Bipolar - 1 Flashcards

1
Q

Peak age for bipolar disorder

A

15-19

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Peak age diff for bipolar I and II

A

bipolar I = 18
bipolar II = 20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Bipolar I life time prevalence

A

2.1%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

12 month Bipolar I prevalence

A

1.5%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Bipolar II 12 months prevalence

A

0.8%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Frequency of bipolar in <12 y. o

A

Rare
Vey rare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

M to F ratio for Bipolar I (life time)

A

1:1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does literature suggest about life time m to f ratio for bipolar ii?

A

Maybe more common in female but not clear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Bipolar difference between m and f in presentation

A

In female more:

Rapid cycling
Mixed states
Depressive symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Chances of having a 2nd manic episode

A

90%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Life Time Risk of suicide in Bipolar (compared to public)

A

15 times more 😱

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Prevalence of life time suicide attempt in Bipolars

A

Bipolar I = 36%
Bipolar II = 32%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Frequency of lifetime episode
diff
II vs II

A

More episodes in II (than I and MDD)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What happens by age to interval between episodes in BII ?

A

It shortens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which is the enduring and disabling feature of BII, hypomania or Depressive episode?

A

Depressive episodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which one defines BII, hypomania or Depressive episode?

17
Q

What is mania in short?

A

State of abnormally elevated mood

18
Q

Features of Mania

A

Mood —Elevated & Expansive
Thought & Speech — Rapid & pressured
Psychotic symptoms
Behavioural symptoms

19
Q

How is mood in mania

A

Elevated and expansive (+ irritability sometimes)

20
Q

What is 🤔 expansive mood?

A

Implies that the patient shows a lack of restraint in expressing their feelings and overvalu their significance

21
Q

Howbis speech in Mania

A

Rapid
difficult to interrupt
Topic jumps quickly with little logical connection

22
Q

How are hallucinationa and delusions described in Mania (congruency)

A

Mood congruent

23
Q

Common delusional theme in Mania

A

Special power or purpose

24
Q

Is sex reduced or increased in mania

25
Hypomania duration to qualify in icd 11
3 days minimum
26
Mania duration to qualify in ICD 11
Min. 7 days
27
Features more in favour of mania than hypomania
Flight of ideas psychotic feature loss of social inhibitions
28
Diff of bipolar depression from unipolar depression
Rapid onset Shorter episodes More frequent More severe More involved with neurovegetative symptoms
29
Neurovegerative symptoms
Insomnia/hypersomnia dysregulation eating fatigue decreased energy
30
What are emotional-cognitive symptoms
Suicidal ideation feeling worthless anhedonia depressed mood