Bipolar Related Disorders (5) Flashcards

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1
Q

What is the DSM-5 definition for mania?

A

Distant, abnormal, elevated, expansive (or irritable) mood for 7 days

At least 3 symptoms must be present for 7 days:

  • increased self esteem
  • decreased sleep
  • increased speech
  • racing thoughts
  • distractability
  • increased activity
  • increased dangerous impulsivity
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2
Q

What does DTRHIGH stand for?

A
Distractable
Talkative
Racing thoughts
Hyperactive
Impulsive
Grandiose
Hypersomnic
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3
Q

What is hypomania?

A

Milder mania of at least 4 days (same symptoms of mania)

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4
Q

How is a major depressive episode (MDE) defined?

A

Pervasive sad, down, or irritable mood > 2 weeks with 4 other symtoms

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5
Q

What is a mixed episode?

A

Meets criteria for both manic episode and a MDE

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6
Q

Define bipolar 1:

A

Manic or mixed episode with or without MDE

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7
Q

Define Bipolar 2:

A

Hypomanic with or without MDE

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8
Q

Define cyclothymia:

A

Stuck in hypomania for >2 years

Can occur with minor depressions

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9
Q

T/F: a bipolar individual can become psychotic (delusions, hallucinations, though disorder)

A

True

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10
Q

T/F: bipolar individuals spend more time in the manic phase than the depressed phase

A

False….they spend more time depressed

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11
Q

What are the etiologic factors associated with bipolar disorder?

A

Increased transmitter and decreased receptor (genetic cause?)

Kindling Hypothesis= too much neuronal firing in the limbic system

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12
Q

Can psychological factors lead to bipolar disorder?

A

Yes…low self esteem, negative outlook, learned helplessness, demeaning parents, stress`

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13
Q

What medications should NOT be used to treat bipolar disorder?

A

Antidepressantes…because they increase NTs which can increase mania and instability

If you are going to use an antidepressant, you must also use a mood stabilizer

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14
Q

What drugs are used to treat bipolar disorder?

A

Antipsychotics–> typical and atypical (the DA2 action decreases and prevents mania and the 5HT2 action treats depression)

Antimanic agents–> lithium, divalproex, carbamazepine

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15
Q

What are the actions of lithium, divalproex, and carbamazepine?

A

Lithium: increases Ca

Divalproex: increases GABA activity

Carbamazepine: blocks Na+ channels

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16
Q

Does psychotherapy work to treat bipolar disorder?

A

Only the depressed phase