4: Elevated mood Flashcards
The DSM-5 has classified bipolar disorder into bipolar I and bipolar II.
What’s the difference?
Bipolar I - episodes of mania and depression
Bipolar II - short episodes of hypomania, longer episodes of depression
Which type of bipolar disorder is more common?
Bipolar II
What is bipolar disorder?
Swings between manic/hypomanic and depressive moods
How many episodes of mania, hypomania or depression does a patient need to experience to be classified as bipolar by the ICD-10?
2+
How long do
a) hypomanic
b) manic episodes tend to last?
a) 3-5 days
b) > 1 week
Manic behaviours tend to be more ___ than hypomanic behaviours.
reckless
Manic episodes have a greater impact on ___ ___ than hypomanic episodes.
daily activities
What is cyclothymia?
A mild form of bipolar disorder, swings between mild depression and mild (i.e below hypomanic) mania
Common when there’s a family history of mood disorders
What is the prevalence of bipolar disorder in the population?
2%
i.e a tenth of the number who will have a depressive episode
Bipolar (I / II) is more common.
Bipolar II
When is the usual age of onset for
a) depression
b) bipolar disorder?
a) 30s
b) Teens / early 20s
Why can bipolar patients present to their GP ages after their first mood swing?
Unaware it’s a problem
Stigma
Fear of being medicated
People with bipolar disorder tend to be symptomatic around ___ of the time.
50%
half
People with bipolar disorder are at increased risk of ___.
suicide
What must you rule out in a patient presenting with a depressive episode?
Bipolar disorder
Ask about mania
