Bipolar disorder Flashcards
Define bipolar disorder
Chronic mood disorder characterized by manic and hypomanic episodes often associated with major depressive episodes too
Define bipolar 1
Occurrence of 1/more manic episodes with or without history of 1/more depressive or hypomanic episodes
Define bipolar 2
Occurrence of one or more depressive episodes accompanied by at least one hypomanic episode
Define cyclothymia
Persistently unstable mood with periods of mild depression and elevation with each period lastly <2M over 2yrs
Define mixed episode
Occurrence of both manic and depressive symptoms
Psychosocial precipitating factors of bipolar disorder x3
Stressful live events
Increased frequency of MDD
Failure of treatment of MDD
Which drugs can cause mania x4
Antidepressants
Amfetamine
Corticosteroids
Cocaine
Define manic episode criteria A
It is abnormally and persistently elevated, expansive or irritable mood AND abnormally and persistently increased goal directed activity or energy for at least 1week
DIG FAST
Distractibility
Irresponsible
Grandiosity
Flight of ideas
Activity increased
Sleep deprive
Talkative
Difference between manic and hypomanic x4
Hypomanic occurs for a shorter duration, 4 days
No functional impairment
No hospitalizations
No psychotic features
Medical conditions that can cause mania x4
Encephalitis
Stroke
Dementia
Brain tumor
2 differentials for bipolar disorder
Schizophrenia
Schizoaffective disorder
Biological management of bipolar disease x3
Mood stabilizers
Antipsychotics
Benzodiazepines
Examples of mood stabilizers x4
Lithium
Lamotrigine
Carbamazepine
Sodium valproate
Why cautions antidepressants in bipolar disorder
They can trigger a manic episode
