Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PSYCHIATRY > ELATED MOOD > Flashcards

ELATED MOOD Flashcards

1
Q

Describe Bipolar I.

A
  • pt experiences episodes of mania with episodes of depression, +/- Hypomania
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How is Bipolar II different from Bipolar I?

A

-episodes of HYPOMANIA with CHRONIC depressive episode

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What precipitates Bipolar III hypomanic episodes?

A
  • antidepressants used to treat the depression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which bipolar disorder would never have a MANIC episode?

A

Bipolar II— always HYPOMANIA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How disabling are the Bipolar Disorders?

A
  • bipolar II is JUST as DEBILITATING as Bipolar I; esp. d/t its LONG episodes of DEPRESSION
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is characteristic about Bipolar IV disorder?

A

-depressions arise from a HYPERTHYMIC temperament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When is one diagnosed with Bipolar Disorder?

A
  • when you have just a SINGLE episode of HYPOMANIA or MANIA (w/o depression YET)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When is it NO longer UNIPOLAR Depression?

A
  • when the first episode off (hypo)mania occurs on a background of RECURRENT DEPRESSION
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is Hypomania?

A
  • mood is elevated to an extent, that it is ABNORMAL for the individual and it is SUSTAINED for 4 days
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are signs of Hypomania? (6)

A
  • increased ACTIVITY (physical restlessness)
  • increased talkativeness
  • hard to concentrate
  • decreased NEED to sleep
  • increased SEXUAL energy
  • mild spending sprees/reckless bahviour
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is a Manic Episode? (2)

A
  • mood is MAINLY ELEVATED, irritable
  • mood change is PROMINENT
  • lasts for at least 1 week
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the signs of a Manic episode?

A
  • increased restlessness, talking
  • RACING thoughts
  • Social disinhibition
  • INFLATED SELF-ESTEEM (grandiosity)
  • reckless behaviour
  • marker sexual energu
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How are social interactions different between mania and hypomania?,

A
  • MANIA: disinhibited

- hypomania: over-familiarity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

2 fts only seen in Mania-

A
  • Racing thoughts
  • Delusions of Grandeur
  • Auditory Hallucinations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When does Bipolar disorder set in? May it arise in a 60 y.o?

A
  • in EARLY 20s
  • ~10 years EARLIER than unipolar depression
  • -rarely arises in a 60 y.o; a/w ORGANIC cause, decline in functioning, treatment-resistance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What triggers EARLY onset BPAD?

A
  • having a FAMILY hx
17
Q

What are comorbidities with Bipolar d.os?(6)

A
  • anxiety d.o (esp. PANIC d.o and OCD)
  • Alcohol or Drug misuse
  • Personality d.o
  • Eating d.o
  • Schizoaffective d.o
  • schizophrenia
18
Q

What is DYSTHYMIA?

A

-persistent, chronic LOW grade depression

19
Q

What is HYPERTHYMIA?

A
  • it is a persistent state where people are constantly “up”
20
Q

Which 2 minor bipolar conditions are predisposed to MDD and BP1?

A

Cyclothymia and Hyperthymia

21
Q

Family hx of clyclothymia would predispose one to_____

A

BP I

22
Q

Which 2 conditions share the SAME genetic predisposition ?

A

Schizophrenia and Bipolar Disorder

NRG1, G72, G30

23
Q

What gene mutations are responsible for contributing to the manifestation of BP d.o?

A

ANK3

24
Q

What is considered as RECOVERY from BP and MANIA?

A
  • having 8 consecutive weeks of ABSENCE of (hypo)MANIC and DEPRESSIVE
25
Q

What are 5 Rs?

A
  • response
  • relapse
  • remission
  • recovery
  • reccurrence
26
Q

What may result in POOR outcome in adolsences?

A
  • early onset
  • LOW socio-economic status
  • rapid MOOD fluctation
  • PSYCHOSIS
  • sunsyndromal MOOD symptoms
  • comorbid d.o
27
Q

How to treat bipolar d.o?

A
  1. Mood Stablilizers (Lamotigrine/ Carbamazepine/ Valproic acid)
  2. Anti-psychotics
  3. Lithium
28
Q

Can people with severe mood disorder develop psychosis?

A

YES; those with severe Bipolar Disorder or Depression

- HALLUCINATIONS and DELUSIONS that occur with MOOD symptoms

29
Q

What is cyclothymia?

A
  • pt has MILD MANIA + Mild depressive symptoms
30
Q

What is the characteristic pattern for cyclothymia (in criteria) ?

A
  • NEVER absent for 2 consecutive months (mania or depression should be occuring)
  • symptoms come and go for at least 2 YEARS
  • occurs at least half of the time
31
Q

Does Bipolar D.O i have episodes of radio silence?

A
  • yes

- episode of EUTHYMIA (no manic or depressive symptoms)

32
Q

Example of psychosis with Mood symptoms>

A
  • Schizoaffective disorder
33
Q

Does MDD have euthymic episodes?

A

YES

34
Q

Which depressive d.o has less freq. euthymic episode?

A

DYSTHYMIC disorder

  • low gr. depression
  • LESS severe but more CHRONIC
  • —–should last at least 2 years with NO symtpom- free episode >2 months
35
Q

What is the criteria for the MDD dx?

A
  1. low mood for at least 2 weeks
  2. NOT caused by drugs/ alcohol/ other substances
  3. causes dysfxn in social and work life
  4. no mania or hypomania
36
Q

Suicide is commonly seen in which disorder?

A
  1. depression
  2. Bipolar d/o
  3. schizophrenia
  4. Substance abuse
37
Q

How to manage acute mania?

A
  1. CHECK LITHIUM levels (if on it)
  2. Antipsychotics (haloperidol, olanzapine or risperidone and quietiapine)
  3. lorazepam if pt has PARKINSON’S
  4. Sodium Valproate= second line
38
Q

Rx of Bipolar Depression?

A

Lamotigrine

39
Q

What is given for prophylaxis of Bipolar Affective disrder?

A
  • lITHIUM —-give as IM if pt is NOT complaint

PSYCHIATRY (32 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions