Bipolar Disorder Flashcards
Define Bipolar I disorder
At least one episode of mania
Define Bipolar II disorder
At least one major depressive disorder with an episode of hypomania
What is cyclothymia?
A milder, chronic form of bipolar disorder (hypomania and mild depression)
How long does Cyclothymia last in adults and children?
2 yrs in adults
1 yr in children
What are symptoms of cyclothymia?
- Numerous periods with hypomanic and depressive symptoms
- It is not a major depressive episode
What are the affective symptoms of a manic episode?
- persistent periods of feeling great
- euphoria or unusually irritable
- increased irritability, anxiety, or loss of temper
What are the physiological symptoms of a manic episode?
- decreased need for sleep or high levels of arousal
- - extraordinary increase in activity level
What are the cognitive symptoms of a manic episode?
- distractibility
- flight of ideas
- feeling extremely powerful, special or gifted
- inflated self esteem
What are the behavioral symptoms of a manic episode?
- hyperactivity
- excessive engagement in pleasurable activities
- increased level of social participation
What is the average onset of bipolar disorder?
20s
Are there gender differences in bipolar disorder?
No – women just experience more depressive symptoms
Are the rates of bipolar disorder severe?
Yes – a third unemployed and the suicide rates are high
What are the predictors of mania?
Reward sensitivity and sleep disruption
What is the goal of treatment of bipolar disorder?
- Not to cure it but to modify the symptoms
- - Have fewer and milder episodes
What are the four main therapeutic objectives?
Treatment of acute mania
Treatment of acute depression
Prevention of recurrent mania
Prevention of recurrent depression
What are the five types of psychological treatment for bipolar disorder?
- Interpersonal therapy
- Cognitive therapy
- Mindfulness therapy
- Behavioral activation therapy (increase participation in positively reinforcing activities to disrupt withdraw and depression)
- Behavior couples therapy
Cyclothymia is to bipolar disorder as dysthymia is to depressive disorder