Bipolar Flashcards
among bad symptoms are exaggerations of normal: (5)
1 sadness and fatigue 2 joy and exuberance 3 sensuality and sexuality 4 irritability and rage 5 energy and creativity
what does BAD magnify
common human experiences to larger than life proportion
to be diagnosed as BAD, the patient has to have had…?
at least one episode of mania or hypomania alternating with periods of either normal or depressed mood.
bipolar males v female ratio
Type 1
equally common Type 1
bipolar males v female ratio
Type 2
more women Type 2
approximately ___% patients with bipolar report some sort of stressor to their first manic episodes
66%
Influences:
what 3 factors precipitate mood changes?
particularly in patients with what predisposition?
Environmental
Psychosocial
Physical stressors
-precipitate mood changes, particularly in patients with a genetic predisposition
Which is more common Bipolar (BAD), or MDD?
BAD, Bipolar, is more common… than MDD
Looseness of associations is regarding
a. schizo
b. mania
a. schizo
NOT mania
diagnostic criteria for a manic episode
a distinct period of what kinds of mood changes? (3 adjectives)
persistently:
1 elevated mood
2 expansive mood
3 irritable mood
diagnostic criteria for a manic episode
increased goal directed activity or energy lasting at least # week?
1 week
diagnostic criteria for a manic episode
how often does persistently increased goal-directed activity or energy last, during its distinct period?
1. per day?
2. how many days?
3. What about during hospitalization?
- present most of the day
- nearly every day
- any duration if hospitalization is necessary
diagnostic criteria for a manic episode
during the period of mood disturbance, # symptoms have persisted and present to a significant degree?
> =3, greater than or equal to 3 symptoms
diagnostic criteria for a manic episode
during the period of mood disturbance # of symptoms have persisted if the mood is only irritable?
4 symptoms if the mood is only irritable
diagnostic criteria for a manic
during manic period regarding-
self esteem?
inflated self esteem
diagnostic criteria for a manic
during manic period regarding-
grandiosity?
inflated grandiosity
diagnostic criteria for a manic
during manic period regarding-
–sleep?
–how many hours of sleep?
- -Decreased need for sleep
- -Only 3 hours of sleep
diagnostic criteria for a manic
during manic period regarding-
–talking?
–how may they feel about talking?
- -more talkative than usual
- -pressure to continue talking
diagnostic criteria for a manic
during manic period regarding-
thinking and thoughts? (2)
Flight of Ideas, or…
Subjective experience that thoughts are Racing
diagnostic criteria for a manic
during manic period regarding-
Attention?
What kinds of affective stimuli?
Easily Distracted to:
- unimportant stimuli
- irrelevant stimuli
diagnostic criteria for a manic
during manic period regarding-
Amount of: “goal-directed activity”?
Increase in “goal-directed activity”
diagnostic criteria for a manic
during manic period regarding-
what types of “goal-directed activity”?
Social
Occupational
Sexual
diagnostic criteria for a manic
during manic period regarding-
Non-goal-directed activity?
Psychomotor Agitation
diagnostic criteria for a manic
during manic period regarding-
An Increase or Decrease involvement in pleasurable activities
Increased involvement in pleasurable activities
diagnostic criteria for a manic
during manic period regarding-
Involvement in what types of pleasurable activities?
Pleasurable activities with a:
High potential for PAINFUL consequences, such as:
buying sprees, sexual indiscretions, or foolish business investing
diagnostic criteria for a manic
during manic period regarding-
mood disturbance… what two life impairments?
impairment in:
- occupational functioning
- usual social activities or relationships with others
diagnostic criteria for a manic
during manic period regarding-
mood disturbances… that necessitate hospitalization to prevent:
harm to self, or harm to others
diagnostic criteria for a manic
during manic period regarding-
mood disturbances… with presentation of what type of feature? (1)
mood disturbance with “psychotic feature”
diagnostic criteria for a manic
during manic period:
Are symptoms due to direct physiologic effects of substances?
FUCK NO.
diagnostic criteria for a manic
during manic period:
Are symptoms due to a general medical condition?
Aw, hell NO!
what do “severe” stages of manic episode resemble?
- what 3 descriptive features
paranoid schizophrenia… parrot
- behavior
- hallucinations
- delusions
- Approximately how many patients with manic episodes have some psychotic features during their episode?
- What are these 2 psychotic features?
- 2/3, of patients during manic episodes have some psychotic features
- Grandiose or Paranoid Delusions
Mnemonic name for “symptoms” of manic episode?
Dig Fast
~Diggy diggy, fast fast, gotta dig fast~
In Mnemonic for symptoms of manic episode…
What does this letter stand for?: D
Dig Fast
Distractability
In Mnemonic for symptoms of manic episode…
What does this letter stand for?: I
Dig Fast
Irratability
In Mnemonic for symptoms of manic episode…
What does this letter stand for?: G
Dig Fast
Grandiosity
In Mnemonic for symptoms of manic episode…
What does this letter stand for?: F
Flight of Ideas
In Mnemonic for symptoms of manic episode…
What does this letter stand for?: A
Dig Fast
Activity Increase
In Mnemonic for symptoms of manic episode…
What does this letter stand for?: S
Dig Fast
Sleep deficit
In Mnemonic for symptoms of manic episode…
What does this letter stand for?: T
Dig Fast
Talkative
diggy diggy fast fast
Are people with manic episode in your faaace?
INTRUSIVE MOTHER FUCKERS
