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Year Three - Psychiatry > Mania > Flashcards

Mania Flashcards

1
Q

What is mania?

A

It is defined as a condition in which individuals experience unreasonable euphoria, very intense moods, hyperactivity and delusions

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2
Q

How long does a typical manic episode occur?

A

1 - 3 months

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3
Q

What are the two classifications of mania?

A

Mania

Hypomania

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4
Q

What is mania, with reference to ICD-10 criteria?

A

It is defined as the presentation of severe clinical features for a period of at least seven days, which have a significant negative functional impairment on work and social activities

In addition, it may occur alongside psychotic features – such as grandiose delusions and auditory hallucinations

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5
Q

What is hypomania, with reference to ICD-10 criteria?

A

It is defined as the presentation of mild clinical features for a period less than seven days, usually 3 – 4 days, which don’t have a significant negative impairment on work and social activities

In addition, there is no presence of psychotic features – such as grandiose delusions and auditory hallucinations

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6
Q

What are the eight risk factors asssociated with mania?

A

Personality Traits

Family History

Co-Morbid Substance Use

Traumatic Life Events

High Levels of Stress

Lack of Sleep

Hypothyroidism

Drug Administration

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7
Q

What drug class is associated with mania?

A

Steroids

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8
Q

What are the ten clinical features of mania?

A

Euphoric Mood

Grandiosity

Hyperactivity

Pressured, Erratic Speech

Insomnia

Weight Gain

Increased Libido

Excessive Spending

Auditory Hallucinations

Delusions

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9
Q

What is grandiosity?

A

It is an exaggerated sense of one’s importance, power, knowledge or identity, even if there is little evidence to support the beliefs

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10
Q

What is the management of mania in primary care?

A

An urgent referral to the community mental health team

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11
Q

What is the management of hypomania in primary care?

A

A routine referral to the community mental health team

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12
Q

What are the two psychological management options of mania?

A

Psychoeducation

Cognitive Behaviour Therapy (CBT)

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13
Q

What is psychoeducation?

A

It involves providing patients with information about mania and ways in which they can control and minimise it

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14
Q

What is CBT?

A

It is a talking therapy used to manage the way in which patients think, feel and behave

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15
Q

What are the four pharmacological management options for mania?

A

Antipsychotics

Lithium

Sodium Valproate

Carbamazepine

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16
Q

Name four antipsychotics used to manage mania

A

Olanzapine

Haloperidol

Risperidone

Quetiapine

17
Q

When are antipsychotics used to mania?

A

They the first line management option of acute episodes of mania

18
Q

What two drugs can be additionally prescribed when antipsychotics are inadequate in treating acute episodes of mania?

A

Lithium

Sodium Valproate

19
Q

Name two lithium salts used to manage mania

A

Lithium carbonate

Lithium citrate

20
Q

When is lithium used to mania?

A

It can be used to manage acute episodes of mania associated with bipolar disorders - in combination with antipsychotics

It is also the first line pharmacological management option for chronic mood stabilisation

21
Q

When is sodium valproate used to mania?

A

It is used for the treatment of acute episodes of mania associated with bipolar disorder - in combination with antipsychotics

It is also the second line pharmacological management option for chronic mood stabilisation, which can be administered in combination with lithium, or as monotherapy if lithium is not tolerated or contraindicated

22
Q

What are two contraindications of sodium valproate?

A

Females of childbearing age

Pregnancy

23
Q

When is carbamazepine used to mania?

A

It is the third line pharmacological management option for chronic mood stabilisation

24
Q

What physical management option is used in mania?

A

Electroconvulsive Therapy (ECT)

25
Q

What is ECT?

A

It is a procedure in which small electric currents are passed through the brain, intentionally triggering a brief seizure

It causes changes in brain chemistry that can reverse symptoms of mania

26
Q

How long does it usually take for manic patients to recover?

A

10 weeks

Year Three - Psychiatry (23 decks)

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