Mania Flashcards
What is mania?
Inappropriately elevated mood w/w/o psychosis
What is the acronym for ICD-10 classification of mania?
DIGFAST
What is DIGFAST?
D - distractability I - impulsivity G - grandiosity F - flight of ideas A - activity increase S - sleep (no need to) T - talkitiveness (pressure of speech)
What is the difference between mania and hypomania
No psychosis in hypomania
Not as extreme DIGFAST symptoms
What criteria can be used with mania?
SCID
SCAN
ICD-10
YMRS
What is YMRS?
Youngs Mania Rating score
When is YMRS used?
For people with bipolar disorder
DDx of mania?
Cyclothymia Drugs Cushings Bipolar Schizoaffective disorder ADHD
2 classes of pharmacological treatment?
Antipsychotics
Mood stabilisers
When are antipsychotics used in mania?
In an acute episode
1st line antipsychotics?
Olanzapine
Aripiprazole
2nd line antipsychotics?
Haloperidol
Risperidone
What type of antipsychotic is haloperidol?
Typical
What mood stabilisers are first line in mania?
Valproic acid
Lamotrigine
Carbamezapine
What drug can be used if mood stabilisers fail?
Lithium