Clip 9: Mania

Question 1

mania is associated with which hiTOP domains?

Answer 1

• internalizing
• thought disorder

Question 2

which chapter belongs to mania

Answer 2

chapter 3 (bipolar and mood disorders)

Question 3

welke 3 syndromen horen hierbij

Answer 3

• bipolar 1 disorder
• bipolar 2 disorder
• cyclothymic disorder

Question 4

welke hiTOP domain is bij welke soort belangrijker van bipolar

Answer 4

mild cases - internalizing
severe cases - thought disorder component is stronger

Question 5

Manic episode A =

Answer 5

a distinct period of abnormally and persistently elevated, expansive or irritable mood and abnormally and persistent increased activity or energy, lasting at least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary)

Question 6

manic episoce b=

Answer 6

during the period of mood disturbance and increased energy or activity, at least 3 are present (4 if the mood is irritable):

• inflated self esteem or grandiosity
• decreased need for sleep
• more talkative than usual or pressure to keep talking
• flight of ideas or subjective experience that thoughts are racing
• distractibility
• increase in goal-directed activity
• excessive involvement in activities that have a high potential for painful consequences

Question 7

manic episode C=

Answer 7

the mood disturbance is sufficiently severe to cause marked impairment in social or occupational functioning or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features

Question 8

hypomanic episode A=

Answer 8

a distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 4 days and present most of the day, nearly everyday

Question 9

hypomania B=

Answer 9

during the period of mood disturbance and increased energy or activity, at least 3 are present (4 if the mood is irritable):

• inflated self esteem or grandiosity
• decreased need for sleep
• more talkative than usual or pressure to keep talking
• flight of ideas or subjective experience that thoughts are racing
• distractibility
• increase in goal-directed activity
• excessive involvement in activities that have a high potential for painful consequences

Question 10

hypomanic episode C=

Answer 10

the episode is associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic

it is not just a very good period, it is different than just feeling good, unusually active/responsive

Question 11

hypomanic episode D=

Answer 11

the disturbance in mood and the change in functioning are observable by others

Question 12

hypomanic episode E=

Answer 12

the episode is not severe enough to cause marked impairment in social or occupational functioning or to neccissitate hospitalization. If there are psychotic features, the episode is by definition manic!!

Question 13

dus een hypomanic episode met psychotic features….

Answer 13

is per definitie dus niet hypomanisch, maar manisch

Question 14

bipolar 1 syndrome A=

Answer 14

criteria have been met for at least one manic episode

(often there are also depressive episodes, but these are not necessary to diagnose)

Question 15

bipolar 2 syndrome A=

Answer 15

criteria have been met for at least one hypomanic episode, and one major depressive episode

Question 16

bipolar 2 syndrome =

Answer 16

there has never been a manic episode

Question 17

dus wat is het verschil tussen bipolar 1 and bipolar 2

Answer 17

bipolar 1 = vooral mania
bipolar 2 = hypomania en depressie (dus deze zit meer aan de sad kant van het spectrum)

Question 18

fockedup maar welke bipolar zou je dus liever hebben

Answer 18

bipolar 1