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Question 1

What would cause you to believe someone is experiencing mania over hypomania?

Answer 1

Grandiose delusions

Question 2

What is the difference between type 1 and type 2 bipolar disorder?

Answer 2

Type 1= mania and depression

Type 2= hypomania and depression.

Question 3

What is hypomania/mania?

Answer 3

Both terms relate to abnormally elevated mood or irritability
With mania there is severe functional impairment or psychotic symptoms for 7 days or more
Hypomania describes decreased or increased function for 4 days or more

Question 4

What is the key differentiation between mania and hypomania?

Answer 4

Psychotic symptoms (delusions of grandeur/auditory hallucinations) both suggest mania

Question 5

What factors suggest a diagnosis of depression over dementia?

Answer 5

Short history, rapid onset
Biological symptoms- weight loss, sleep disturbance
Patient worried about pooor memory
Reluctant to take tests, disappointed with results
Mini mental test score is variable
Global memory loss

Question 6

What is cotard syndrome?

Answer 6

Rare mental disorder where the affected patient believes that they (or some cases just part of their body) is either dead or non existent.

It is associated with severe depression and psychotic disorders.