Mood Disorder: BPD

Question 1

Bipolar mood disorders may consist of 2 poles of mood, what are these and describe each

Answer 1

Mania – elevation of mood and inc energy and activity

Depression – lowering of mood, and dec energy and activity

Question 2

Difference btn depressive d/o and bipolar disorder

Answer 2

Bipolar d/o covers both depression and mania while depressive d/o char by depression only

Question 3

DSM 5 shows several types of BPD the first 3 are called ______ and what are these:

Answer 3

SPECIFIED bipolar disorders:

BIPOLAR I, BIPOLAR II and CYCLOTHYMIC

Question 4

Only characterizing symptom of BPD I

Answer 4

Mania

Question 5

Which is more difficult to treat, the manic phase or depressed phase and why?

Answer 5

Manic, patients may feel they don’t need treatment

Question 6

T or F: Manic and hypomanic episodes have psychotic tendencies

Answer 6

False, only manic episodes

Question 7

Criteria for Biplar II d/o

Answer 7

1 major depressive episode + 1 hypomanic episode WITHOUT manic episode EVER

Question 8

Usual specifiers for depressive episodes

Answer 8

Melancholic and atypical features

Question 9

When will you include “with peripartum onset as specifier for BP II

Answer 9

Happen when manic episodes within 4 months of delivery

Question 10

When will you consider BPD as Rapid Cycling

Answer 10

If there are 4 episodes of a mood disturbance w/in a year

Question 11

In rapid cycling, if there’s a shift in the same polarity, who long should be the gap between those episodes

Answer 11

2 months in btn where the px is in full or partial remission

Question 12

T or F: Rapid cycling affects both gender equally

Answer 12

F it’s more common in women

Question 13

BPD with atleast 2 years of constant mood shift of both mild hpomania and depressive moods without fulfilling the criteria for the diagnosis of mania or MDD.

Answer 13

CYclothymia

Question 14

Age of onset of BPD

Answer 14

15-25

Question 15

Neurotransmitters involved in BPD

Answer 15

Norepinephrine, Serotonin, Dopamine

Question 16

mhGAP intervention guide questions for the assessment of BPD

Answer 16

1. Is the person in a manic state?
2. Does the person have a known prior episode of mania but now has depression?
3. Look for preence of concurrent conditions
4. Is the person not currently manic or depressed but has a history of mania
5. Is the person in a special group?

Question 17

Median lifetime number of mood episodes

Answer 17

9

Question 18

Mean age of onset for Bipolar 1

Answer 18

18

Question 19

Mean age of onset for Bipolar 2

Answer 19

Mid 20s

Question 20

T or F men have more manic episodes while women have tend to have more depressive episodes

Answer 20

True

Question 21

Btn mania and depression which one is the more common initial episode

Answer 21

Depression

Question 22

Why psychotherapy is not used for acute stages

Answer 22

Patient might not talk or is not talking

Question 23

Drug of choice for acute mania

Answer 23

Lithium

Question 24

Drug Combination for acute bipolar depression

Answer 24

Olanzapine and Fluoxetine

Question 25

Only drug approved for all phases

Answer 25

Quetiapine

Question 26

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally or persistently increased goal-directed activity or energy

Answer 26

Manic episode

Question 27

Hypomanic episode last for atleast how many days

Answer 27

At least 4 consecutive days

Question 28

How does inflated self esteem or grandiosity would present

Answer 28

When one is a meek person then one day he acts like he is the best student in the class

Question 29

Symptoms of mania and hypomania

Answer 29

Inflated self esteem or grandiosity
Decreased need for sleep
Talkativeness
Flight of ideas
Distractibility
Excessive involvement in pleasureable activities with high potential for painful consequences