Mania Flashcards
What is the lifetime risk of mania?
1.5%
when is the peak prevalence in females?
15-19 y/o
when is the peak prevalence in males?
20-24 y/o
What mood signs are often seen in mania?
Irritability, Euphoria, Lability, Elation/very high mood
What cognitive signs are seen in mania?
- Grandiosity
- Distractibility/poor concentration
- Flight of ideas/racing thoughts
- Confusion
- Lack of insight
What behaviour signs are seen in mania?
- Rapid speech
- Hyperactivity
- Reduced sleep/ sleep disturbance
- Hyper-sexuality, sexually disinhibited
- Extravagance
What psychotic signs are seen in mania?
- Delusions – grandiose
* Hallucinations
What is hypomania?
A less severe state of mania, which has many of the characteristic symptoms but does not have the psychotic symptoms, impairment or require hospital admission.
What is needed to diagnose mania?
be present for more than a week (or shorter but requiring hospital admission) and any impairment must be severe enough to limit function.
Which medications can lead to mania?
Steroids, illicit drugs (amphetamines, cocaine), antidepressants
what physical causes may lead to mania?
Infection, stroke, neoplasm, epilepsy, MS, metabolic disturbances e.g hyperthyroidism
Ix for mania?
CT head, ECG, Blood - test for drugs and toxins
Tx for acute mania?
an second generation antipsychotics or valproate
How to confirm mania?
Three of the following confirm mania: • Grandiosity/inflated self-esteem • Decreased need for sleep • Pressured speech • Flight of ideas • Distractibility • Psychomotor agitation • Excessive involvement in pleasurable activities without thought of consequences e.g. spending spree resulting in excessive debts
