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Biobehavioral > (A) Bipolar Disorder- Sutherland > Flashcards

(A) Bipolar Disorder- Sutherland Flashcards

1
Q

What is the only thing necessary for diagnosis of Bipolar 1?

A 
HISTORY OF DISTINICT MANIC EPISODE 
Plus:
Grandiosity
Decreased Sleep need
Pressured Speech
Flight of ideas
Distractibility
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2
Q

What is the only thing necessary for diagnosis of Bipolar 1?

A 
HISTORY OF MANIC EPISODE
Plus:
Grandiosity
Decreased Sleep need
Pressured Speech
Flight of ideas
Distractibility
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3
Q

Most common characteristic of Bipolar 1?

A

GRANDIOSITY
Decreased sleep need
Pressured speech

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4
Q

Difference between bipolar 1 and 2?

A

1: history of manic episode
2: usually seen be pt as positive experience, more sociable, productive, etc.
2 does not meet full mania criteria, or does not meet impairment in normal function criterion

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5
Q

Difference between bipolar 1 and 2?

A

1: history of manic episode
2: usually seen be pt as positive experience, more sociable, productive, etc.
2 does not meet full mania criteria, or does not meet impairment in normal function criterion

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6
Q

What would you use to treat or prevent mania?

A

Mood stabilizers

Lithium
Divaloproex
Carbamazepine (anti-seizure)

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7
Q

What would you use to treat or prevent depression?

A

SSRIS

Can use along if DO NOT have a history of mania, if they do have history of mania must also be anti-mania medication

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8
Q

What would you use to treat or prevent mania?

A

Mood stabilizers

Lithium
Divaloproex
Valproate
Carbamazepine (anti-seizure)

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9
Q

What would you use to treat or prevent depression?

A

SSRIS

Can use along if DO NOT have a history of mania, if they do have history of mania must also be anti-mania medication

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10
Q

Does bipolar have a large genetic component?

A

YES! 80% twin-twin study

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11
Q

How long does an episode have to be in order to be considered a manic episode?

A

1 week, present most of the day nearly every day

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12
Q

How long does an episode have to be in order to be considered a hypomanic episode?

A

at least 4 consecutive days and present most of the day, nearly everyday

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13
Q

Common morbidity with Bipolar?

A

Anxiety

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14
Q

Common morbidity with Bipolar?

A

Anxiety

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15
Q

Neuroantaomy of biopolar disorder?

A

mania- deactivation in the inferior frontal cortex or ventrolateral prefrontal cortex

Limbic hyperactivity

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16
Q

Bipolar may present similar to what cluster of personality disorders?

A 
Cluster B: the wild
Borderline
Narcissistic
Antisocial
Histrionic
17
Q

Bipolar may present similar to what cluster of personality disorders?

A 
Cluster B: the wild
Borderline
Narcissistic
Antisocial
Histrionic
18
Q

Only two psychiatric mediation with a demonstrated effect on reducing suicidal though/behavior?

A

Lithium carbonate

Clozapine (2nd gen. antiphsychotic, agranulocytosis)

Biobehavioral (23 decks)

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