Bipolar Disorder Flashcards
describe bipolar 1
manic episode with or without depression
describe bipolar 2
at least 1 hypomanic episode + at least 1 major depressive episode
what is the biggest RF for bipolar disorder
family history
onset of bipolar is usually in
late adolescence and young adulthood
what % of those with bipolar disorder are unable to maintain a proper work role?
30%
describe mania
period of being “high” for at least 1 week, present most of the day + nearly every day
or any duration if hospitalized
in mania, ___ of the following sx ( __ if mood is only irritable) are present
3
4 if only irritable
give 3 sx of mania
Inflated self esteem or grandiosity
Decreased need for sleep
Flight of ideas/ subjective experience that thoughts are racing
↑ talkative than usual/ pressure to keep talking
Distractibility
↑ in goal directed activity (social, at work, school, sexually) or psychomotor agitation (purposeless nongoal directed activity)
Excessive involvement in activities that have a high potential for painful consequences (ex- unprotected sex, excessive shopping)
The mood disturbance is sufficiently severe to cause marked impairment in social or occupational functioning/ to necessitate hospitalization to prevent harm to self/ others, or there are psychotic features
describes
mania
The episode is not severe enough to cause marked impairment in social/ occupational functioning or to necessitate hospitalization
describes
hypomania
if a person with bipolar disorder has hallucinations, this is
1. bipolar 1
2. bipolar 2
1
psychotic features = automatically manic episode
describe hypomania
feeling “high” for at least 4 consecutive days + most of the day nearly every day
an MDE is when ___ or more sx are present during the same __ period
5 or more sx
2 week period
a pt presents with hypersomnia and increased weight. they say they think slower but are also very guilty about not completing their work. They’ve started napping more. this is
1. bipolar deprsesion
2. unipolar depression
1
initial insomnia/ reduced sleep
Appetite and/or weight loss
Normal or increased activity levels
Somatic complaints
the sx above are described by
1. bipolar depression
2. unipolar depression
2
which of the following has earlier onset and multiple prior episodes
1. bipolar depression
2. unipolar depression
1
which of the following has onset >25yrs and long durations >6mths of each episode
1. bipolar depression
2. unipolar depression
2
what is bipolar disorder with mixed features?
manic or hypomanic episodes occurring at the same time as ≥ 3 sx of depression, or vice versa (depressive episode occurring at same time as ≥ 3 sx of mania/ hypomania)
what is bipolar disorder with rapid cycline?
presence of at least 4 mood episodes in prev 12 mths that meet the criteria for manic, hypomanic, or major depressive episode
Episodes are separated by either partial or full remissions of at least 2 mths or a switch to an episode of the opposite polarity (ex- MDE to manic)
bipolar with rapid cycling: presence of at least ___mood episodes in prev __ mths that meet the criteria for manic, hypomanic, or major depressive episode
Episodes are separated by either partial or full remissions of at least_____or a switch to an episode of the opposite polarity (ex- MDE to manic)
4 mood episodes in last 12mths
2 mths
cyclothymic disorder is
for the last 2 yrs, many episodes that do not meet the criteria for hypomanic or depressive
(1yr if adolescent)
in cyclothymic disorder, in the 2 year period, the hypomanic and depressive periods have been present for at least__________ + individual has not been without the sx for more than _____ at a time
half the time
2 months
list the classes of mood stabilizers
lithium
anticonvulsants
what is the most effective mood stabilizer
lithium
