BIPOLAR DISORDER Flashcards
- A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy.
- 3 or more of the symptoms
- Lasting at least 1 week
Manic Episode
(ranging from uncritical self-confidence to marked grandiosity,
and may reach delusional proportions. Despite lack of any particular experience or talent, the
individual may embark on complex tasks such as writing a novel.
Inflated self-esteem or grandiosity.
Manic Episode
(Inability to censor immaterial external stimuli—the interviewer’s attire, background noises or conversations, furnishings in the room).
Distractibility
Manic Episode
(Distinct from insomnia. The individual may sleep little, if at all, or may
awaken several hours earlier than usual, feeling rested and full of energy. When the sleep
disturbance is severe, the individual may go for days without sleep, yet not feel tired)
Decreased need for sleep
Manic Episode
(Speech can be rapid, pressured, loud, and
difficult to interrupt. Individuals may talk continuously and without regard for others’ wishes to communicate, often in an intrusive manner or without concern for the relevance of what is said)
More talkative than usual or pressure to keep talking.
Manic Episode
(Frequently there is flight of ideas evidenced by a nearly continuous flow of accelerated speech, with abrupt shifts from one topic to another. Speech may become disorganized, incoherent, and particularly distressing to
the individual.)
Flight of ideas or subjective experience that thoughts are racing.
Manic Episode
(Excessive planning and participation in multiple activities— socially, at work or school, sexually, political, and religious) or psychomotor agitation (i.e.,
purposeless non-goal-directed activity–Some individuals write excessive letters, e-mails, text
messages, and so forth, on many different topics to friends, public figures, or the media).
Increase in goal-directed activity
Manic Episode
(e.g., engaging in unrestrained buying sprees–may purchase many unneeded items without the money to pay for them, sexual indiscretions, or foolish business investments, giving away
possessions that are unusual for the individual).
Excessive involvement in activities that have a high potential for painful consequences
Manic Episode
4 consecutive days
This episode is not severe enough to cause marked impairment in social or occupational
functioning or to necessitate hospitalization
HYPOMANIC EPISODE
2nd symptom of Hypomanic Episode (e.g., feels rested after only 3 hours of sleep).
HYPOMANIC EPISODE
Decreased need for sleep
1st symptom of Hypomanic Episode
HYPOMANIC EPISODE
Inflated self-esteem or grandiosity.
3rd symptom of Hypomanic Episode
HYPOMANIC EPISODE
More talkative than usual or pressure to keep talking.
4th symptom of Hypomanic Episode
HYPOMANIC EPISODE
Flight of ideas or subjective experience that thoughts are racing.
5th symptom of Hypomanic Episode (i.e., attention too easily drawn to unimportant or irrelevant external stimuli), as
reported or observed.
HYPOMANIC EPISODE
Distractibility
6th symptom of Hypomanic (either socially, at work or school, or sexually) or psychomotor agitation.
HYPOMANIC EPISODE
Episode Increase in goal-directed activity
7th symptom of Hypomanic (e.g.,
engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments).
HYPOMANIC EPISODE
Excessive involvement in activities that have a high potential for painful consequences
- Five (or more) of the symptoms have been present during the same 2- week
period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure.
MAJOR DEPRESSIVE EPISODE
SYMPTOMS OF MDE
__________ (e.g., a change of more than 5% of
body weight in a month), or decrease or increase in appetite nearly every day. (Note: In
children, consider failure to make expected weight gain.)
Significant weight loss when not dieting or weight gain
SYMPTOMS OF MDE
__________ activities most of the day, nearly every day (as indicated by either subjective account or observation).
Markedly diminished interest or pleasure in all, or almost all,
SYMPTOMS OF MDE
most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad, empty, or hopeless) or observation made by others (e.g., appears tearful).
(Note: In children and adolescents, can be irritable mood.)
Depressed mood
SYMPTOMS OF MDE
_______ or ______ nearly every day.
Insomnia or hypersomnia
SYMPTOMS OF MDE
_________ or retardation nearly every day (observable by others, not merely
subjective feelings of restlessness or being slowed down).
Psychomotor agitation
SYMPTOMOF MDE
_______ or loss of energy nearly every day.
Fatigue
SYMPTOMS OF MDE
________ or excessive or inappropriate guilt (which may be delusional)
nearly every day (not merely self-reproach or guilt about being sick).
Feelings of worthlessness
SYMPTOMS OF MDE
_______ or concentrate, or indecisiveness, nearly every day (either by
subjective account or as observed by others).
Diminished ability to think
SYMPTOMS OF MDE
(not just fear of dying), recurrent suicidal ideation without a
specific plan, or a suicide attempt or a specific plan for committing suicide.
Recurrent thoughts of death
