BPAD I and II Flashcards
Aetiology
Mid to late adolescents
Strong genetic link
1 parent has - 25% chance to pass onto child
2 parents have - 50% chance to pass onto child
Separation, divorce, widowed
Co-Morbidity
Substance misuse
Anxiety disorders
ADHD
Eating Disorders
Treatment
Antipsychotic medication Mood stabilising medication ECT Counselling Anxiolytics Antidepressants (with care)
Mood Stabilisers
Lithium Carbonate
Sodium Valproate
Lamotrigine
Lithium Toxicity?
Too much Lithium Carbonate can cause this. Early signs are hand tremors, nausea, discomfort. It can be severe with seizures, stupor, vascular collapse, coma and can lead to death
Three types of BPAD episodes
Mania
Depression
Hypomanic
DSM5 - Mania
abnormally and persistently elevated, expansive, irritable mood lasting 1 week and present most of the day.
DSM5 - Mania 3 or more of the following
inflated self esteem Decreased need for sleep More talkative flight of ideas distractibility increased goal directed activity
DSM5 - Depressive
5 or more symptoms during the same 2 week period. At least one symptom is depressed mood or loss of interest or pleasure
DSM5 - Depressive 5 or more of the following
depressed mood diminished interest or pleasure in all or most activities significant weight loss insomnia fatigue feelings of worthlessness inability to think or concentrate recurrent thoughts of death
DSM5 Hypomanic
Distinct period of abnormally and persistently elevated, expansive or irritable moos lasting at least 4 consecutive days
DSM5 Hypomanic 3 or more of the following
inflated self esteem decreased need for sleep flight of ideas more talkative increased goal directed activity excessive involvement in activities with a high potential for painful consequences distractibility
