Bipolar & Related Disorders

Question 1

A diagnosis of bipolar I CANNOT be given if an individual has a history of major depressive episodes.
True OR False.

Answer 1

False.

Question 2

What is the diagnostic criteria for Bipolar I D/O?

Answer 2

Criteria is met when a client has at least one manic episode.

Question 3

Distortions in perceptions or perception-like experiences that occur w/o an external stimulus in any of the five senses are best described as delusions.
True OR False.

Answer 3

False.

Question 4

Brief psychotic d/o involves psychotic symptoms for at least one day but less than 1 month whereas schizophreniform is diagnosed based on symptoms present for at least 1 month but less than 6 months.
True OR False.

Answer 4

True.

Question 5

Hypomanic episodes are characterized by extreme distress and dysfunction, labile mood (ex, quick shifts in mood), excessive guilt, and psychotic features.
True OR False.

Answer 5

False.

Question 6

Cyclothymic d/o is relatively brief in duration but symptoms are intense. True OR False.

Answer 6

False.

Question 7

People with bipolar d/o are at a high risk of suicide.

True OR False.

Answer 7

True.

Question 8

Which symptom is NOT a part of the diagnostic criteria for bipolar II:

• Symptoms persist for 2 years
• Presence or history of one or more major depressive episodes
• Never met criteria for a manic episode
• Presence or history of at least one hypomanic episode

Answer 8

Symptoms persist for 2 years

Question 9

What is the diagnostic criteria for bipolar II d/o?

Answer 9

• Presence or history of one or more major depressive episodes
• Never met criteria for a manic episode
• Presence or history of at least one hypomanic episode

Question 10

Imagine that your client has a diagnosis of major depressive d/o. After several months of working with him, he meets diagnostic criteria for a manic episode. Which of the following best describes the changes you would make to his diagnosis?

• Drop the diagnosis of major depressive d/o and add the new diagnosis of bipolar I
• Drop the diagnosis of major depressive d/o and add the new diagnosis of bipolar II

Answer 10

Drop the diagnosis of major depressive d/o and add the new diagnosis of bipolar I

Question 11

If a client comes in w/ only a history of depressive episode or currently experiencing a depressive episode, no history of hypomania, no history of mania, then you would consider what diagnosis?

• Major depressive d/o
• bipolar I
• bipolar II

Answer 11

Major depressive d/o

Question 12

If a client comes in w/ history of depression & mania, then consider what diagnosis?

• Major depressive d/o
• bipolar I
• bipolar II

Answer 12

Bipolar I

Question 13

If a client comes in w/ history of depression & hypomania episode, then consider what diagnosis?

• Major depressive d/o
• bipolar I
• bipolar II

Answer 13

Bipolar II

Question 14

Which of the following best captures one of the key differences between manic and hypomanic episodes?

• Hypomanic episodes do not cause clinically significant distress and impairment
• Hypomanic episodes do not include an increase in goal-oriented activity

Answer 14

Hypomanic episodes do not cause clinically significant distress and impairment

Question 15

Which of the following is a diagnostic criteria for cyclothymic disorder?

• Criteria for major depressive, manic, or hypomanic episode has never been met
• At least one manic episode in the past 2 years

Answer 15

Criteria for major depressive, manic, or hypomanic episode has never been met

Question 16

What is the duration of an increased goal-directed activity for a manic episode?

Answer 16

At least one week or any duration if hospitalized.

Question 17

What is the duration of an increased goal-directed activity for a hypomanic episode?

Answer 17

At least 4 days.

Question 18

In order to meet the diagnostic criteria for a manic episode, a person must exhibit 3 or more symptoms. Of the symptoms listed below, which one is NOT characteristic of a manic episode?

• Negative thoughts and excessive guilt
• Inflated self-esteem or grandiosity
• Psychomotor agitation
• Flight of ideas and racing thoughts

Answer 18

Negative thoughts and excessive guilt

Question 19

Which is TRUE about Bipolar II d/o?

• Depressive symptoms or the unpredictability of mood changes cause significant distress or impairment in people w/ Bipolar II.
• There is no or very little risk of suicide among people with Bipolar II.

Answer 19

Depressive symptoms or the unpredictability of mood changes cause significant distress or impairment in people w/ Bipolar II.