Bipolar Disorders

Question 1

Manic Episode

Answer 1

A. elevated, expansive, or irritable mood, increased goal-directed activity, 1 week (unless hospitalization)
B. three (or more) of the following symptoms (four if the mood is only irritable) SSPF DGR
1. Inflated self-esteem or grandiosity.
2. Decreased need for sleep
3. pressured speech
4. Flight of ideas
5. Distractibility
6. goal-directed activity or psychomotor agitation
7. Risky Behavior
C. ClinSig or psychotic features
D. NBE Substance/Medical Condition

Question 2

Hypomanic Episode

Answer 2

A. elevated mood/activity- 4 days
B. 3+ sx
1. Inflated self-esteem or grandiosity.
2. Decreased need for sleep
3. pressured speech
4. Flight of ideas
5. Distractibility
6. Increase in goal-directed activity
7. Risky Behaviors
C. associated with change in functioning
D. observable by others.
E. The episode is not severe enough to cause marked impairment in social or occupa-
tional functioning or to necessitate hospitalization. If there are psychotic features, the episode is, by definition, manic.
F. NBE substance.

Question 3

Major Depressive Episode

Answer 3

A. 5+ sx in 2 week period; at least one of the symptoms is depressed mood/loss of interest
   1. Depressed
   2. Markedly diminished interest or pleasure 
   3. weight 
   4. sleep
   5. speed
   6. tired
   7. worthless
   8. think
   9. death 
B. ClinSig
C. NBE medical

Question 4

Bipolar I

Answer 4

A. one manic episode

B. NBE psychotic

Question 5

Bipolar II

Answer 5

A. 1 hypomanic & 1 depressive episode
B. There has never been a manic episode.
C. NBE mental
D. ClinSig
Spec: 
Most recent episode type
Features (anxious/mixed/rapid cycling)
psychotic/catatonic features
peripartum/seasonal patterns
partial/full remission
mild/moderate/severe

Question 6

Cyclothymic Disorder

Answer 6

A. For at least 2 years (at least 1 year in children and adolescents)numerous periods with hypomanic/depressed symptoms that do not meet criteria
B. present for at least half the time; has not been without the symptoms for more than 2 months at a time.
C. Criteria for a major depressive, manic, or hypomanie episode have never been met.
D. NBE mental disorder
E. NBE medical/substance
F. ClinSig
Spec:
With anxious distress