Mood Disorder: BPD Flashcards
Bipolar mood disorders may consist of 2 poles of mood, what are these and describe each
Mania – elevation of mood and inc energy and activity
Depression – lowering of mood, and dec energy and activity
Difference btn depressive d/o and bipolar disorder
Bipolar d/o covers both depression and mania while depressive d/o char by depression only
DSM 5 shows several types of BPD the first 3 are called ______ and what are these:
SPECIFIED bipolar disorders:
BIPOLAR I, BIPOLAR II and CYCLOTHYMIC
Only characterizing symptom of BPD I
Mania
Which is more difficult to treat, the manic phase or depressed phase and why?
Manic, patients may feel they don’t need treatment
T or F: Manic and hypomanic episodes have psychotic tendencies
False, only manic episodes
Criteria for Biplar II d/o
1 major depressive episode + 1 hypomanic episode WITHOUT manic episode EVER
Usual specifiers for depressive episodes
Melancholic and atypical features
When will you include “with peripartum onset as specifier for BP II
Happen when manic episodes within 4 months of delivery
When will you consider BPD as Rapid Cycling
If there are 4 episodes of a mood disturbance w/in a year
In rapid cycling, if there’s a shift in the same polarity, who long should be the gap between those episodes
2 months in btn where the px is in full or partial remission
T or F: Rapid cycling affects both gender equally
F it’s more common in women
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.
CYclothymia
Age of onset of BPD
15-25
Neurotransmitters involved in BPD
Norepinephrine, Serotonin, Dopamine
mhGAP intervention guide questions for the assessment of BPD
- Is the person in a manic state?
- Does the person have a known prior episode of mania but now has depression?
- Look for preence of concurrent conditions
- Is the person not currently manic or depressed but has a history of mania
- Is the person in a special group?
Median lifetime number of mood episodes
9
Mean age of onset for Bipolar 1
18
Mean age of onset for Bipolar 2
Mid 20s
T or F men have more manic episodes while women have tend to have more depressive episodes
True
Btn mania and depression which one is the more common initial episode
Depression
Why psychotherapy is not used for acute stages
Patient might not talk or is not talking
Drug of choice for acute mania
Lithium
Drug Combination for acute bipolar depression
Olanzapine and Fluoxetine
Only drug approved for all phases
Quetiapine
A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally or persistently increased goal-directed activity or energy
Manic episode
Hypomanic episode last for atleast how many days
At least 4 consecutive days
How does inflated self esteem or grandiosity would present
When one is a meek person then one day he acts like he is the best student in the class
Symptoms of mania and hypomania
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
