bipolar Flashcards
nmnemonic for mania
GSTPAID Grandiosity Sleep Talkative Painful activities Activity Ideas - flight of Distractability
what is hypomanic espisode
- lasts 4 days
- not severe enough to cause dysfunction
where is most time spent in bipolar
1- asymptomtic, then depressed
2- depressed
what is course of BPD
80-90% recur
average have 9 episodes
what is suicide rate in BPD
highest among any treated patients
what is effect of psycho interventions
are useful as an adjunct to therapy
what are important investigations for BPD
- waist circumferance
- BP
- blood work
because treatment can have negative effects
first line therapy for BPD depression
- litium
2. lamotragine
firstline therapy for mania
lithium
divaloprex -antipsychotic
therapy for maintenamce
litium
divaloprex
lamotragine
what is caution with litium
narrow therapeutic index - monitor well
when is divloprex used
mania and maintenance
when is lamotragine used
depresion
what is caution with lamotragine
steven johnosons
when are atypical antipyshcs
all 3 phases