Bipolar Disorder Flashcards
Bipolar I
at least one episode of mania alternating with major depression
Bipolar II
one or more episodes of hypomania alternating with major depression
mania
severe impairment lasting 1 week that usually requires hospitalization to prevent harm with 3+ symptoms
hypomania
change in functioning lasting at least 4 days
reality testing is not impaired and hospitalization is not usually required
rapid cycling
2+ episodes of alternating mania/depression in a 12 month period
mixed features
depressive symptoms occur during manic episode
mania symptoms X7
inflated self/esteem decreased need for sleep more talkative flight of ideas distractibility increase in goal directed activity excessive involvement in activities with high potential for consequences
unipolar depression clinical picture
may be present with manic symptoms but they do not meet criteria for diagnostic
bipolar depression medication
antidepressants must be used in conjunction with mood stabilizers
unipolar depression s/s X5
- affects more women than men
- appears later in life
- loss of appetite
- insomnia
- lesser risk of drug abuse/suicide
bipolar depression s/s X5
- affects women and men equally
- onset younger age
- alt binge eating/anorexia
- hypersomnia and difficulty waking
- greater risk of drug abuse/unipolar
comorbidities with bipolar disorder
-substance use disorders
-anxiety disorders
-borderline personality
ADHD
genetics and biopolar
strong genetic factor
neurotransmitters and bipolar
epi and nor epi high in mania and low in depressino
serotonin and dopamine affected too
psychosocial factors of bipolar
may be triggered by stress
more prevalent in upper socioeconomic classes
high among writers, artists, highly educated professions
