Class 7

Question 1

Features of MDD that predict bipolar disorder

Answer 1

early age of onset (before 25), high recurrent depressive episode, family history, depression with psychotic features, psychomotor agitation, atypical depression, hyperphagia, hypersomnia, leaden paralysis, postpartum depression and psychosis, past suicide attempts, antidepressant induced manic symptoms, rapid cycling

Question 2

modifiable risk factors for developing Bipolar affective disorder I

Answer 2

drugs, alcohol, lifestyle,

Question 3

non-modifiable risk factors for developing Bipolar affective disorder I

Answer 3

genetics, childhood traumas

Question 4

Rapid cycling: x episodes in one year

Answer 4

4

Question 5

Seasonal pattern

Answer 5

temporal relationship between onset of symptoms and time of the year and full remission at a particular time of the year

Question 6

What are the common reasons for recurrence of Bipolar affective disorder

Answer 6

non adherence, stressor, drugs, transitions

Question 7

Describe how a manic episode could appear in a 75 year old, and how it may appear different than in a younger adult

Answer 7

Manic: less flamboyant, less euphoria. More irritability and more persecution more mixed
Dep: more somatic symptoms, cognitive symptoms

Question 8

schizoaffective

Answer 8

2 months of psychotic symptoms without mood symptoms

Question 9

events that are most triggering

Answer 9

interpersonal events. manic defense