Bipolar / Mania

Question 1

Mania

What it is?
Criteria for DSM-5

Answer 1

Extreme euphoria ( extremely happy, elated, increased energy)

1. Inflated self esteem or grandiosity ( grandiose delusion, persecutory delusion- someone is out to get them)
2. Decreased need for sleep
3. Pressured Sleep ( person keeps talking and talking )
4. FLIGHT OF IDEAS= racing thoughts ( when they jump form one topic to the next )
5. Increasing goal-directed activity ( work, school, heypersexuality )
6. Excessive involvement in unsafe activities ( sex, drugs, driving fast )

Question 2

Bipolar 1 Disorder

Answer 2

** Has EXTREME MANIA + SEVERE DEPRESSION **
- full syndrome of manic symptoms
- psychosis is possible
- HIGH RISK FOR SUICIDE

Question 3

Bipolar 2 Disorder

Answer 3

** Has SEVERE DEPRESSION + HYPOMANIA **
- Has never met criteria for full manic episode

Question 4

Cyclothymic Disorder

Answer 4

** Has HYPOMANIA + MILD/ MODERATE DEPRESSION **

Question 5

Mania risk factors

Answer 5

excess of norepinephrine and dopamine in the brain
strong hereditary implications

Question 6

Lithium expected side effects + therapeutic range

Answer 6

Expected Side effects:
-drowsiness, HA, dry mouth, polydipsia, fine hand tremors, polyuria, weight gain

Therapeutic range: 0.6-1.2
- monitor levels 1-2x a week till stable then monthly

Question 7

Lithium toxicity levels

Answer 7

Early sx at 1.5-2= coarse hand tremors
2-2.5= Patient must be hospitalized
>2.5= death, pt will likely need hemodialysis