04a_Bipolar and Related Disorders Flashcards
Manic Episode Definition
Distinct period of abnormally and persistently elevated, expansive, or irritable mood
Abnormally and persistently increased goal-directed activity or energy
Bipolar I Disorder:
Main Diagnostic Criterion
At least one manic episode
Episode must last for at least ONE WEEK
Manic symptoms must be present most of the day nearly every day
Bipolar Disorder:
Common Comorbid Conditions
Anxiety
Substance abuse
Bipolar Disorder:
Suicide Risk
15x higher than gen pop
Bipolar Disorder:
Prevalence
0.6%
Relatively equal male / female ratio
Bipolar Disorder:
Course
Average age for first episode: 18 years
90% experience additional episodes
Bipolar Disorder:
Genetic factors
Strongest Genetic Link of all psychiatric disorders
MZ twins: .67 to 1.0
DZ: .20
Bipolar Disorder:
Psychosocial interventions
CBT
Family focused treatment (FFT)
Interpersonal and social rhythm therapy (IPSRT)
Bipolar II Disorder:
Criteria
1+ hypomanic episode
1+ major depressive episode
[vs. Bipolar I which does not require MDE]
Hypomanic Episode
Elevated, expansive, or irritable mood, but not as severe as mania
4+ consecutive days
Present most of the day nearly every day
*Does not require hospitalization
Cyclothymic Disorder:
Symptoms
Hypomanic and depressive symptoms
Symptoms do NOT meet full criteria for mood episode
Cyclothymic Disorder:
Duration Criteria
Adults: 2 years
Children: 1 year
Symptoms present at least half the time
Cannot be symptom-free for more than 2 months
Bipolar Disorder:
Rapid Cycling
4+ manic or major depressive episodes in one year
Cyclothymic vs Rapid Cycling
Cyclothymia is a Disorder
= Long term subcriterion mood symptoms
Rapid cycling is a specifier of Bipolar Disorder
= 4+ mood episodes per year
