Bipolar and Related Disorders

Question 1

bipolar I

Answer 1

at least 1 manic episode

Question 2

bipolar II

Answer 2

at least 1 hypomanic and 1 depressive episode; no mania

Question 3

cyclothymia

Answer 3

2 years of numerous periods of depressive and hypomanic episodes; no mania

Question 4

definition of manic episode

Answer 4

at least 1 week of 3+ DIGFAST that causes impairment of functioning or psychotic features
may be less than 1 week if hospitalization is required

Question 5

DIGFAST

Answer 5

Distractability
Impulsivity
Grandiosity
Flight of ideas
Activity increase
Sleep decrease
Talkativeness

Question 6

definition of hypomanic episode

Answer 6

at least 4 days of 3+ DIGFAST, not severe enough to require hospitalization/impair functioning, no psychotic features

Question 7

rapid cylcing

Answer 7

4+ distinct episodes in 12 mo

episodes are separated by 2 mo remission or switch to an opposite polarity; poor prognosis

Question 8

mania after antidepressant use is suggestive of-

Answer 8

bipolar disorder

Question 9

women with history of postpartum episodes are at increased risk for-

Answer 9

bipolar depression

Question 10

predominant type of episodes in bipolar II with old age

Answer 10

depressive

Question 11

common initial misdiagnosis of bipolar

Answer 11

MDD

Question 12

75% of developing ____ with bipolar

Answer 12

anxiety disorder

Question 13

in bipolar, treatment is more effective for __ episodes

Answer 13

manic

Question 14

what reduces the risk of suicide in bipolar?

Answer 14

pharmacotherapy