Bipolar disorder Flashcards
When is the onset of bipolar disorder?
Usually late teens/early 20s (10 years earlier onset than unipolar depression)
What are triggers for bipolar disorder?
Stress (relationship breakdown, abuse, death) Overwhelming problems Physical illness Sleep disturbances Drug and alcohol abuse Infections
What is bipolar I?
Mania, previous episodes may have been hypomanic/depressive
What is bipolar II?
Current/past hypomania episode
AND
Current/past depressive
NOT MANIC
What is cyclothymic disorder?
Cyclical mood swings
Less intense but longer lasting form of bipolar disorder
2+ years
What does Bipolar III follow?
Use of antidepressants for depression
What is bipolar IV?
Depression arising from hyperthymic treatment
How is bipolar disorder diagnosed?
Two or more episodes in which the patients mood and activity levels are significantly disturbed
What are the psychotic features that may appear in mania its psychotic features?
Delusions Hallucinations Grandiose Self-referential Erotic Persecutory
How many episodes within bipolar disorder must occur per year to be classed as rapid cycling?
4+ episodes a year
What is classed as an episode of hypomania?
Mood elevated or irritable Sustained for at least 4 days 3+ of the following -Increased activity -Increased talkativeness -Distractability -Decreased need for sleep -Increased sexual energy -Reckless/irresponsible
What 3 symptoms are more characteristic of mania than hypomania?
Flight of ideas
Loss of normal social inhibitions
Grandiosity
What is is important to ask about with bipolar disorder?
Infections
Drug use
Fix of psychiatric disorders
