306 Bipolar disorder (mania and depression)

Question 1

What is the difference between bipolar and schizoaffective disorder?

Answer 1

In bipolar there are periods of normal functioning

Question 2

What is subsyndromal depression?

Answer 2

A mini episode of depression

Question 3

What is bipolar type 1?

Answer 3

Has to have a manic episode lasting at least 7 days with or without depression

Question 4

What is bipolar type 2?

Answer 4

Hypomanic episodes lasting less than 4 days and at least 1 major depressive episode by no mania

Question 5

What are some symptoms of mania?

Answer 5

-Distractibility
-Indiscretion (risk taking)
-Grandiosity
-Flight of ideas
-Action increases
-Sleep changes
-Talkativeness
-Elevated mood or irritability

Question 6

What is the definition of hypomania?

Answer 6

Elevated mood or irritability for less than 4 days with at least 3 symptoms of mania

Question 7

What is the definition for mania?

Answer 7

Elevated mood or irritability for more than 7 days or hospitalisation for any duration

It’s more intense than hypomania

Question 8

What is cyclothymia?

Answer 8

Mini depression and mania with minimal effects on functioning

Question 9

What are some differentials for mania?

Answer 9

Organic injury
Psychotic disorder
Affective disorder
Personality disorder eg. EUPD

Question 10

What is the treatment for acute mania?

Answer 10

-Reduce external stimuli
-Assess for contributing substances
-Limit potential reckless behaviour
-Consider consequences of reckless behaviour eg. sexual health