Bipolar - 1 Flashcards
Peak age for bipolar disorder
15-19
Peak age diff for bipolar I and II
bipolar I = 18
bipolar II = 20
Bipolar I life time prevalence
2.1%
12 month Bipolar I prevalence
1.5%
Bipolar II 12 months prevalence
0.8%
Frequency of bipolar in <12 y. o
Rare
Vey rare
M to F ratio for Bipolar I (life time)
1:1
What does literature suggest about life time m to f ratio for bipolar ii?
Maybe more common in female but not clear
Bipolar difference between m and f in presentation
In female more:
Rapid cycling
Mixed states
Depressive symptoms
Chances of having a 2nd manic episode
90%
Life Time Risk of suicide in Bipolar (compared to public)
15 times more 😱
Prevalence of life time suicide attempt in Bipolars
Bipolar I = 36%
Bipolar II = 32%
Frequency of lifetime episode
diff
II vs II
More episodes in II (than I and MDD)
What happens by age to interval between episodes in BII ?
It shortens
Which is the enduring and disabling feature of BII, hypomania or Depressive episode?
Depressive episodes
Which one defines BII, hypomania or Depressive episode?
Hypomania
What is mania in short?
State of abnormally elevated mood
Features of Mania
Mood —Elevated & Expansive
Thought & Speech — Rapid & pressured
Psychotic symptoms
Behavioural symptoms
How is mood in mania
Elevated and expansive (+ irritability sometimes)
What is 🤔 expansive mood?
Implies that the patient shows a lack of restraint in expressing their feelings and overvalu their significance
Howbis speech in Mania
Rapid
difficult to interrupt
Topic jumps quickly with little logical connection
How are hallucinationa and delusions described in Mania (congruency)
Mood congruent
Common delusional theme in Mania
Special power or purpose
Is sex reduced or increased in mania
Increased
Hypomania duration to qualify in icd 11
3 days minimum
Mania duration to qualify in ICD 11
Min. 7 days
Features more in favour of mania than hypomania
Flight of ideas
psychotic feature
loss of social inhibitions
Diff of bipolar depression from unipolar depression
Rapid onset
Shorter episodes
More frequent
More severe
More involved with neurovegetative symptoms
Neurovegerative symptoms
Insomnia/hypersomnia
dysregulation eating
fatigue
decreased energy
What are emotional-cognitive symptoms
Suicidal ideation
feeling worthless
anhedonia
depressed mood
