Biopolar Notes Flashcards
Hypomanic alt w/ depression
Psychosis is not present
Bipolar II
4+ mood episodes in 12-mo
Rapid cycling–> Poor global functioning & Higher recurrence risk
Hypomanic w/ minor depressive episodes (2+ years duration)
Tend to have irritable hypomanic episodes
Cyclothymic Disorder
Increased Neurotransmitters of Bipolar
Norepinephrine & Dopamine
Decreased Neurotransmitters of Bipolar
Serotonin
Therapeutic Level of Lithium
0.4-1.0 mEq/L
SE of Lithium
Weight Gain Fine hand tremors Polyuria Mild thirst Mild nausea and general discomfort -often subside during treatment
Early signs of Toxicity Lithium
1-1.5 mEq/L
N/V/D
Thirst
-w/ Hold med, blood lithium levels measured
Valporic Acid( 2 meds)
Depakote
Depakene
Anticonvulsant Drugs
Monitor while on Valporic Acid
Liver function & platelet count
Med for rapid cycling and severely paranoid patients
Tegretol (carbamazepine)
Adverse SE of Tegretol (carbamazepine)
Leukopenia
Agranulocytosis
The most disabling of mental disorders.
Schizophrenia
Onset Schizophrenia
almost always late adolescence or early adulthood
Onset & relapse almost always r/t stress
Mental disorder asc w/ too much dopamine
Schizophrenia
% of population affect by Schizophrenia
1%
~1/3 homeless population
More common in men
Alter the structures of the brain
Schizophrenia
False personal beliefs (fixed)
Continues despite proof that it is false
Delusions
Feels threatened and believes others are out to do them harm
Delusions of Persecution
Exaggerated feeling of importance, power, knowledge
Ex: “I am Jesus Christ”
Delusions of Grandeur
All events w/in the environment are referred to pt
Delusions of Reference
“Someone is trying to get a message to me though the TV”
Delusions of Reference
Believes certain obj./ persons have control over them
Delusion of Control or Influence
“The dentist put a filling in my tooth; now I receive transmissions through the filling that control what I do”
Delusion of Control or Influence
Has a false idea that the self, a part of the self, others, or the world is nonexistent
Nihilistic
Contents of Thought asc w/ Schizophrenia
Religiosity
Magical thinking
Paranoia
Believes thoughts/ behaviors have control over specific situations or people
Magical thinking
“Step on a crack, break your mothers back”
Neologisms
Invents new words
Meaningless to others
“She wanted to give me a ride in her new uniphorum”
Neologisms
Repeats the same word or idea in response to different questions
Perseveration
Repeat words that he/ she hears in an attempt to identify w/ the person speaking
Echolalia
d/t Weak Ego Boundaries
Purposefully imitate movements made by others
Echopraxia
Behaviors that are absent that should be present
r/t structural differences/ blood flow
Negative
