|Bipolar disorders Flashcards

1
Q

definition of bipolar disorders

A

Characterised by recurrent episodes of altered mood and activity, involving both upswings and downswings.
Individual episodes are classified as:
Depressive
Manic
Hypomanic (less severe and without psychotic symptoms)
Mixed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

icd-10 definition

A

Bipolar affective disorder is defined as at least two episodes , including at least one hypomanic or manic episode

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

differentials for bipolar

A
  • Hyperthyroidism or hypothyroidism.
  • Anorexia nervosa.
  • Cerebrovascular event.
  • Dementia.
  • Other psychiatric disorders, eg schizophrenia.
  • Acute drug withdrawal or illicit drug ingestion.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

manic phase features

A
Mania is characterised by elevated mood and increase in quantity and speed of physical and mental activity. Self-important views and ideas are greatly exaggerated. Some patients may be excessively happy, whilst others may be irritable and easily angered.
•	Grandiose ideas.
•	Pressure of speech.
•	Excessive amounts of energy.
•	Racing thoughts and flight of ideas.
•	Overactivity.
•	Needing little sleep or an altered sleep pattern.
•	Easily distracted - starting many activities and leaving them unfinished.
•	Bright clothes or unkempt.
•	Increased appetite.
•	Sexual disinhibition.
•	Recklessness with money.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

depression diagnostics (ICD-10)

A
3 core symptoms, at leas two must be present every day for at least two weeks:
1.	Low mood
2.	Anhedonia (loss of enjoyment in formerly pleasurable activities)
3.	Decreased energy
Other symtoms:
1.	↓ concentration &attention 
2.	↓self-esteem and confidence
3.	Ideas of guilt and worthlessness
4.	Feelings of hopelessness regarding the future
5.	Thoughts of dself harm
6.	↓sleep and/or appetite
Severity depends on:
1.	 Number of symptoms
2.	Degree of associated distress
3.	Interference with daily activities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly