Chapter 7 Flashcards
Bipolar ii disorder
Hypomanic and depressive episodes
Bipolar I disorder
Full manic
How long between episodes are they considered separate?
2 mo
Cyclothymic disorder
More mild version of bipolar, pattern must last 2 years to be considered a disorder
What is considered rapid cycling?
4 manic or depressive episodes within a year
In individuals with rapid cycling, bipolar disorder symptoms are…
More severe
Which medication works better for those suffering from bipolar?
Anticonvulsants and mood stabilizer
What percent of bipolar patients suffer from rapid cycling?
20 to 50 percent
What percent of females suffer from bipolar?
60 to 90
Rapid mood switching
Direct transition from one mood to another
What increases the frequency of rapid cycling?
Antidepressants
Ultra rapid cycling
Last for days to weeks
Ultra ultra rapid cycling
Cycle lengths are less than 24 hrs, usually switch at day and night time
Average age of onset for bipolar
15 to 18 for bp i,
19 to 22 for bp ii
Does bipolar disorder develop suddenly or gradually?
Suddenly
How many people with bpii get bpi?
10 to 25 percent
Cyclothymia is..
Chronic
What gender is most affected by cyclothymia? What is the age of onset?
Females, 60%
12 to 14
Suicide rates are highest in those with
Bipolar, 6 to 7% within the population
… suffer from mood disorders two times more than …, but … are equally amongst both genders
Women, men
Bipolar
Bp ii criteria
Miniumjm duration of 4 days per episode,
No psychotic features,
Not severe enough for impairment
No manic episodes
Disruptive mood dysregulation disorder
Suicideis the … leading cause of death in the US
10th, 1.5% in the world
Electroconvulsive therapy
production of seizures through electrical current to the brain.
Cognitive therapy
teaches clients to carefully examine their thought process and recognize “depressive” styles in thinking
Antidepressants
These come in three main types (tricyclics, MAO inhibitors, and SSRIs), are often prescribed, but have numerous side effects
This antidepressant must be carefully regulated to avoid illness but has the advantage of affecting manic episodes.
Lithium
Interpersonal psychotherapy
This therapy focuses on resolving problems in existing relationships and learning to form new interpersonal relationships.
Maintenance treatment
This is an effort to prevent relapse or recurrence over the long run.
Emily Durkheim
Defined some types of suicide attempts
Harakiri/aeppuka
Cut stomach and head to preserve honor in japan
Egoistic suicide
Loss of social supports suicide
Anomic suicides
Marked disruption, like losing a job
Fatalistic suicides
Loss of control of ones own destiny
Freud and suicide
Caused by anger going inwards instead of at the situation
Edward Sheneidman
Pironeered study of risk factors for suicide
Paychological autopsy
Created by big eddy sneidman, Postmortem psychological profile of a suicide victim constructed from interviews with people who knew the person before death.
Low levels of serotonin are associated with…
impulsivity, instability, and the tendency to overreact to situations
interpersonal theory of suicide
perception of oneself as a burden on others and a diminished sense of belonging as powerful predictors of hopelessness and subsequently suicide
