Mania Flashcards

1
Q

What is mania?

A

Inappropriately elevated mood w/w/o psychosis

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2
Q

What is the acronym for ICD-10 classification of mania?

A

DIGFAST

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3
Q

What is DIGFAST?

A
D - distractability
I - impulsivity
G - grandiosity 
F - flight of ideas
A - activity increase
S - sleep (no need to)
T - talkitiveness (pressure of speech)
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4
Q

What is the difference between mania and hypomania

A

No psychosis in hypomania

Not as extreme DIGFAST symptoms

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5
Q

What criteria can be used with mania?

A

SCID

SCAN

ICD-10

YMRS

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6
Q

What is YMRS?

A

Youngs Mania Rating score

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7
Q

When is YMRS used?

A

For people with bipolar disorder

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8
Q

DDx of mania?

A
Cyclothymia
Drugs
Cushings
Bipolar
Schizoaffective disorder
ADHD
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9
Q

2 classes of pharmacological treatment?

A

Antipsychotics

Mood stabilisers

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10
Q

When are antipsychotics used in mania?

A

In an acute episode

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11
Q

1st line antipsychotics?

A

Olanzapine

Aripiprazole

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12
Q

2nd line antipsychotics?

A

Haloperidol

Risperidone

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13
Q

What type of antipsychotic is haloperidol?

A

Typical

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14
Q

What mood stabilisers are first line in mania?

A

Valproic acid
Lamotrigine
Carbamezapine

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15
Q

What drug can be used if mood stabilisers fail?

A

Lithium

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16
Q

What non-pharmacological thereapy is there for mania?

A

ECT