Bipolar I Disorder Flashcards
A diagnosis of Bipolar I Disorder requires at least one ___________, lasting at least _____________, present ____________ every day, and include at least ___ characteristic symptoms (e.g., inflated self-esteem, decreased need for sleep, flight of ideas).
- Manic episode
- 1 week
- Most of the day
- 3
Additional requirements for a Bipolar I Disorder diagnosis include marked impairment in social or occupational functioning, necessary ____________ to avoid harm to self or others, or include ____________ features. It may include one or more episodes of ________________ or _______________.
- Hospitalization
- Psychotic
- Hypomania
- Major depression
Specifiers for Bipolar I Disorder address:
- ____________ (mild, moderate, severe)
- ____________ (manic, hypomanic, depressed, unspecified)
- ____________ (with rapid cycling, mood-congruent psychotic features, mood-incongruent psychotic features, peripartum onset, seasonal pattern)
- Severity
- Type of current/most recent episode
- Accompanying symptoms
Bipolar I Disorder’s most common comorbidities are _____________ and ________________.
- Anxiety
- Substance abuse
Lifetime risk for completed suicide for individuals with Bipolar I Disorder is about ___ times the risk for the general population.
15 times.
According to the DSM-5, the 12-month prevalence for Bipolar I Disorder in the U.S. is ___%. The lifetime male-to-female prevalence ratio is approximately ___.
- 0.6%
- 1.1 to 1
The average age at onset for Bipolar I Disorder is ___ years; at least ___% of individuals who have one episode experience additional episodes.
- 18
- 90%
Genetic factors have been _______ consistently linked to Bipolar I Disorder.
Most.
Bipolar I Disorder concordance rates:
- Monozygotic twins: ___ to ___%
- Dizygotic twins: ___%
- .67 to 1.0%
- .20%
First degree relatives of people with Bipolar I Disorder are at elevated risk for both _______________ and _____________.
- Bipolar Disorder
- Depression
_________ has been reported to be effective in 60-90% of “classic” Bipolar I Disorder with descrete episodes of mania and depression, reducing __________ and preventing recurrent ______________.
- Lithium
- Mania
- Mood swings
For people with Bipolar Disorder I who do not respond to lithium or who have rapid cycling or dysphoric mania (prominent anxiety or depressive symptoms), an anti-seizure drug such as ____________ or ___________________ may be effective.
- Carbamazepine (Tegretol)
- Divalproex Sodium
For people with Bipolar I Disorder experiencing acute mania, ______________ drugs may be useful.
Antipsychotic.
The risk of an antidepressant triggering a manic episode in someone with Bipolar I Disorder is greater for the _______ than the ________.
- Tri-cyclic Antidepressants (TCAs)
- Selective Serotonin Reuptake Inhibitors (SSRIs)
Interventions that have been found effective in treating Bipolar I Disorder include CBT, ________________ (FFT), and _________________ (IPSRT).
- Family-focused treatment
- Interpersonal and social rhythm therapy
