bipolar Flashcards
hypomanic
similar to manic but to a lesser degree
bipolar I
may have not had a major depressive episode
bipolar II
at least 1 hypomanic episode and at least 1 major depressive. no manic
cyclothymic disorder
children that have hypomanic and depressive symptoms but do not qualify for diagnosis
cycling
bipolar cycle through about 1 cycle evry 2 years
epidemiology
lifetime prevalence 4%. median age of onset 25
biological
neurotransmitter dysregulation (dopamine, serotonin) norephinephrine)
cerebullum, nucleus accumbens
increased white matter, ion activity
low serotonin + low norephinephrine =
depression
low serotonin + high norephinephrine =
mania
drugs
lithium carbonate 80% effective in reducing acute mania
psychosocial predictors of mania
negative threats (manic defense model)
goal dysregulation
circadian rythmn disruptions
positive cognitive triad
mania results from unrealistic positive views of
self
situation
future