Bipolar disorder Flashcards
1
Q
What is type 1 bipolar disorder?
A
mania and depression
2
Q
What is type 2 bipolar disorder?
A
hypomania and depression
3
Q
How is mania defined?
A
- abnormally elevated mood or irritability
- there is severe functional impairment
- psychotic symptoms
- for 7 days
4
Q
How is hypomania defined?
A
hypomania describes decreased or increased function for 4 days or more
5
Q
Key feature to distinguish between hypomania and mania?
A
psychotic symptoms (e.g.delusions of grandeur or auditory hallucinations) only present in mania
6
Q
What to do if features of mania or severe depression relating to bipolar disorder are identified in primary care?
A
if there are features of mania or severe depression then an urgent referral to the CMHT should be made
7
Q
Mx of mood in Bipolar
A
- Lithium
2. Sodium valporate ( 2nd line)
8
Q
Mx of Mania in Bipolar
A
- Anti psychotic therapy - olanzapine / Haloperidol
9
Q
Mx of Depression in Bipolar
A
fluoxetine is the antidepressant of choice
