Abnormal Mood - Bipolar

Question 1

what are the two types of bipolar according to DSM?

Answer 1

bipolar I

bipolar II

Question 2

what is bipolar I?

Answer 2

when the patient has met the criteria for mania, even if past episodes have been hypomanic and/or depressive

Question 3

what is bipolar II?

Answer 3

when the patient has had hypomanic and depressive episodes, but has never met the criteria for mania

Question 4

what is the most common type of bipolar?

Answer 4

bipolar II

Question 5

what is the ICD definition of bipolar affective disorder?

Answer 5

2+ episodes where the patient has hypomania/mania or depression

Question 6

in ICD, what is it called if a patient only has episodes of hypomania/mania without depression?

Answer 6

bipolar

Question 7

how long does an episode of hypomania need to last?

Answer 7

at least four days

Question 8

how many additional signs need to be present to diagnose a hypomanic episode?

Answer 8

at least three

Question 9

how long does a manic episode last?

Answer 9

at least a week

unless it has resulted in hospital admission

Question 10

how many additional signs need to be present to diagnose a manic episode?

Answer 10

at least three

four if the mood is merely irritable

Question 11

what is the usual age of onset for bipolar?

Answer 11

late teens/early twenties

Question 12

what impact can a family history of bipolar have on the course of the condition?

Answer 12

earlier onset

episodes precipitated by lower levels of stress

Question 13

at what age does onset of bipolar become rare?

Answer 13

over 60

Question 14

what can onset of bipolar after the age of sixty indicate?

Answer 14

treatment resistance
progressive decline in functioning
underlying organic cause

Question 15

name six co-morbidities associated with bipolar disorder

Answer 15

anxiety 
substance misuse 
personality disorders 
ED's
schizoaffective disorder 
schizophrenia