ELATED MOOD Flashcards
Describe Bipolar I.
- pt experiences episodes of mania with episodes of depression, +/- Hypomania
How is Bipolar II different from Bipolar I?
-episodes of HYPOMANIA with CHRONIC depressive episode
What precipitates Bipolar III hypomanic episodes?
- antidepressants used to treat the depression
Which bipolar disorder would never have a MANIC episode?
Bipolar II— always HYPOMANIA
How disabling are the Bipolar Disorders?
- bipolar II is JUST as DEBILITATING as Bipolar I; esp. d/t its LONG episodes of DEPRESSION
What is characteristic about Bipolar IV disorder?
-depressions arise from a HYPERTHYMIC temperament
When is one diagnosed with Bipolar Disorder?
- when you have just a SINGLE episode of HYPOMANIA or MANIA (w/o depression YET)
When is it NO longer UNIPOLAR Depression?
- when the first episode off (hypo)mania occurs on a background of RECURRENT DEPRESSION
What is Hypomania?
- mood is elevated to an extent, that it is ABNORMAL for the individual and it is SUSTAINED for 4 days
What are signs of Hypomania? (6)
- increased ACTIVITY (physical restlessness)
- increased talkativeness
- hard to concentrate
- decreased NEED to sleep
- increased SEXUAL energy
- mild spending sprees/reckless bahviour
What is a Manic Episode? (2)
- mood is MAINLY ELEVATED, irritable
- mood change is PROMINENT
- lasts for at least 1 week
What are the signs of a Manic episode?
- increased restlessness, talking
- RACING thoughts
- Social disinhibition
- INFLATED SELF-ESTEEM (grandiosity)
- reckless behaviour
- marker sexual energu
How are social interactions different between mania and hypomania?,
- MANIA: disinhibited
- hypomania: over-familiarity
2 fts only seen in Mania-
- Racing thoughts
- Delusions of Grandeur
- Auditory Hallucinations
When does Bipolar disorder set in? May it arise in a 60 y.o?
- 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
What triggers EARLY onset BPAD?
- having a FAMILY hx
What are comorbidities with Bipolar d.os?(6)
- anxiety d.o (esp. PANIC d.o and OCD)
- Alcohol or Drug misuse
- Personality d.o
- Eating d.o
- Schizoaffective d.o
- schizophrenia
What is DYSTHYMIA?
-persistent, chronic LOW grade depression
What is HYPERTHYMIA?
- it is a persistent state where people are constantly “up”
Which 2 minor bipolar conditions are predisposed to MDD and BP1?
Cyclothymia and Hyperthymia
Family hx of clyclothymia would predispose one to_____
BP I
Which 2 conditions share the SAME genetic predisposition ?
Schizophrenia and Bipolar Disorder
NRG1, G72, G30
What gene mutations are responsible for contributing to the manifestation of BP d.o?
ANK3
What is considered as RECOVERY from BP and MANIA?
- having 8 consecutive weeks of ABSENCE of (hypo)MANIC and DEPRESSIVE
