Bipolar Affective Disoder Flashcards
What is Bipolar Affective Disorder?
Episodes of depression followed by episodes of mania or hypomania
How many types of Bipolar Affective Disorder are there?
There are 2 types
What is type 1 Bipolar Affective Disorder?
Episodes of depression followed by episodes of mania
What is type 2 Bipolar Affective Disorder?
Episodes of depression followed by hypomania
What is cyclothymia?
Hypomania and hypo depression
What is dysthymia?
Low mood but not depression
What are the symptoms of depression?
- Changes in appetite or weight, sleep, or psychomotor activity
- Decreased energy
- Feelings of worthlessness or guilt
- Trouble thinking, concentrating, or making decisions
- Thoughts of death or suicidal plans or attempts
What are the symptoms of hypomania?
- Lesser degree of mania- no psychosis
- Mild elevation of mood for several days
- Increased energy levels and activity levels
- Increased sociability, talkativeness, overfamiliarity, increased sexual energy
- Decreased need for sleep
- May be irritable
- Concentration reduced, new interests
What are the symptoms of mania?
Elevated mood, increased energy, overactivity • Disinhibition • Grandiosity • Alteration of senses • Hypersexuality • Extravagant spending • Risk taker • Pressure of speech- speech cant keep up with their thoughts • Decreases need for sleep
How long does the episode of mania need to last?
At least 1 week
How long does the episode of hypomania need to last?
At least 4 days
What is the ICD-10 classification for the diagnosis of Bipolar Affective Disorder?
Repeated (2+) episodes of depression and mania or hypomania
How long does the episode of depression need to last?
At least 2 weeks
What is the main risk factor for bipolar affective disorder?
Strong family history- increases risk x10
What is the immediate management for hypomania?
Routine referral to CMHT (community mental health team)
