Bipolar Flashcards
What is bipolar?
Chronic episodic mood disorder with at least one of episode of mania/hypomania and a further episode of mania or depression
What are the features of hypomania?
Elevated mood >4 days Increased energy/activity Increased self esteem Increased talkativeness Increased sex drive Decreased need for sleep
What are the features of mania?
Elevated mood >1 week Increased self esteem/grandiosity Pressure of speech Flight of ideas Distractable Decreased need for sleep Increased libido Loss of social inhibitions
How is the diagnosis of mania made?
3/9 needed
- grandiosity/increased self esteem
- reduced sleep
- pressure of speech
- flight of ideas
- distractability
- psychomotor agitation
- reckless behaviour
- loss of social inhibitions
- increased sexual energy
What is bipolar-1?
1 or more manic episode +/- depression
What is bipolar-2?
1 or more depressive episode + hypomania
What is rapid cycling?
4 or more episodes in a year
What are the 5 states of bipolar disorder described by ICD-10?
Currently hypomanic Currently manic Currently depressed Mixed disorder In remission
How is bipolar managed biologically?
Mood stabilisers
Anti-psychotics
ECT
How is bipolar managed psychologically?
Psychoeducation
CBT
How is bipolar managed socially?
Social support
Self-help groups
What other ways should bipolar be managed?
Risk assessment
DVLA guidance
How is an acute manic episode managed?
First line = offer antipsuchotic
Second line = mood stabiliser
