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Psyc Test 2 > Bipolar ID > Flashcards

Bipolar ID Flashcards

1
Q

Bipolar I

Epi

A
  • Lifetime prev: 1-2%
  • M=W
  • No ethnic differences
  • Onset usually <30y
  • Highest genetic link of any major psych d/o
  • 10-15% commit suicide
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2
Q

Bipolar I

Criteria

A

Requires manic episode only

depression not required for dx but may occur between manic episodes

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3
Q

Bipolar I

DDx

A

MDD
Bipolar II
Might have psychotic features

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4
Q

Bipolar I

Course

A

Chronic with abrupt onset of manic relapses

Untreated mania lasts days to months (must be at least 1 week)

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5
Q

Bipolar II

Criteria

A

1 or more MDD episodes + at least one hypomanic episode

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6
Q

Bipolar II

Course

A
  • Chronic
  • Hypomanic episode at least 4 days

Better prognosis than bipolar I

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7
Q

Bipolar II

DDx

A

If there has ever been a full manic episode, it is bipolar I

  • ADHD
  • Borderline personality d/o
  • Anxiety disorders
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8
Q

Cyclothymic

Epi

A
  • Lifetime prev <1%
  • M=F
  • May coexist with borderline personality d/o
  • Onset usually 15-25y
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9
Q

Cyclothymic

Criteria

A

Alternating hypomania and mild/moderate depressive symptoms

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10
Q

Cyclothymic

DDX

A

If ever there is a full MDD episode, it is bipolar II

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11
Q

Cyclothymic

Course

A
  • Chronic, Criteria = at least 2 years and never symptom free for >2 months
  • Approx 1/3 develop bipolar I/II
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12
Q

Bipolar TX

A

Mood stabilizing medications decrease risk of relapse

  • Lithium
  • Carbamazepine or valproic acid
  • Atypical antipsychotics
  • Psychotherapy
  • ECT (safe in pregnancy)
  • *Avoid antidepressants**
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13
Q

Bipolar TX

A

Mood stabilizing medications decrease risk of relapse

  • Lithium
  • Carbamazepine or valproic acid
  • Atypical antipsychotics
  • Psychotherapy
  • ECT (safe in pregnancy)
  • *Avoid antidepressants**
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14
Q

Bipolar II

Epi

A
  • Lifetime prev unknown
  • Slightly ↑ in women
  • Onset usually <30y
  • No ethnic differences
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15
Q

Substance/ medication induced bipolar

Epi

A

Associated with PCP, steroids, bath salts, psychotropic medications

No prevalence data

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16
Q

Substance/ medication induced bipolar

Criteria

A

Multiple manic sx with or without depressive symptoms that occur after substance intox/withdrawal or medication (but not simply the usual side effects)

17
Q

Substance/ medication induced bipolar

DDX

A

If symptoms preceded substance use or last more than a month after cessation, consider bipolar d/o
Substance-related delerium

18
Q

Substance/ medication induced bipolar

Course

A

Short lived if substance/medication is stopped

19
Q

Substance/ medication induced bipolar

Tx

A

Stop the substance/medication

20
Q

Other bipolar related d/o

Criteria

A

Symptoms characteristic of the above disorders that cause significant clinical distress/impairment but do not meet DSM criteria of the above

21
Q

Other bipolar related d/o

DDX

A

Diagnosis of exclusion or insufficient evidence to make one of the above diagnosis (i.e. emergency room setting)

22
Q

Other bipolar related d/o

Course

A

May be shorter duration of episode (2-3 days) or cyclothymia (<24 months) vs. insufficient symptoms

23
Q

Mania vs Hypomania

A
  • Mania at least 1 week
  • Hypomania 4 days
  • Mania may include psychotic symptoms, hypomania does not
24
Q

Manic s/s

A

DIG FEAST

  • Distractibility
  • Insomnia/Irritable
  • Grandiosity
  • Flight of ideas
  • Euphoric mood
  • Agitation/goal-directed Activity
  • Speedy thoughts
  • Thoughtlessness/poor judgement
25
Q

Co-occurring w/ bipolar

A
  • *Anxiety Disorder
  • *Substance Use
  • ADHD
  • eating disorder (bip II)

MED:

  • metabolic syndrome
  • migraine

Psyc Test 2 (7 decks)

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