Bipolar and Related Disorder

Question 1

Manic Episode

Answer 1

A. A distinct period of abnormality & personality elevated, expansive, or irritable mood and abnormality and persistently increased goal directed activity or energy lasting at least 1 week and present most of the day nearly every day.

B . During the period of mood disturbance and increased energy or activity, three or more of the following (4 if only irritable mood) are present to a significant degree & represent a noticeable change from usual behavior:h

Question 2

Manic Episode

B . During the period of mood disturbance & increased energy or activity, Three or more of the following (4 if only irritable mood) are present to a significant degree & represent a noticeable change from usual behavior:

Answer 2

1. Inflated self-esteem and grandiosity.
2. Decreased need for sleep.
3. More talkative than usual or pressure to keep talking.
4. Flight of ideas or subjective experience that thoughts are racing.
5. Distractibility, as reported or observed
6. Increase in goal directed activity.
7. Excessive involvement in high-risk behaviors that may have painful long-term consequences, (yet short-term gratification’s, i.e. sex, spending, business involvement).

Question 3

Manic Episode

What criteria constitute a manic episode?

Answer 3

A. A distinct period of abnormality & personality elevated, expansive, or irritable mood and abnormality and persistently increased goal directed activity or energy lasting at least 1 week and present most of the day nearly every day

B . During the period of mood disturbance and increased energy or activity, three or more of the following (4 if only irritable mood) are present to a significant degree & represent a noticeable change from usual behavior

C. Causes marked impairment in social, occupational relationships, may necessitate hospitalization to prevent harm to self/others, or presence of psychotic features

D. Not attributable to the direct psychological effect of a substance (drug, alcohol, medication), or to another medical condition.
Criteria a through D constitute a manic episode

Question 4

Hypomanic Episode (Bipolar II)

Answer 4

A. A distinct period of abnormality & personality elevated, expansive, or irritable mood and abnormality and persistently increased goal directed activity or energy lasting at least 4 Days and present most of the day nearly every day.

B . During the period of mood disturbance and increased energy or activity, Three or more of the following ( 4 if only irritable moon) are present to a significant degree & represent a noticeable change from usual behavior:

Question 5

During a Hypomanic Episode you must have a period of mood disturbance and increased energy or activity, Three or more of the following ( 4 if only irritable moon) are present to a significant degree & represent a noticeable change from usual behavior:

Answer 5

1. Inflated self-esteem and grandiosity.
2. Decreased need for sleep.
3. More talkative than usual or pressure to keep talking.
4. Flight of ideas or subjective experience that thoughts are racing.
5. Distractibility, as reported or observed
6. Increase in goal directed activity.
7. Excessive involvement in high-risk behaviors that may have painful long-term consequences, (yet short-term gratification’s, i.e. sex, spending, business involvement).

Question 6

Major Depressive Episode,

A. Must have five or more of the following symptoms that been present during the same two week period or represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure.

Answer 6

1. Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g. feelings sad, empty, hopelessness) or observation made by others (e.g. appears tearful), (In children, can be irritable mood).
2. Markedly diminished interest in pleasure in or, or nearly all, activities most of the day, nearly every day (as indicated by subjective account or observation).
3. Significant weight loss when not dieting, or weight gain (change of more than 5% of body weight in a month) or decrease or increase in appetite nearly every day
4. Insomnia or hypersomnia nearly every day
5. Cycle motor agitation or retardation nearly every day
6. Fatigue or loss of energy nearly every day
7. Feelings of worthlessness or excessive or inappropriate guilt (may be delusional)
8. Diminished ability to think/concentrate, indecisiveness
9. Recurrent thoughts of death (not just fear of dying) recurrent suicide ideation w/o a specific plan, or a suicide attempt or a specific plan for committing suicide

Question 7

Major Depressive Episode,

Answer 7

A. Must have five or more of the following symptoms that hAve been present during the same two week period or represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure.

B. Symptoms cause clinically significant distress or impairment in social, occupational or other important areas of functioning

C. Episode is not attributable to the psychological effects of a substance or other medical

Question 8

Major Depressive Episode are what?

Answer 8

Major depressive episodes are common in bipolar I disorder, but are not required for a diagnosis of bipolar I disorder.

Question 9

To have Bipolar I Disorder what must you have first?

Answer 9

A. You must have a Maniac & Depressive Episode, or simply a Maniac Episode (it may also be preceded by or followed by a manic, hypomanic, and depressive episode).

B. Not better accounted for by other disorders:
Schizoaffective, schizophrenia, schizophreniform, delusional, etc.

C. See specifiers as many as oapplied to the current or most recent episode.

Question 10

What are the Bipolar I Disorder specifies?

Answer 10

1. Anxious distress
2. Mix features
3. Rapid cycling
4. Melancholic features
5. Atypical features
6. Mood congruent psychotic features
7. Moved incongruent psychotic features
8. Catatonia
9. Peripartum on set
10. Seasonal patterns

Question 11

To have Bipolar II Disorder you must have what?

Answer 11

A. Must have a Hypomanic and Depressive episodes.

B. Not better accounted for by other disorders schizoaffective, schizophrenia, schizophreniform, delusional, etc.

Question 12

Hypomanic Episode (Bipolar II)

Answer 12

A. A distinct period of abnormality & personality elevated, expansive, or irritable mood and abnormality and persistently increased goal directed activity or energy lasting at least 4 Days and present most of the day nearly every day.

B . During the period of mood disturbance and increased energy or activity, Three or more of the following ( 4 if only irritable moon) are present to a significant degree & represent a noticeable change from usual behavior:

Question 13

During a Hypomanic Episode you must have a period of mood disturbance and increased energy or activity, Three or more of the following ( 4 if only irritable moon) are present to a significant degree & represent a noticeable change from usual behavior:

Answer 13

1. Inflated self-esteem and grandiosity.
2. Decreased need for sleep.
3. More talkative than usual or pressure to keep talking.
4. Flight of ideas or subjective experience that thoughts are racing.
5. Distractibility, as reported or observed
6. Increase in goal directed activity.
7. Excessive involvement in high-risk behaviors that may have painful long-term consequences, (yet short-term gratification’s, i.e. sex, spending, business involvement).

Question 14

Hypomanic Episodes consist of what?k

Answer 14

A. A distinct period of abnormality and persistently elevated, expensive, or irritable mood and abnormally and persistent increased goal directed activity or energy lasting at least four days present most of the day, nearly every day.
B. During the period of mood disturbance & increased energy or activity, Three or more of the following (4 if only irritable mood) are present to a significant degree and represent a noticeable change from usual behavior
C. Unequivocal change in functioning uncharacteristic of the individual when not symptomatic
D. Disturbance in mood/change in fx observable by others
E. Not severe enough to cause marked impairment in social/occupational FX, or to necessitate hospitalization, not presence of psychotic symptoms. If psychotic symptoms, by definition, it is A manic episode.
F. Episode not attributable to the direct psychological effects of a substance (drug, alcohol, medication), or to another medical condition.

Question 15

What are the Bipolar II Disorder specifies?

Answer 15

1. Anxious distress
2. Mix features
3. Rapid cycling
4. Melancholic features
5. Atypical features
6. Mood congruent psychotic features
7. Moved incongruent psychotic features
8. Catatonia
9. Peripartum on set
10. Seasonal patterns

Question 16

Bipolar I disorder must have Mania.

Answer 16

Bipolar I - Manic Episode
Bipolar II - Hypomanic Episode
Base Line - Normal
Low Grade Depression - Dysthymia
M.D.D. - Major Depressive Disorder

Question 17

For you to have Bipolar II Disorder you must first have Hypomania and Depressive Episode

Answer 17

Bipolar I - Maniac episode
Bipolar II - Hypomanic episode
Base Line - Normal
M.D.D. - Major Depressive episode

Question 18

What is Cyclothymic Disorder?

Answer 18

A. A minimum of 2 yrs. (1 yr. for kids and adolescents) numerous periods w/ hypomanic symptoms that do not meet criteria for hypomanic episode and numerous periods w/ depressive symptoms that do not meet criteria for a major depressive episode.
B. During the last 2 yr. period (1 yr. for kids and adolescents), the Hypomanic and Depressive periods have been present for at least half the time, & the individual has not been without the symptoms. For more than two months at a time.
C. Criteria for major depressive, manic and hypomanic episodes have never been met.
D. Symptoms and criteria A above are not better explained By Other Disorders: schizoaffective disorder, schizophrenia schizophreniform, d. o., delusional d.o. or other specified or unspecified spectrum & other psychotic disorder.
E. Symptoms not attributable to the psychological effects of a substance (e.g. drug medication) or
another medical condition (e.g. hypothyroidism).

Question 19

What are two other bipolar related disorders?

Answer 19

Substance/medicated induced bipolar and related disorder and bipolar and related disorder due to another medical condition.

Question 20

What is other specified bipolar and related disorder?

Answer 20

The other specified bipolar and related disorder category is used in situations in which the clinician chooses To communicate the specific reason that the presentation does not meet the criteria for any specific bipolar and related disorder

Question 21

What is unspecified bipolar and related disorder?

Answer 21

The unspecified bipolar and related disorder category is used in situations in which the clinician chooses not to communicate the specific reason that the presentation does not meet the criteria for any specific bipolar and related disorder.

Question 22

Manic, Hypomanic, & Depressive episodes.

To qualify for a Bipolar and Related Disorder,one must meet criteria for either:

Answer 22

A Manic episode
A hypomanic episode, and / or
A major depressive episode.