Bipolar Disorders Flashcards
Most poorly understood neuropsychiatric disorders and most disabling
Bipolar disorder
Subthreshold bipolar
Having 2 or more core features of hypomania but not meeting proper criteria
Risk factors if bipolar
1st degree relative with BPD (7-10x)
Season of birth
Stressful life event
Traumatic brain injury
MS
BPD characterized by
Mood episodes (changes in mood with associated symptoms)
Building block of disease
Key feature for a diagnosis of BPD
At least one episode meeting criteria for manic, hypomanic, or mixed
Types of mood episodes (4)
Manic
Hypomanic
Mixed
Depressed
DSM-5 criteria A
MANIC EPISODE
Distinct period of abnormally/persistently elevated, expansive or irritable mood AND abnormally persistently increased goal directed active OR energy for 1 week (have so much energy)
Abnormally happy
Criteria B
Manic episode
If they have criteria A
If euphoric/expansive = 3
Irritable = 4
Grandiosity/inflated self esteem Diminished need for sleep More talkative Flight of ideas Distracting little Increased goal directed activity Excessive pleasurable activity
Diagnostic criteria
Hypomanic Criteria A
Distinct period of abnormally and persistently elevated, expansive, irritable mood AND abnormally and persistently increased energy or activity for 4+ days
SAME as manic but not as severe (criteria B is also same)
Criteria E
Hypomanic
Not severe enough to cause marked impairment or necessitate hospitalization (psychosis episode is by definition manic)
Notable difference with hypomania
Changes must be observable by others
Symptoms represent change from baseline
Symptoms do not cause impairment (labeled manic)
At least one prior episode of mania
BPD I
No manic, has hypomania. More than one episode of MDD
BPD II
No mania, mixed, no hypomania
MDD
No mania, mixed, can have elevation, can have depression symptoms
Cyclothymic
Some symptoms of everything but don’t meet criteria for any one disease
