Bipolar Disorder

Question 1

mania

Answer 1

elevated/ expansive mood (3 addtl symptoms) OR irritable mood (4 addtl symptoms) AND goal-directed energy

"DIG FAST"
distractibility
impulsive/indiscretion
grandiosity
flight of ideas (racing thoughts)
activity
sleep (decreased)
talkativeness (pressured speech)

Question 2

bipolar I disorder

Answer 2

mania, severe impairment of >1 week OR hospitalization, or possible psychotic symptoms (mood congruent= grandiose or paranoid; mood incongruent)

Question 3

bipolar II disorder

Answer 3

hypomania, change in function >4 consecutive days, no hospitalization, no psychotic symptoms

Question 4

epidemiology

Answer 4

onset in the 20s, 2% prevalence (no difference in genders), GENETIC RISK

Question 5

cyclothymic disorder

Answer 5

symptoms of hypomania and dysthymia

Question 6

course of bipolar disorder

Answer 6

lifelong, episodic with euthymia in-between
decreased cycle length with age
rapid cycling phase= 4 episodes in 12m

Question 7

treatment

Answer 7

mood stabilizers, antipsychotics, ECT
AVOID ANTIDEPRESSANTS (trigger mania)

Question 8

schizoaffective disorder

Answer 8

major depressive or manic episode concurrent with active-phase schizophrenia, delusions/hallucinations need to be present for >2 weeks without depression/mania