Bipolar Disorders Flashcards

1
Q

What is bipolar disorder marked by?

A

Bipolar disorder is marked by shifts in mood, energy and ability to function

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2
Q

What are the different types of bipolar disorder?

A
  • bipolar I disorder
  • bipolar II disorder
  • cyclothymic disorder
  • schizoaffective disorder
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3
Q

what is the difference between manic and psychosis?

A
  • Manic episodes cause euphoria, increased energy and activity, and lack of sleep.
  • Psychotic episodes may occur during depression or mania and can cause a person to become delusional or to hallucinate.
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4
Q

define bipolar I disorder

A
  • At least one episode of mania
  • Psychosis may be present in mania
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5
Q

Define bipolar II disorder

A
  • Hypomania (not as severe as mania)
  • No psychosis
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6
Q

Define cyclothymic disorder

A

Minor episodes of depression and hypomania w/ irritability

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7
Q

Define schizoaffective disorder

A

Depression, mania, mixed w/ neg and pos symptoms of schizophrenia

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8
Q

What is the DIG FAST mnemonic for bipolar?

A

D: distractibility

I: Insomnia

G: Grandiosity (or inflated self-esteem)

F: Flight of ideas (or racing/crowded thoughts)

A: activities (increased goal directed activities)

S: speech (pressured)

T: thoughtlessness (impulsivity)

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9
Q

What are some characteristics of a manic patient? (10)

A
  • Manipulative
  • Demanding
  • Splitting
  • Elevated mood
  • High energy
  • Decreased need to sleep
  • Increased sex drive
  • Impulsive behaviour
  • Pressured speech
  • Irritable and sarcastic mood
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10
Q

Define splitting

A

psychological mechanism which allows the person to tolerate difficult and overwhelming emotions by seeing someone as either good or bad, idealised or devalued

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11
Q

What are the treatment options for mania and psychosis?

A
  • lithium carbonate (antimanic agent)
  • anticonvulsants
  • atypical antipsychotics
  • ECT
  • CBT
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