Bipolar Disorder

Question 1

briefer duration (at least 4 days) of manic symptoms. No psychosis or hospitalization. mild functional impairment

Answer 1

hypomania

Question 2

Longer duration (at least one week). Psychosis can occur. Significant impairment. Often leads to hospitalization.

Answer 2

mania

Question 3

History of at least one manic episode, with or without past major depressive episodes

Answer 3

bipolar I

Question 4

History of at least one episode of major depression and at least one hypomanic episode. NO history of a manic episode

Answer 4

Bipolar II

Question 5

A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week (or any duration if hospitalization is necessary)

Answer 5

Manic episode

Question 6

subtype of bipolar that affects men and women equally

Answer 6

Bipolar I

Question 7

subtype of bipolar that is more common in women

Answer 7

Bipolar II

Question 8

Marked by relapses and remissions. Often alternating pattern between manic and depressive episodes

Answer 8

Bipolar I

Question 9

Percentage of individuals with bipolar I who have one manic episode have another in five years and at least one psychiatric hospitalization

Answer 9

90%

Question 10

T/F depressive symptoms are less frequent than manic symptoms in bipolar disorders

Answer 10

false, depressive symptoms are more frequent (3:1 for bipolar I and 37:1 for bipolar II)

Question 11

T/F Patients with bipolar disorder are more successful at completing suicide thatn those with depression

Answer 11

true (25-50% attempt, 15% complete)

Question 12

refers to the presence of both depressive and manic symptoms simultaneously

Answer 12

mixed state

Question 13

can be incredibly distressing to the individual. It can lead to panic attacks, substance abuse, and suicide

Answer 13

mixed state

Question 14

Numerous periods of hypomania and of depression, persisting for at least two years

Answer 14

cyclothymia

Question 15

Name the three classic mood stabilizers

Answer 15

Lithium (Eskalith). Valproate (Depakote). Carbamazepine (Tegretol).

Question 16

What are obstacles for the management of bipolar?

Answer 16

patients like mania and when patients feel good they don’t want to take medication

Question 17

Primary difference between hypomania and mania

Answer 17

with hypomania there is a lack of significant impairment and absence of psychosis that necessitates hospitalization

Question 18

Other drugs or conditions that can cause a mood disorder that mimics bipolar

Answer 18

cocaine, amphetamines, hyperthyroidism

Question 19

T/F A major depressive episode is NOT required in order to make a diagnosis of Bipolar I

Answer 19

true