respond to stress in a more positive way. It stimulates the central nervous system allowing endorphins to be released that may not be produced at normal rates in a bipolar patient. Cultural Considerations In Italy, health care providers have noticed that people with bipolar disorder tend to avoid doctor visits during the time of euphoric periods. Euphoric periods have two parts. In the beginning, the patient will feel like they are on top of the world, they will have a high level of confidence with all situations. It can be addictive. The second part of the euphoric period is completely different. The patient will begin to have bad judgement and perform out of the ordinary behavior. You may do things to harm yourself, your family, career, and all the things you care about. The patient wont be able to think or care about the consequences of their actions. (Fast,J.A., 2012) Since patients dont usually attend doctor visits during this phase, it makes it extremely hard to accurately diagnose bipolar disease. In fact, there is research showing that only 21.3% of patients that where prescribed anti-depressants for depression in Italy really had bipolar disorder. Since patients tend to visit the doctor during the depression state, it has been recommended to health care providers to consider bipolar disease with all patients that come in the office with signs and symptoms of depression. (Carta et al; 2011) Prevention/Promotion Teaching At this time, it is believed that bipolar disease is not preventable, but there are some non-pharmacological activities that can help to manage mood swings of this disorder. Eating healthy helps to prevent so many diseases and makes you feel better. It is believed to help manage mood swings in bipolar disease also. Eating healthy helps the brain and the nervous system to work efficiently. Studies have shown that a deficiency of vitamins and minerals in the body can lead to more frequent mood swings. Eating foods high in sugar and low in nutrients cause blood sugar levels to fluctuate causing mood swings. Bipolar disorder patients should manage the use of any mood-altering substance including caffeine and alcohol. A healthy diet consists of foods from all food groups each time you eat. An easy way to keep track of this is you want your plate to mimic a rainbow. You can do so by eating fruit, vegetables, dairy, grain, and protein. Eating healthy isnt easy in the beginning, you should start out with small things like filling half of your plate with fruits and vegetables. You can also ensure that half of your grains are whole grains. In the beginning, people make the mistake of trying to cut out all the bad foods that they crave (cookies, chips, ice cream) and end up falling short of their goal. Most of the time those who fall short end up splurging and gorging themselves in the exact foods that they were trying to cut out in the first place. Normally the fast-paced short cuts that are taken end up coming to just as fast of an end. There is a term the slow and steady win the race which can apply here. The goal is not to see how fast a person can change but how long they can maintain a positive co rrelated mood. Therefore, patients should allow themselves to eat the foods that they crave, but they should eat it in moderation, only one serving size. Sometimes it is easier to substitute a healthy food for a junk food if they are the same texture. For example, trading peanut butter for almond butter, or ice cream for yogurt. Conclusion Overall, bipolar disorder is a complex disorder because it varies from person to person, and there is no distinct cure. Depression, euphoric, or manic states can last for different amounts of time depending on the person. There are many pharmacological and non-pharmacological ways to treat this disorder. Antipsychotic medications are the most common drug given for this disorder. They are used to help control psychotic symptoms of bipolar disease like hallucinations and delusions. Non-pharmacological treatments are things like yoga and meditation which helps to clear and strengthen the mind. According to webmd.com, the best way to diagnose bipolar disease is by talking openly with the patient. Another way that is commonly used to diagnose this disorder is the DSM-5. It tells a list of the subjective signs that a nurse should monitor for in the patient. It shows signs of manic episodes, hypomanic episodes, major depressive episodes, and bipolar 1 disorder in general. References Vargas-Huacachina*, L. Huicochea  , C. Berlanga* and A. Fresan* Huicochea,V., Huicochea, L., Berlanga, C. (2014). Taking or not taking medications: psychiatric treatment perceptions in patients diagnosed with bipolar disorder. Clinical pharmacy and therapeutics, 39,pp.673-679 Retrieved from NCLIVE.com Trakalo, K. (2015) Nursing: a concept-based approach to learning. Boston, Massachusetts: Alexander, J. American psychiatric association. (2013) Desk reference to the diagnostic criteria from DSM-5th ed. Arlington, VA: American Psychiatric Publishing