Bipolar Disorders Flashcards
Bipolar 1
- duration
greater than 1 week or any hospitalization
Bipolar 1
- symptoms
Distractibility; irresponsible behaviors; grandiosity; flight of ideas; activity increase; decreased need for sleep; excessive talkativeness; reckless behavior- shopping sprees; sexual indiscretions) Marked impairment in social, occupational and other important areas of functioning, or requires hospitalization to avoid harm to self or others, or the presence of psychotic features.
Bipolar I and II
- specifiers
w/ anxious distress
w/ mixed features
w/ rapid cycling
w/ melancholic features
w/ atypical features
w/mood-congruent or mood-incongruent psychotic features
w/ catatonia
w/ peripartum onset
Bipolar I
- differential Dx
MDD Bipolar II ADHD GAD Psychotic D/O Panic D/O Personality D/O Disorders w/ prominent irritability
Manic Episode
Three or more of the following causing marked impairment in social or occupational functioning and often require hospitalization
- inflated self-esteem or grandiosity
- decreased need for sleep
- more talkative than usual or pressure to keep talking
- flight of ideas or subjective experience that thoughts are racing
- distractibility
- increase in goal-directed activity or psychomotor agitation
- excessive involvement in activities that have a high potential for painful consequences
Hypomanic Episode
Three or more of the following present most of the day for 4 days not severe enough to cause marked impairment in social or occupational functioning or hospitalization
- inflated self-esteem or grandiosity
- decreased need for sleep
- more talkative than usual or pressure to keep talking
- flight of ideas or subjective experience that thoughts are racing
- distractibility
- increase in goal-directed activity or psychomotor agitation
- excessive involvement in activities that have a high potential for painful consequences
Three or more of the following present most of the day for 4 days not severe enough to cause marked impairment in social or occupational functioning or hospitalization
- inflated self-esteem or grandiosity
- decreased need for sleep
- more talkative than usual or pressure to keep talking
- flight of ideas or subjective experience that thoughts are racing
- distractibility
- increase in goal-directed activity or psychomotor agitation
- excessive involvement in activities that have a high potential for painful consequences
Hypomanic episode
Major Depressive Episode
Five or more of the following symptoms present during same 2-week period
- Depressed mood
- Markedly diminished interest or pleasure in all or almost activities nearly every day
- significant body weight loss or weight gain, decrease or increase in appetite
- Insomnia or hypersomnia
- Psychomotor agitation or retardation nearly every day
- Fatigue or loss of energy nearly every day
- Feelings of worthlessness or excessive or inappropriate guilt
- Diminished ability to think or concentrate, or indecisiveness
- recurrent thoughts of death, suicidal ideation without plan or suicide attempt
Bipolar I
- interventions
Medication behavioral skills - coping, social skills interpersonal and social rhythm therapy chart mood to identify triggers mindfulness/DBT Family-focused therapy psychoeducation CBT: behavioral contracts, self-monitoring mood, challenge faulty beliefs, activity sheets, improve social skills, stress reduction ECT Life Goals program Prodrome detection mood graph
Bipolar II
- interventions
Medication behavioral skills - coping, social skills interpersonal and social rhythm therapy chart mood to identify triggers mindfulness/DBT Family-focused therapy psychoeducation CBT: behavioral contracts, self-monitoring mood, challenge faulty beliefs, activity sheets, improve social skills, stress reduction ECT Life Goals program Prodrome detection mood graph
Bipolar II
- duration
hypomanic episode lasting 4 days or more
depressive episode lasting 2 weeks or more
Bipolar II
- symptoms
Major depressive episode w/ hypomanic episode
Bipolar II
- differential Dx
MDD Bipolar I Cyclothymic ADHD Schizophrenia Panic or other anxiety Substance Use Borderline
Cyclothymic Disorder
- duration
2 years or more (1 year or more in children)
Cyclothymic Disorder
- symptoms
periods with hypomanic symptoms that do not meet criteria for a hypomanic episode and numerous periods with depressive symptoms that do not meet criteria for a major depressive episode
