Bipolar Disorder Flashcards
what is bipolar characterised by?
periods of mania/hypomania + periods of depression
when does bipolar typically develop in someones life?
late teen
what is type I bipolar disorder?
mania + depression
what is type II bipolar disorder?
hypomania + depression
what type of bipolar is most common?
type I
what is hypomania?
decreased or increased function for 4 days or more
what is mania?
severe functional impairment or psychotic symptoms for 7 days or more
what is the key differentiation between hypomania and mania?
psychotic symptoms (e.g. delusions of grandeur or auditory hallucinations) = mania
what is the mood stabiliser of choice in bipolar disorder?
lithium
what is the acute management of mania/hypomania?
- stop antidepressant
- start antipsychotic (e.g. olanzapine or haloperidol)
what is the management of depression in bipolar disorder?
- talking therapies
- fluoxetine
what co-morbidities are associated with bipolar disorder?
- diabetes
- cardiovascular disease
- COPD
primary care referral
what type of referral do you make if you meet a patient experiencing hypomania?
routine referral to CMHT
primary care referral
what type of referral do you make if you meet a patient experiencing mania?
urgent referral to CMHT
