Hypomania and Mania Flashcards
What is Mania?
State of feeling or mood that can range from near normal to severe life threatening
Mania is often associated with? (3)
Grandiose Ideas
Disinhibition
Loss of Judgement
What is ICD F.30.0?
Hypomania
What is ICD 10 F.30.1?
Mania with Psychotic Symptoms
What is ICD 10 F.30.2?
Mania with Psychotic Symptoms
What is ICD 10 F.30.8?
Other Manic Episodes
Symptoms of Hypomania? (8)
No Psychosis Mild Elevation of Mood for Several Days Increased Energy + Activity Overfamilarity and Talkative Increased Sexual Activity Decreased Need for Sleep Mild Overspending Concentrated Reduced
Symptoms of Mania? (8)
Severe enough to disrupt ordinary work and social activities Elevated Mood with Increased Energy Decreased Need for Sleep Disinhibition Grandiosity Alteration of Senses Extravagant Spending Can be irritable
Features of Mania on Mental State Examination? (7)
Mildly Unkempt Quite Animated Increased Expressions Elevated Over Talkative and Over Familiar Evidence of Grandiose Thinking Poor Insight
Relevant Past Medical History for Mania? (1)
Depression
Relevant Past Medication History for Mania?
Stopped Lithium
Relevant Past Family History for Mania?
Bipolar
What do delusions usually present as?
Grandiose eg I am king of Scotland
Hallucinations in Mania usually present as?
usually 2nd person auditory
Psychiatry Differential Diagnosis for Mania? (6)
Mixed Affective State Schizoaffective Disorder Schizophrenia Cyclothymia ADHD Drugs and Alcohol
Medical Differential Diagnosis for Mania? (9)
Stroke MS Tumour Epilepsy Aids Neurosyphillis Cushings Hyperthyrodism SLE
What 3 tools can be used to measure mania?
SCID
SCAN
Young Mania Rating Scale
What antipsychotics can be used to treat mania/hypomania? (3)
Olanzapine
Risperidone
Quetiapine
What mood stabilisers can be used to treat mania/hypomania? (5)
Sodium Valproate Lamotigene Carbamazepine Lithium Anticonvulsants
Lithium can be used to treat?
Mania
What psychological treatment can be used to treat mania?
ECT
What role does Benzodiazepines have in Mania/Hypomania?
Sedation and reinstate normal sleeping pattern
Antidepressants can do what in Mania?
Induce or worse mania