Bipolar - 1

Question 1

Peak age for bipolar disorder

Answer 1

15-19

Question 2

Peak age diff for bipolar I and II

Answer 2

bipolar I = 18
bipolar II = 20

Question 3

Bipolar I life time prevalence

Answer 3

2.1%

Question 4

12 month Bipolar I prevalence

Answer 4

1.5%

Question 5

Bipolar II 12 months prevalence

Answer 5

0.8%

Question 6

Frequency of bipolar in <12 y. o

Answer 6

Rare
Vey rare

Question 7

M to F ratio for Bipolar I (life time)

Answer 7

1:1

Question 8

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

Answer 8

Maybe more common in female but not clear

Question 9

Bipolar difference between m and f in presentation

Answer 9

In female more:

Rapid cycling
Mixed states
Depressive symptoms

Question 10

Chances of having a 2nd manic episode

Answer 10

90%

Question 11

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

Answer 11

15 times more 😱

Question 12

Prevalence of life time suicide attempt in Bipolars

Answer 12

Bipolar I = 36%
Bipolar II = 32%

Question 13

Frequency of lifetime episode
diff
II vs II

Answer 13

More episodes in II (than I and MDD)

Question 14

What happens by age to interval between episodes in BII ?

Answer 14

It shortens

Question 15

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

Answer 15

Depressive episodes

Question 16

Which one defines BII, hypomania or Depressive episode?

Answer 16

Hypomania

Question 17

What is mania in short?

Answer 17

State of abnormally elevated mood

Question 18

Features of Mania

Answer 18

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

Question 19

How is mood in mania

Answer 19

Elevated and expansive (+ irritability sometimes)

Question 20

What is 🤔 expansive mood?

Answer 20

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

Question 21

Howbis speech in Mania

Answer 21

Rapid
difficult to interrupt
Topic jumps quickly with little logical connection

Question 22

How are hallucinationa and delusions described in Mania (congruency)

Answer 22

Mood congruent

Question 23

Common delusional theme in Mania

Answer 23

Special power or purpose

Question 24

Is sex reduced or increased in mania

Answer 24

Increased

Question 25

Hypomania duration to qualify in icd 11

Answer 25

3 days minimum

Question 26

Mania duration to qualify in ICD 11

Answer 26

Min. 7 days

Question 27

Features more in favour of mania than hypomania

Answer 27

Flight of ideas
psychotic feature
loss of social inhibitions

Question 28

Diff of bipolar depression from unipolar depression

Answer 28

Rapid onset
Shorter episodes
More frequent
More severe
More involved with neurovegetative symptoms

Question 29

Neurovegerative symptoms

Answer 29

Insomnia/hypersomnia
dysregulation eating
fatigue
decreased energy

Question 30

What are emotional-cognitive symptoms

Answer 30

Suicidal ideation
feeling worthless
anhedonia
depressed mood