DSM-5-TR - Bipolar & Related Disorders

Question 1

Bipolor & Related
Key Concepts*

*[and ‘what is the difference’ notes]

Answer 1

manic episode
hypomanic episode
major depressive episode
additional specifiers
*peripartum onset

Question 2

Bipolar I Disorder

Answer 2

Essential Features
*AT LEAST 1 Manic episode
* 1 week, present nearly every day
*preceded/followed by hypo or mood but not necessary

Prevalence
* 1.5% [gen population]
* High-$ countries > Low-$
* M = F
* Risk of SI 20-30x general

Heritability | highest of all
* IDENTICAL Twins - 40-50%
* FRATERNAL Twins/Sibs - 25%
* Parents [??]

Onset for Bipolar I
* ~22yrs
* Recurrent, 90% having 1 episode will have more in the future
* Stressors play more a role among the 1st/2nd episodes than subsequent

Medication Management | lifelong
* Lithium (Li)
* Tegretol
* Depakene (valproic acid)
* Psychoeducation (providing info about BD w/ goal of improving adherence to medication)

Question 3

Bipoloar II Disorder

Answer 3

Essentials
* AT LEAST 1 major depressive episode
* AT LEAST 1 hypomanic episode (~4 days)

Onset
* mid-20s
* W > M

Heritability
* Highest among relatives of those w/ BDII

Question 4

Cyclothymic Disorder

Answer 4

• Numerous periods of hypomanic Sx and depressive Sx
• Over course of 2 yrs (adults) | 1 year (child/adol)
• Throughout 2yrs, only w/o Sx for less than 2m at a time | both types of Sx present for at least 1/2 the time.

No major depressive, manic or hypomanic episodes.