Bipolar Disorder Flashcards
Define Hypomania
Briefer duration (at least 4 days) of manic symptoms
No psychosis
Mild functional impairment- can improve functioning
Out-patient
Define Mania
Longer duration (1+ week) More severe symptoms Pychosis Significant impairment in functioning Hospitalize
Subtypes of Bipolar Disorder
Bipolar 1
Bipolar 2
Define Bipolar 1
Hx of 1 manic episode with or without past major depressive episodes
Define Bipolar 2
Hx of at least 1 episode of major depression
Hx of at least 1 hypomanic episode
No Hx of manic disorder
Epidemiology of Bipolar I
Men = Women
Epidemiology of Bipolar II
Women > Men
Average Age of Onset of Bipolar Disorder
15-30
Clinical Course of Bipolar I
Relapses & remissions
Alternating pattern between manic & depressive episodes
90% have at least 1 hospitalization
Depressive episodes more frequent
Clinical Course of Bipolar II
Depressive symptoms more frequent than hypomanic episodes
Less marital depression
More likely at attempting & completing suicide
Co-morbidities with Bipolar Disorder
High rates of co-morbid ETOH or substance abuse
High risk for addictive disorder
Co-morbid anxiety disorder common
Many attempt suicide
Define Mixed State
Presence of both depressive & manic symptoms simultaneously
Experiences of a Mixed State
Impulsiveness Insomnia Irritability Flight of ideas Suicidal thoughts Guilt Feelings of hopelessness Changes in appetite
What can mixed episodes lead to?
Panic attacks
Substance abuse
Suicide
Define Cyclothymia
Numerous periods of hypomania and of depression persisting for at least 2 years
Doesn’t meat DSM criteria for major depression
