mood/affective disorders + mania

Question 1

define mood disorders

Answer 1

psychiatric disorders in which the core fundamental symptoms is a disturbance in emotion

Question 2

types of mood disorders

Answer 2

1) Unipolar mood disorder= unipolar depression/Major Depressive disorder

2) Bipolar mood disorder

3)Persistent mood disorder
- persistently sad for 2 years: dysthymic disorder
-freq mild sadness:depression
-mild unusual happiness:hypomania
-mild unusual happiness for more than 2 years:cyclothymic disorder

4) Seasonal mood disorder

5) postpartum mood disorders
- post partum depression
- post partum blues

6) mood disorder (depression/elation) due to medical cond/prescribed med/ilicit drugs & alcohol

Question 3

bipolar disorder define

Answer 3

pathological mood swings between mania and depression with periods of normalcy in between (euthymic state) the mood swings.

Question 4

types of bipolar disorders

Answer 4

Bipolar I: mania ( and hypomania) n depression at dif times or same time (mixed phase).

Bipolalr II: predominantly depressive episodes with few hypomanic episodes

4 or more mood swings in 12 month period:Rapid cycling

Question 5

cyclothymic disorder

Answer 5

mild depression and hypomania occur freq for 2 years or more

Question 6

symptoms of Mania: HE DIG FAST

Answer 6

Happy (elated)/irritable

Energy level high

Distractibility

Indiscrete behaviour-exciting and pleasurable but with painful consequences.exp: reckless driving,spending spree,sexual disinhibition

Grandiosity- inflated self-esteem, boastful *not delulu yet

Flight of ideas- jumping from one topic to another quickly due to racing thoughts,other people cant keep up

Activity increases/hyperactive

Sleep need reduced-‘keeps working at night’

Talkativeness(pressure of speech)

Question 7

elicit happiness or irritability and high energy level in mania

Answer 7

• have u ever had a period of about a week when u felt so happy n energetic that friends told that u talk too fast or that u were behaving differently/strangely?

-has there been a period when you were so irritable that u got into arguments?

Question 8

elicit distractibility in mania

Answer 8

-were u having difficulty focussing or concentrating on a task because of your thought or things around u that draw your attention to the task and the tasks remain incomplete?

Question 9

elicit indiscriminate behaviour in mania

Answer 9

-during that period how were u spending your time?

-were u doing anything that troubled your family?

-were u doing things that showed lack of judgement like driving too fast,running red lights or spending too much?

-at that time,were u involved sexual activities that were unusual for u?

Question 10

elicit grandiosity in mania

Answer 10

-during this period,did u feel so confident,great and important?

-did u feel that u had special powers?

-did u feel more religious than normal for u?

Question 11

elicit flight of ideas in mania

Answer 11

-during this period did u have so many thoughts that were racing in your mind that made u rapidly jump fr one topic to another while talking?

Question 12

elicit activity increase in mania

Answer 12

-during this period, were u more active than usual?
-were u constantly working on projects/phoning people and even working into the night

Question 13

elicit reduced sleep need in mania

Answer 13

-during that period,did u need less sleep?
-did u ever stay up all night doing all kind of things
-did your sleep less but still had a lot of energy?

Question 14

elicit pressure of speech in mania

Answer 14

-during this period,were u talking more than usual for u?
- were u talking so much that people had to interrupt u and had difficulty to stop u fr talking?

Question 15

comorbid disorders of mania

Answer 15

1)psychotic features

-delusions of grandeur: do u believe that u have special powers,a royal descent,a religious figure or a chosen by God to accomplish a task in this world?Explain

-delusions of persecution:do u believe that people are jealous of your abilities and power and are planning to endanger your life.Explain?

-hallucination:do u see things or hear voices that other people cannot see or hear.explain

2) depressive symptoms along with mania in mixed phases

3)substance use including alcohol

Question 16

info to ilicit in past psychiatric history in mania

Answer 16

-prev episodes of similar symptoms
-prev episodes of depression
- num of mood swings in a year

Question 17

diagnosis

Answer 17

BMD:single manic episode with or without psychotic features

BMD:currently in manic phase w/x psychotic features

BMD:currently in depressive phase w/x psychotic features

BMD:currently in hypomanic phase

BMD:currently euthymic

Question 18

differentiate hypomania and mania

Answer 18

hypomania is milder n does not cause significant functional impairment