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NMF: Psychiatry > Mood disorder > Flashcards

Mood disorder Flashcards

1
Q

What features have a negative prognostic value for suicide?

A 
male
previous attempts
organised plan
no spouse/social isolation
marked hopelessness
giving away possessions
chronic pain/physical illness
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2
Q

What is the preferred system for categorising mental illness in the UK?

A

ICD-10

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3
Q

How should a person on an antidepressant who develops mania/hypomania be managed?

A

stop antidepressant

consider starting anti-psychotic

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4
Q

How should mania/hypomania be managed pharmacologically?

A

haloperidol
olanzapine
quetiapine
risperidone

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5
Q

What pharmacological treatment can be used if 2 anti-psychotics do not help mania/hypomania?

A

lithium or if not suitable valproate

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6
Q

How should depression in bipolar disorder be managed?

A

fluoxetine + olanzapine

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7
Q

What drugs need to be avoided if a patient is on lithium?

A

NSAIDs

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8
Q

What is bipolar disorder?

A

where someone has 2 or more episodes of significant disturbance of mood and activity levels. These can be both elated (manic/hypomanic) or major depressive

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9
Q

What is a hypomanic episode?

A

an abnormally elevated mood for at least 4 consecutive days

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10
Q

What features of hypomania must be present?

A

3 of:

  • inc activity/restlessness
  • inc talkativeness
  • difficulty concentrating
  • decreased need for sleep
  • inc sexual energy
  • mild spending sprees/ reckless behaviour
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11
Q

What is a manic episode?

A

sustained elevated mood which lasts for one week or requires hospital admission

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12
Q

What features of mania must be present?

A

3 of:

  • inc activity/restlessness
  • inc talkativeness
  • flight of ideas/ racing thoughts
  • loss of social inhibitions
  • dec need for sleep
  • inflated self esteem
  • distractable/ constant change in plans
  • reckless behaviour
  • marked sexual energy
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13
Q

Which features may be seen during the speech aspect of MSE in a person with mania?

A 
punning (food for the soul, bit of sole)
clang associations (doctor dang diddily diddily dang)
hard to interrupt
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14
Q

How can psychotic symptoms present in mania?

A

delusions and hallucinations

usually grandiose, persecutory, sexual…

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15
Q

How is a hallucination different in mania compared to schizophrenia?

A

cannot be a 3rd person running comentary in mania

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16
Q

When does BPAD usually present?

A

late teens/ early 20s

17
Q

What features predict a poor outcome in BPAD?

A 
early onset
family hx
low socioeconomic status
rapid mood fluctuations
psychosis
long duration of illness
18
Q

What is bipolar I?

A

Mania +/- depression

19
Q

What is bipolar II?

A

Hypomania and depression

20
Q

What is bipolar III?

A

Hypomania following antidepressant use

NMF: Psychiatry (10 decks)

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