1.3. Affective (Mood) Disorder - Bipolar Disorder

Question 1

What are the ICD-10 Different Classifications of Bipolar Affective Disorders (BAD)?

Answer 1

1. F31.0 - BAD, currently Hypomanic
2. F31.1 - BAD, currently Manic - Psychosis
3. F31.2 - BAD, currently Manic + Psychosis
4. F31.3 - BAD, current Mild / Moderate Depression
5. F31.4 - BAD, currently severe Depression - Psychosis
6. F31.5 - BAD, currently severe Depression + Psychosis
7. F31.6 - BAD, current Episode Mixed
8. F31.7 - BAD, current Episode in Remission
9. F31.8 - Other BAD’s
10. BAD, unspecified

Question 2

What is Bipolar Affective Disorder?

Answer 2

Repeated (2+) Episodes of Depression and Mania / Hypomania

Question 3

If there is other Recurrent (2+) Episodes of Depression with no Mania / Hypomania, what is the Diagnosis?

Answer 3

Recurrent Depression

Question 4

If there is no Depression, but there are Episodes of Mania / Hypomania, what is the Diagnosis?

Answer 4

1. Hypomania

2. Bipolar Disorder

Question 5

What is the Lifetime Prevalence Rate of Bipolar Disorder (n per 100)?

Answer 5

0.7-1.6

Question 6

Who is most likely to get Bipolar Disorder?

Answer 6

1. Industrialised Nations = Non Industrialised Nations
2. Males = Females
3. Mean age of onset = 21 (unusual > 30)
4. Family History

Question 7

What is the Lifetime Prevalence of Depression (n per 100)?

Answer 7

2.9-12

Question 8

What s the Clinical Course / Outcome of Major Depression?

Answer 8

1. Typical Episode lasts 4-6 months
2. 54% recover at 26 weeks
3. 12% Fail to Recover
4. > 80% will have further episodes

Question 9

What s the Clinical Course / Outcome of Bipolar Disorder / Mania?

Answer 9

1. Manic Episode lasts 1-3 months
2. 60% recover at 10 weeks
3. 5% fail to recover
4. 90% have further episodes