Bipolar

Question 1

What is Bipolar disorder?

Answer 1

Chronic mental health condition characterised by Extreme mood swings: Manic / Hypomanic episodes –> Depressive moods

Question 2

What are the CF of a Manic episode? (9 things)

Answer 2

1. Distractibility
2. Recklessness
3. Agitation
4. Grandiosity
5. Sexual Disinhibition
6. Flight of ideas
7. Activity increase
8. Sleep deficit (–> exhaustion)
9. Talkativeness / Pressured Speech

(3+ = diagnostic)

DRAGS FAST

Question 3

What are the management options for Bipolar disorder? (6 things)

Answer 3

1. Atypical antipsychotics (Olanzapine / Haloperidol) (for Mania)
2. Mood stabilisers (Lithium / Sodium Valproate)
3. Antidepressants (Fluoxetine SSRI)
4. CBT
5. ECT (Electroconvulsive Therapy)
6. Address co-morbidities (2-3x increased risk of DM, CVS, COPD)

Question 4

What is a Side Fx of Sodium Valproate (used as a Mood Stabiliser in Bipolar)?

Answer 4

Foetal spina bifida

Question 5

What is a Side Fx of Fluoxetine (used as an Antidepressant in Bipolar)?

Answer 5

Nausea + vomiting

Question 6

What is a Side Fx of Haloperidol (used as Typical Antipsychotic in Bipolar)?

Answer 6

Oculogyric crisis

(eyes getting clarted upwards for a few mins / hours)

Question 7

What is a Side Fx of Electroconvulsive Therapy (ECT) (used in Bipolar)?

Answer 7

Amnesia