BAD

Question 1

Two models of psycho education

Answer 1

Barcelona BD program (21 sessions over 6 months)

Life goals program (6 weekly sessions in phase 1)

Question 2

Mixed feature manic episodes rec

Psychotic features

Rapid cycling

Seasonal pattern

Answer 2

• atypical and epival
• no real preference other than in mood incongruent Li/DVP + antipsychotic
• base meds on maintenance phase
• no superiority

Question 3

Rec for kids with BAD and adhd

Same for substance use

Answer 3

Adj ampheramine or methylphenidate

Lithium

Question 4

Comorbid anxiety and BAD

GAD
oCD
Peds

Answer 4

• seroquel, li +lamotrigine or olz,olz and fluox, gabapentin adj
• limited evidence
• epival, lamotrigine
• adj of amphetamines, methylphenidate, aromoxerine, buproprion

Question 5

When do you consult nephro

Answer 5

Rapidly declining egfr (>5 ml min in 1 year or >10 ml min within 5 years)

Egfr below 45 in two consecutive readings

Question 6

Changes in sleep

Answer 6

Reduced latency

Decreased delta