Bipolar disorder Flashcards
1
Q
Define Bipolar I disorder.
A
had a manic episode
2
Q
Define a Bipolar II disorder.
A
had a Major Depressive episode and a hypomanic episode (but never a manic or mixed episode)
3
Q
What is the difference between a manic episode and a hypomanic episode?
A
a manic episode last for at least 1 week, while a hypomanic episode lasts for at least 4 days.
4
Q
Define a Major depressive episode.
A
features for >2week period
plus, 5 or more of:
- depressed mood
- anhedonia
- weight loss
- insomnia/hypersomnia
- psychomotor agitation/retardation
- fatigue
- feeling worthless, guilty
- inability to concentrate
- recurrent thoughts of death/suicide
5
Q
How do you manage Bipolar disorder?
A
if patient is agitated give IM antipsychotic or BZS
lithium 900mg PO/valproate 750mg PO/atypical antipsychotics 1-50mg BD
6
Q
suicide risk of bipolar disorder?
A
15%
