BPD

Question 1

goal of tx pf BPD

Answer 1

improve pt functioning by dec mood episodes
maximize adherence
limit AE

Question 2

______ and ______ are mainstay tx for both acute mania and prophylaxis for recurrent manic and depressive episodes

Answer 2

Li and valproate

Question 3

anticonvulsants are more effective when

Answer 3

mixed states and rapid cycling

Question 4

first line tx for acute bipolar depression

Answer 4

lithium
valproate
quetiapine

Question 5

augmentation agents includes

Answer 5

benzos, mood stabilizers, APs or ADs

Question 6

BPD I vs BPD II vs cyclothymia

Answer 6

I : manic episode +/- major depressive or hypomanic episode (may be mixed)
II: major depressive episode + hypomanic episode
cyclothymia: hypomanic and hypodepressive episodes

Question 7

bipolar depression vs unipolar depression

Answer 7

bip: <25 years, dec Attention, Anxious, Anger, Agitation, inc sleep, inc appetite, psychomotor retardation, co-occurring SUD
uni: >25 years, no FH, insomnia, dec appetite, normal or inc activity

Question 8

manic vs hypomanic

Answer 8

manic: >1 week, impairment of functioning, need for hospitalization
hypomanic: at least 4d, no impaired functioning or need for hospitalization

Question 9

medical conditions that induce mania

Answer 9

CNS disorders (stroke, tumor)
Infections (HIV, spesis)
electrolyte disturbances (Na, Ca, BG changes)
endocrine or hormonal dysregulation

Question 10

meds that induce mania

Answer 10

alcohol, w/drawal from BZD, opiates
cocaine, hallucinogens, herbal products, steroids, unopposed AD therapy in BPD

Question 11

rapid cycling definition

Answer 11

> 4 episodes/yr often w frequent and severe depressive episodes