Bipolar and Related Disorders Lecture Powerpoint Flashcards
Bipolar disorder definition
Characterized by cyclical disturbances in mood, cognition, and behavior either mood-manic, mixed-manic, mixed-depressed, or depressed
Risk of suicide in untreated bipolar disorder
50%, common during manic episode
Bipolar disorders etiology
-Not known, theories include life events, genetics, neurotransmitter abnormalities and some medical factors such as brain injury, MS, epilepsy
Mania definition
Distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal directed activity or energy lasting at least 1 week*** and present most of the day, nearly every day with at least 3 other associated symptoms present
Mania associated symptoms (6)
- Inflated self esteem and grandiosity
- Decreased need for sleep
- Talkative
- Increased goal oriented activity
- Distractibility
- Excessive involvement in activities with high potential of consequence
Hypomania definition
Distinct period of abnormally and persistently elevated, expanisve or irritable mood and abnormally persistently increased activity or energy lasting at least 4 consecutive days*** most of the day
Manic mixed definition bipolar specifier definition
Meet full criteria for a manic episode but also associated with depressive symptoms
Depression mixed definition bipolar specifier definition
Meet full criteria for a depressive episode but also associated with manic symptoms
Major depressive episode bipolar specifier definition
A type of bipolar specification with 5 or more of the following signs that have been prsent during the same 2 week period and represent a change from previous functioning
Bipolar disorder with seasonal pattern most often sees what changes in the phases of bipolarity?
Depression in the fall and winter and mania in the spring and summer
Bipolar I disorder definition
Must meet criteria for manic episode, mood disturbance disorder sufficientyl severe to cause market impairment in social or occupational functioning, episode is not attributable to other condition, includes full manic episodes that emerge during antidepressant treatment despite the physiologic effect of that treatment being sufficient indicates sufficient evidence for manic episode
Bipolar II disorder definition
Involves an individual that has never experienced a fully manic episode but meet criteria for hypomanic episodes, episodes associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic observed by others and not due to other condition
Cyclothymic disorder definition
For 2 years (or 1 in children, before that doesn’t matter) there have been numerous periods with hypomanic symptoms that do not meet criteria for hypomanic episode (3 or less consecutive days) and numerous periods with depressive symptoms that do not meet criteria for major depressive episode (less than 2 weeks), hypomanic and depressive symptoms at least half the time for consecutive months not attributable to other conditions
Treatment options for bipolar disorder (gold standard and others) (4 total)
- Lithium (avoid NSAIDS and watch for kidney toxicity)
- Divalproex (not for child bearing age women)
- Lamotrigine
- Carbamezepine
Bipolar diagnosis is based on…
…history
