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Psychiatry Week 1 2018/19 > 4: Elevated mood > Flashcards

Flashcards in 4: Elevated mood Deck (15)
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1

The DSM-5 has classified bipolar disorder into bipolar I and bipolar II.

What's the difference?

Bipolar I - episodes of mania and depression

Bipolar II - short episodes of hypomania, longer episodes of depression

2

Which type of bipolar disorder is more common?

Bipolar II

3

What is bipolar disorder?

Swings between manic/hypomanic and depressive moods

4

How many episodes of mania, hypomania or depression does a patient need to experience to be classified as bipolar by the ICD-10?

2+

5

How long do

a) hypomanic

b) manic episodes tend to last?

a) 3-5 days

b) > 1 week

6

Manic behaviours tend to be more ___ than hypomanic behaviours.

reckless

7

Manic episodes have a greater impact on ___ ___ than hypomanic episodes.

daily activities

8

What is cyclothymia?

A mild form of bipolar disorder, swings between mild depression and mild (i.e below hypomanic) mania

Common when there's a family history of mood disorders

9

What is the prevalence of bipolar disorder in the population?

 

2%

i.e a tenth of the number who will have a depressive episode

10

Bipolar (I / II) is more common.

Bipolar II

11

When is the usual age of onset for

a) depression

b) bipolar disorder?

a) 30s

b) Teens / early 20s

12

Why can bipolar patients present to their GP ages after their first mood swing?

Unaware it's a problem

Stigma

Fear of being medicated

13

People with bipolar disorder tend to be symptomatic around ___ of the time.

50%

half

14

People with bipolar disorder are at increased risk of ___.

suicide

15

What must you rule out in a patient presenting with a depressive episode?

Bipolar disorder

Ask about mania