Bipolar

Question 1

bipolar main symptoms

Answer 1

depression + mania/hypomania

Question 2

Features of mania

Answer 2

abnormally elevated mood
irritability
lots of energy
little sleep
grandiosity
disinhibition
flight of ideas
pressured speech
psychosis

Question 3

features of hypomania

Answer 3

Happy, euphoric or a sense of wellbeing
Very excited, like you can’t get your words out fast enough
Irritable and agitated
Increased sexual energy
Easily distracted, like your thoughts are racing, or you can’t concentrate
Increased self-esteem or self-confidence

Question 4

acute manic treatment

Answer 4

antipsychotic - olanzapine, risperidone
stop antidepressant
lithium, sodium valproate

Question 5

acute depressive episode treatment

Answer 5

olanzapine + fluoxetine
lamotragine

Question 6

long term management of Bipolar

Answer 6

lithium
if not sodium valproate

Question 7

lithium monitoring

Answer 7

1 weekly 12 h after dose, until stable
3 monthly
0.6-0.8

Question 8

lithium side effects

Answer 8

fine tremor
weight gain
CKD
hypothyroid
hypercalcaemia