1.6 - Bipolar Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

A manic episode last

A

at least 1 week or less if a patient must be hospitalized

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2
Q

A hypomanic episode lasts

A

at least 4 days

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3
Q

A hypomanic episode similar to a manic episode except

A

that it is not sufficiently severe to cause impairment in social or occupational functioning, and no psychotic features are present.

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4
Q

A manic episode is a distinct period of

A

an abnormally and persistently elevated, expansive, or irritable mood lasting for

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5
Q

Both mania and hypoma­nia are associated with

A
  • inflated self-esteem
  • decreased need for sleep
  • distractibility
  • great physical and mental activity
  • over involvement in pleasurable behavior
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6
Q

Bipolar I dis­order is defined as having a clinical course of

A

one or more manic episodes and, sometimes, major depressive episodes.

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7
Q

A mixed episode is a period of

A

at least 1 week in which both a manic episode and a major depressive episode occur almost daily

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8
Q

Bipolar II disorder is characterized by

A

episodes of major depression and hypomania rather than mania

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9
Q

Cyclothymic disorder is chacterized by

A

at least 2 years of equently occurring hypomanic symptoms that cannot fit the diagnosis of manic episode and of depressive symptoms that cannot fit the diagnosis ofmajor depressive episode

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10
Q

List the following in order of increasing prevalence

Bipolar I disorder
Bipolar II disorder
Cyclothymia
Hypomania

A

Bipolar I disorder

Bipolar II disorder

Cyclothymia

Hypomania

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11
Q

Bipolar I disorder has an (EQUAL / UNEQUAL) prevalence among men and women

A

bipolar I disorder has an equal prevalence among men and women

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12
Q

The onset of bipolar I disorder is (EARLIER / LATER) than that of major depres­sive disorder.

A

The onset of bipolar I disorder is EARLIER than that of major depres­sive disorder.

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13
Q

Epidemiology, Major Depression vs Bipolar I

Indidence

A

Mood disorders are common

MD: 5-17%, highest prevalence of any psychiatric disorder

Bipolar I: <1%

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14
Q

Epidemiology, Major Depression vs Bipolar I

Sex

A

MD: more women than men

Bipolar I: equal for men and women

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15
Q

Epidemiology, Major Depression vs Bipolar I

Age

A

MD: later, 20-50 yo, mean 40

Bipolar I: earlier, 5-50 yo, mean of 30

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16
Q

Epidemiology, Major Depression vs Bipolar I

Marital Status

A

MD: most often in persons without close interpersonal relationships and in those who are divorced or separated

Bipolar I: more common in divorced and single persons than among married persons

17
Q

Epidemiology, Major Depression vs Bipolar I

Socioeconomic and Cultural Factors

A

MD: No correlation has been found between socioeconomic status and major depressive disorder.

Bipolar I: A higher than average incidence of bipolar I disorder is fo d among the upper socioeconomic groups

18
Q

Psychodynamic Factors in Mania

Most theories of mania view manic episodes as a defense against

A

underlying depression

19
Q

Manic episode is a period of…

A

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and present most of the day, nearly every day

20
Q

Diagnoses of manic episode

A
  1. Inflated self-esteem or grandiosity.
  2. Decreased need for sleep
  3. More talkative than usual or pressure to keep talking.
  4. Flight of ideas or subjective experience that thoughts are racing.
  5. Distractibility as reported or observed.
  6. Increase in goal-directed activity or psychomotor agitation
  7. Excessive involvement in activities that have a high potential for painful consequences
21
Q

Hypomaniac episode is a period of

A

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 4 consecutive days and present most of the day, nearly every day.

22
Q

How many symptoms must be present to diagnose manic and hypomanic episodes?

A

three (or more) of the following symptoms (four if the mood is only irritable)

23
Q

Difference between mania and hypomania episode

A

Mania: increased goal-directed activity or energy, lasting at least 1 week

Hypomania: increased activity or energy, lasting at least 4 consecutive days