Bipolar and Related Flashcards
Bipolar 1 criteria
Requires only manic episode
Manic episode has to last at least a week
Bipolar 2 criteria
1+ MDD epi and 1+ hypomanic epi
If there has ever been a full-blown manic episode, it’s bipolar 1
Manic episode criteria
IDC I’m Finna
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1+ wk of abn. elevated, expansive, or irritable mood. <1 wk if hospitalization needed. Interferes w/ working + socializing with others.
3+ (4+ if irritable)
- Inflated self-esteem
- Dec. need for sleep
- Chatty/press. speech
- Flight of ideas
- Inc. goal-directd stuff
- Bad consequence activities
- Distractibility
Hypomanic episode
IDC I’m Finna
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4+ days
3+ (4+ if irritable)
- Inflated self-esteem
- Dec. need for sleep
- Chatty/press. speech
- Flight of ideas
- Inc. goal-directd stuff
- Bad consequence activities
- Distractibility
Doesn’t impair social/occupational functioning
Which has better prognosis? Bipolar 1 or 2?
Bipolar 2
Cyclothymic d/o
2+ years, never gap of >2 mo w/o
Alternating hypomanic and MILD/MOD depressive sx.
(If major depressive episode = Bipolar 2)
What PD is associated w/ cyclothymic
Borderline personality
Are anti-depressants useful for bipolar 1,2, and cyclothymic?
No
Meds for Bipolar 1,2, cyclothymic
Lithium
Carbamazepine or valproic acid
Atypicals
Non-pharmaceutical tx for bipolar 1,2, cyclothymic
Psychotherapy
ECT (pg)
What psych d/o has highest genetic link?
Bipolar 1
Age of onset bipolar 1/2?
Do either have a sex preference?
<30y usually
BP 2 ^ women (slight)
Age of onset cyclothymic?
15-25y
Drugs associated w/ med-induced bipolar?
PCP
Bath salts
Steroids
Psychotropics
What mental disorders are related with BP1,2,cyclothymic?
anxiety (75%) - usually see this 1st, before bipolar sx
ADHD, substance use d/o, binge eating d/o
