Bipolar Affective disorder

Question 1

What is the duration for a manic episode in bipolar affective disorder?

Answer 1

7+ days

Question 2

What is the duration for a hypomanic episode in bipolar affective disorder?

Answer 2

4+ days

Question 3

What is required for a diagnosis of bipolar affective disorder regarding episodes?

Answer 3

One manic/hypomanic episode and a major depressive episode (2w)

Question 4

What should be ruled out when diagnosing bipolar affective disorder?

Answer 4

Substance misuse, infection, thyroid dysfunction, and vitamin deficiency

Question 5

What is the referral protocol for hypomania?

Answer 5

Routine referral to CMHT

Question 6

What is the referral protocol for mania or severe depression?

Answer 6

Urgent referral

Question 7

What should be administered for mania with agitation?

Answer 7

IM neuroleptic or benzodiazepine

Question 8

What is the treatment for mania?

Answer 8

Antipsychotic monotherapy +/- lithium

Question 9

What is the treatment adjustment for depression in bipolar affective disorder?

Answer 9

Increase lithium or add SSRI

Question 10

Which therapeutic approach is mentioned for bipolar affective disorder?

Answer 10

CBT