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Psych > WK2 - bipolar > Flashcards

WK2 - bipolar Flashcards

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1
Q

Anticonvulsant Mood Stabilizers

A

valproate
carbamazepine
lamotrigine
gabapentin

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2
Q

Antipsychotics

A

olanzapine
risperidone
aripiprazole
quetiapine

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3
Q

Benzodiazepines

A

diazepam

lorazepam

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4
Q

Benzodiazepines

A

diazepam

lorazepam

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5
Q

bipolar 1 is more common in

A

males

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6
Q

bipolar 2 is more common in

A

females

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7
Q

Hypomania

A
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8
Q

Lability

A

rapid extreme mood swings, with irritability or sudden outburst of misplaced rage

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9
Q

7 Categories of Bipolar and related disorders

A 
Bipolar I
/
Bipolar II
/
Cyclothymic Disorder
/
Substance/Medication-Induced 
/
Bipolar and Related Disorder
/
Bipolar and Related Disorder Due to Another Medical Condition
/
Other specified bipolar and related disorder
/
Unspecified bipolar and related disorder
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10
Q

7 Categories of Bipolar and related disorders

A 
Bipolar I
/
Bipolar II
/
Cyclothymic Disorder
/
Substance/Medication-Induced 
/
Bipolar and Related Disorder
/
Bipolar and Related Disorder Due to Another Medical Condition
/
Other specified bipolar and related disorder
/
Unspecified bipolar and related disorder
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11
Q

7 Categories of Bipolar and related disorders

A 
Bipolar I
/
Bipolar II
/
Cyclothymic Disorder
/
Substance/Medication-Induced 
/
Bipolar and Related Disorder
/
Bipolar and Related Disorder Due to Another Medical Condition
/
Other specified bipolar and related disorder
/
Unspecified bipolar and related disorder
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12
Q

Clinical features of Mania

A

DIG FAST

D-distractibility
I-indiscretion
G-grandiosity
F-flight of ideas
A-activity increase
S-sleep deficit
T-talkativeness
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13
Q

Clinical features of Mania

A

DIG FAST

D-distractibility
I-indiscretion
G-grandiosity
F-flight of ideas
A-activity increase
S-sleep deficit
T-talkativeness
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14
Q

Clinical picture of Bipolar 1 Disorder

A

Most severe form

Highest mortality rate of the three

At least 1 manic episode

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15
Q

Clinical picture of Bipolar 1 Disorder

A

Most severe form

Highest mortality rate of the three

At least 1 manic episode

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16
Q

Clinical picture of Bipolar II disorder

A

At least 1 hypomanic episode

At least 1 major depressive episode

17
Q

Clinical picture of Cyclothymic disorder

A

Alternate with symptoms of mild to moderate depression for at least 2 years (adults)

Rapid cycling possible

18
Q

Clinical picture of Bipolar II disorder

A

At least 1 hypomanic episode

At least 1 major depressive episode

19
Q

Clinical picture of Bipolar 1 Disorder

A

Most severe form

Highest mortality rate of the three

At least 1 manic episode

Manic highs mirror the depressive lows

The more manic the episodes the more intense they are

20
Q

Diagnostic Criteria: Bipolar I

A

A. Abnormally and persistently elevated, expansive, or irritable mood and goal directed activity or energy, for a duration of at least 1 week.

B. Three or more of these symptoms (4 symptoms if mood is only irritable)

  1. Inflated self-esteem or grandiosity
  2. Decreased need for sleep
  3. More talkative than usual or pressure to keep talking
  4. Flight of ideas or subjective experience that thoughts are racing
  5. Distractibility
  6. Increase in goal-directed activity or psychomotor agitation
  7. Excess involvement in pleasurable activities with high potential for painful consequences

C. Symptoms cause marked impairment in social or occupational functioning; or require hospitalization to prevent harm to self or others; or there are psychotic features.

D. The episode is not caused by substance use, medication, or a medical condition.

21
Q

Diagnostic Criteria: Bipolar I

A

A. Abnormally and persistently elevated, expansive, or irritable mood and goal directed activity or energy, for a duration of at least 1 week.

B. Three or more of these symptoms (4 symptoms if mood is only irritable)

  1. Inflated self-esteem or grandiosity
  2. Decreased need for sleep
  3. More talkative than usual or pressure to keep talking
  4. Flight of ideas or subjective experience that thoughts are racing
  5. Distractibility
  6. Increase in goal-directed activity or psychomotor agitation
  7. Excess involvement in pleasurable activities with high potential for painful consequences

C. Symptoms cause marked impairment in social or occupational functioning; or require hospitalization to prevent harm to self or others; or there are psychotic features.

D. The episode is not caused by substance use, medication, or a medical condition.

22
Q

Diagnostic Criteria: Bipolar I

A

A. Abnormally and persistently elevated, expansive, or irritable mood and goal directed activity or energy, for a duration of at least 1 week.

B. Three or more of these symptoms (4 symptoms if mood is only irritable)

  1. Inflated self-esteem or grandiosity
  2. Decreased need for sleep
  3. More talkative than usual or pressure to keep talking
  4. Flight of ideas or subjective experience that thoughts are racing
  5. Distractibility
  6. Increase in goal-directed activity or psychomotor agitation
  7. Excess involvement in pleasurable activities with high potential for painful consequences

C. Symptoms cause marked impairment in social or occupational functioning; or require hospitalization to prevent harm to self or others; or there are psychotic features.

D. The episode is not caused by substance use, medication, or a medical condition.

23
Q

What mania looks like

A

Mood lability: rapid extreme mood swings, with irritability or sudden outburst of misplaced rage.

Quick to anger/feels misunderstood/ low frustration tolerance

Pacing

Dramatic mannerisms

Uses jokes, puns

Flamboyant or sexually suggestive dress

Spend extravagantly on self or others

Hostile/physically threatening

24
Q

what is the primary outcome for an acute manic phase

A

injury prevention

25
Q

what do we want to monitor with an acute manic patient

A

hydration

cardiac status

tissue integrity

sleep and rest

thought self-control with aid of staff or medication

no attempt at self-harm

26
Q

Mixed Features

A

symptoms of both depression and mania occur at the same time

27
Q

Rapid cycling

A

Four or more manic episodes for at least 2 weeks in 12 months. Partial or full remission for 2 months at a time or switch to opposite episode. High risk of recurrence; resistant to drug therapy; greater severity of illness; depressive symptoms predominate

Psych (12 decks)

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