Biopolar Notes

Question 1

Hypomanic alt w/ depression

Psychosis is not present

Answer 1

Bipolar II

Question 2

4+ mood episodes in 12-mo

Answer 2

Rapid cycling–> Poor global functioning & Higher recurrence risk

Question 3

Hypomanic w/ minor depressive episodes (2+ years duration)

Tend to have irritable hypomanic episodes

Answer 3

Cyclothymic Disorder

Question 4

Increased Neurotransmitters of Bipolar

Answer 4

Norepinephrine & Dopamine

Question 5

Decreased Neurotransmitters of Bipolar

Answer 5

Serotonin

Question 6

Therapeutic Level of Lithium

Answer 6

0.4-1.0 mEq/L

Question 7

SE of Lithium

Answer 7

Weight Gain
Fine hand tremors
Polyuria
Mild thirst
Mild nausea and general discomfort
-often subside during treatment

Question 8

Early signs of Toxicity Lithium

1-1.5 mEq/L

Answer 8

N/V/D
Thirst
-w/ Hold med, blood lithium levels measured

Question 9

Valporic Acid( 2 meds)

Answer 9

Depakote
Depakene
Anticonvulsant Drugs

Question 10

Monitor while on Valporic Acid

Answer 10

Liver function & platelet count

Question 11

Med for rapid cycling and severely paranoid patients

Answer 11

Tegretol (carbamazepine)

Question 12

Adverse SE of Tegretol (carbamazepine)

Answer 12

Leukopenia

Agranulocytosis

Question 13

The most disabling of mental disorders.

Answer 13

Schizophrenia

Question 14

Onset Schizophrenia

Answer 14

almost always late adolescence or early adulthood

Onset & relapse almost always r/t stress

Question 15

Mental disorder asc w/ too much dopamine

Answer 15

Schizophrenia

Question 16

% of population affect by Schizophrenia

Answer 16

1%
~1/3 homeless population
More common in men

Question 17

Alter the structures of the brain

Answer 17

Schizophrenia

Question 18

False personal beliefs (fixed)

Continues despite proof that it is false

Answer 18

Delusions

Question 19

Feels threatened and believes others are out to do them harm

Answer 19

Delusions of Persecution

Question 20

Exaggerated feeling of importance, power, knowledge

Ex: “I am Jesus Christ”

Answer 20

Delusions of Grandeur

Question 21

All events w/in the environment are referred to pt

Answer 21

Delusions of Reference

Question 22

“Someone is trying to get a message to me though the TV”

Answer 22

Delusions of Reference

Question 23

Believes certain obj./ persons have control over them

Answer 23

Delusion of Control or Influence

Question 24

“The dentist put a filling in my tooth; now I receive transmissions through the filling that control what I do”

Answer 24

Delusion of Control or Influence

Question 25

Has a false idea that the self, a part of the self, others, or the world is nonexistent

Answer 25

Nihilistic

Question 26

Contents of Thought asc w/ Schizophrenia

Answer 26

Religiosity
Magical thinking
Paranoia

Question 27

Believes thoughts/ behaviors have control over specific situations or people

Answer 27

Magical thinking

“Step on a crack, break your mothers back”

Question 28

Neologisms

Answer 28

Invents new words

Meaningless to others

Question 29

“She wanted to give me a ride in her new uniphorum”

Answer 29

Neologisms

Question 30

Repeats the same word or idea in response to different questions

Answer 30

Perseveration

Question 31

Repeat words that he/ she hears in an attempt to identify w/ the person speaking

Answer 31

Echolalia

d/t Weak Ego Boundaries

Question 32

Purposefully imitate movements made by others

Answer 32

Echopraxia

Question 33

Behaviors that are absent that should be present

r/t structural differences/ blood flow

Answer 33

Negative