Bipolar Disorder

Question 1

Bipolar Disorder Definition

Answer 1

-Episodes of mania and depression

Question 2

Bipolar Disorder Types

Answer 2

• Type 1: manic episodes which are severe and result in impaired functioning and frequent admission
• Type 2: hypomanic, interspersed with depressive episodes

Question 3

Bipolar Disorder Epidemiology

Answer 3

• Strong genetic link

- Type 1 more common in males and type 2 more common in females

Question 4

Bipolar Disorder Presentation

Answer 4

• Manic phase: grandiose idea, pressure of speech, excessive energy, racing thoughts, overactivity…
• Hypomanic phase: elevated mood and energy, no hallucinations or delusions
• Depressive phase

Question 5

Bipolar Disorder Diagnosis

Answer 5

• Two episodes in which mood and activity are significantly disturbed
• One of which must be mania or hypomania

Question 6

Bipolar Disorder Differentials

Answer 6

• Hyper/hypothyroidism
• Cerebrovascular event
• Dementia

Question 7

Bipolar Disorder Management

Answer 7

If manic

• Liaise with consultant
• Antipsychotic
• Then add lithium
• SSRIs may aggravate mania
• Can also use valproate
• Lamotrigine for depression
• Carbemazepine for rapid cycling