Bipolar Disorder Diagnosis Types and Phases

Question 1

DSM

Answer 1

Mania: elevated, expansive or irritable mood most of the day almost every day for 1+ wk and at least 3 of the following

Hypomania: elevated, expansive or irritable mood most of the day almost every day for 4 consecutive days and at least 3 of the following:

• Grandiosity/inflated self-esteem
• Decreased need for sleep
• Increased talkativeness
• Racing thoughts
• Easily distracted
• Psychomotor agitation/increased goal- directed activity
• Activities that can have painful consequences (e.g. buying spree)

+ a major depressive episode

Question 2

necessary sx of a manic episode

Answer 2

elevated/expansive mood
irritable mood

Question 3

Also 3 or more of these for manic episode

Answer 3

• Grandiosity/inflated self-esteem
• Decreased need for sleep
• Increased talkativeness
• Racing thoughts
• Easily distracted/flight of ideas/racing thoughts
• Psychomotor agitation/increased goal- directed activity
• Risk Taking/Activities that can have painful consequences (e.g. buying spree)

Question 4

Mixed episode

Answer 4

meets criteria for both a manic and a major depressive episode

Question 5

major depressive episode

Answer 5

depressed mood or loss of interest along with 4 other sx from DSM bipolar list

Question 6

Bipolar 1

Answer 6

Manic or Mixed episode of mania and depression often followed by a depressive episode

can exist with or without psychotic episodes

may require hospital

rapid cycling

Question 7

rapid cycling

Answer 7

rapid switch mania to depression and back

mania 4+ times per year

Question 8

Bipolar II

Answer 8

depressive and hypomanic episodes alternate

1+ (2?) major depressive episode and 1+ Hypomanic episode

Usually less severe and do not inhibit function

not severe enough to cause major impairment or require hospital and no psychosis

Question 9

Cyclothymic disorder

Answer 9

cyclic disorder

brief hypomania and dysthymia

no full manic or major depressive episodes

chronic