Bipolar Flashcards
What type of disorder is bipolar
Affective disorder
Who is more affected Bipolar disorder M or F
Equally
What criteria is needed to Dx Bipolar disorder
Repeated episodes (2+) of depression and mania/hypomania
If there is no mania/hypomania what Dx can be made
Recurrent depression
If there is no depression what Dx can be made
Mania
Aetiology of bipolar
Early onset Usually FH Genetic Adverse life events Abuse PTSD Other forms of depression
What is far more common in bipolar people than in the general population
Suicide
Rx of bipolar
Lithium
Anti-convulsants
Antipsychotics
Psychological therapy
Which anti-convulsants can be given to treat bipolar
Sodium Valproate
Lamotrigine
Carbamezepine
What is the major CI with sodium valproate
Pregnancy
Women need to be on a contraceptive
How often do lithium levels need to be measure in patients blood
Every 3 months
Which is the only drug shown to reduce self harm and suicide
Lithium
Which psychological therapy can be given in bipolar
CBT
Family therapy
Symptoms of depression in Bipolar
Fatigue
Low mood
Anhedonia
Loss of confidence Loss of self esteem guilt Suicidal thoughts Decreased concentration Agitation or retardation Sleep disturbance Change in appetite
What is anhedonia
Loss of interest/pleasure in daily life
Mood symptoms of mania
Irritability
Euphoria
Lability
Cognition symptoms of mania
Grandiosity Distractibility Poor concentration Flight of ideas/racing thoughts Confusion Lack of insight Lack of judgement
Behaviour symptoms of mania
Rapid speech
Hyperactivity
Decreased sleep (they feel they don’t need a much sleep)
Extravagance
Psychotic symptoms of mania
Delusions
Hallucinations
Which specific anti-psychotics can be used in bipolar
Olanzapine
Risperidone
Quetiapine
Which psychological therapies are used to treat bipolar
CBT
Family therapy
Depression symptoms in bipolar
Depressed/low mood
Anhedonia
Fatigue
Loss of confidence Loss of self esteem Unreasonable feelings of guilt or self reproach Recurrent thoughts of suicide Decreased concentration Agitation or retardation Sleep disturbance Change in apetite
What is the difference between bipolar I and Bipolar II
Bipolar I - one manic episode
Bipolar II - one hypomanic episode
What is cyclomathia
Cyclical mood swings with subclinical features
What type of disorder is main
Affective disorder
What is mania
Describes a state of feeling, or mood, that can range from near-normal experience to severe, life-threatening illness
What are less severe mania states called
Hypomania
What disorder is diagnosed if mania alternated with depression
Bipolar
Which tools can be used to Dx mania
SCID
SCAN
Young mania rating scale
What are the physical medical Ddx for mania
Stroke MS Epilepsy Brain tumour Neurosyphilis Cushing's Hyperthyroidism SLE
