Bipolar Disorder Flashcards
Are Patients more likely to ‘get into trouble’ with Bipolar I or Bipolar II disorder? (Think of the example given of Karl spending his downpayment for a new home on Hookers and Booze)
Bipolar I (One or more manic episodes)
According to the DSM-5 What are the diagnostic criteria for Bipolar I disorder?
- One or more manic episode
- Minor or Major Depressive episodes often present
- May have psychotic symptoms
According to the DSM-5 What are the diagnostic criteria for Bipolar II disorder?
- One or more Major depressive episode
- One or more Hypomanic episode
- No full manic
What are the similarities between Hypomanic episodes and Manic episodes?
They have the same symptoms
What are the differences between Hypomanic episodes and Manic episodes?
- Length of Time (4 days vs 1 week)
- Impairment is not as severe
- May not be viewed by the individual as pathological (However, others may be troubled by erratic behavior)
What is the lifetime prevalence of bipolar disorders in the US? A. .7% B. 1.9% C. 3.9% D. 6.5%
C. 3.9%
How long does a patient need to have a distinct period of abnormally and persistently elevated, expansive, or irritable mood for it to be considered a manic episode? A. at least 2 weeks B. at least 1 week C. at least 3 days D. at least 1 month
B. at least 1 week
Must be present most of the day, nearly every day.
(powerpoint says hypomania is at least 4 days)
During the period of mood disturbance (manic episode) at least __ of the following symptoms must have persisted or been present to a significant degree:
- Inflated self-esteem or grandiosity
- decreased need for sleep
- more talkative than usual or pressure to keep talking
- flight of ideas or subjective experience of thoughts racing
- distractibility (attention easily drawn to irrelevant stimuli)
- Increase in goal-directed activity, or psychomotor agitation
- Excessive involvement in pleasurable activities that have a high potential for painful consequences
- Causes marked impairment in social or occupational functioning
3
Patient needs at least 3 of the following symptoms during most days of the episode (Manic) to be considered Manic or Hypomanic episodes with mixed features.
- Depressed mood
- Diminished interest or pleasure in most activities
- Psychomotor retardation
- Low energy
- Excessive guilt or thoughts of worthlessness
- Recurrent thoughts about death or suicide, or suicide attempt
What % of patients with bipolar disorder attempt suicide in their life?
A. 8%
B. 25%
C. 33%
D. 35%
B. 25%
What % of patients with bipolar disorder will die by suicide?
11-__%?
11-19%
T/F? Families reported symptoms of mania more frequently than patients?
True
What is the bipolar disorder genetic risk for MZ (identical twins)?
55-58%
What is the bipolar disorder genetic risk for DZ (fraternal twins)?
15%
What is the bipolar disorder genetic risk for 1st degree relatives?
7%
