Abnormal Mood - Elevated Flashcards
(38 cards)
What system defines mood disorders?
ICD -10
F30
Manic episode
F31
Bipolar affective disorder
F32
Depressive episode
F33
Recurrent depressive episode
What are the 2 main classification systems for bipolar disorder?
- ICD-10
* DSM-5
Outline how DSM classifies bipolar disorder.
- Bipolar I and Bipolar II
- Cyclothymic disorder
DESCRIBES COURSE AND PATTERN
Outline how ICD classifies bipolar disorder.
- Hypomania
- Mania + psychosis
- Mania - psychosis
DESCRIBES EPISODE SEVERITY
BIPOLAR I
Mania + depression
For a diagnosis of BIPOLAR I to be made, what must be present?
Must have met the criteria for mania, although previous episodes may have been hypomaniac +C/or depressive
What does BIPOLAR I represent?
The ‘classic’ form of manic-depressive psychosis in the last century
BIPOLAR II
Hypomania + depression
What must you understand about BIPOLAR I?
It is not just mania – most people will have had episodes of major depression
Bipolar II is a midler form of the disease
FALSE
What does bipolar II have than I often doesn’t?
Chronic depressive episodes
Bipolar III
Pseduo-unipolar
When only do hypomanic episodes occur in Bipolar III?
Following use of antidepressants for depression
How does DSM recognise different combinations of symptoms?
By allowing ‘specifiers’ – subcategories of diagnosis that reflect the presence of particular sx.
According to ICD-10, what is BPAD?
Bipolar Affective Disorder
A disorder characterized by 2 or more episodes in which the patient’s mood and activity levels are significantly disturbed, this disturbance consisting on some occasions of hypomania or mania, and on others, depression.
Repeated episodes of hypomania or mania only are classified as bipolar.
A single episode of hypomania or mania is bipolar disorder, even if you haven’t been depressed yet
TRUE
The first episode of (hypo)mania on a background of recurrent depression means that it’s bipolar disorder and not depression anymore
TRUE
Outline the criteria for a ‘hypomanic episode’ in the ICD-10 criteria.
A. The mood is elevated or irritable to a degree that is definitely abnormal for the individual concerned, and sustained for at least 4 consecutive days.
B. A least 3 of the following signs must be present, leading to some interference with personal functioning in daily living:
- increased activity or physical restlessness
- increased talkativeness
- difficulty in concentration or distractibility
- decreased need for sleep
- increased sexual energy
- mild spending sprees, or other types of reckless or irresponsible behaviour
How long does an episode of hypomania have to last to be diagnosed?
At least 4 days
Outline the criteria for a ‘manic episode’ in the ICD-10 criteria.
A. Mood must be predominantly elevated, expansive or irritable, and definitely abnormal for the individual concerned. The mood change must be prominent and sustained for at least 1 week (unless it is severe enough to require hospital admission).
B. At least three of the following signs must be present (four if the mood is merely irritable), leading to severe interference with personal functioning in daily living:
- Increased activity or physical restlessness
- Increased talkativeness (‘pressure of speech’)
- Flight of ideas or the subjective experience of thoughts racing
- Loss of normal social inhibitions resulting in behaviour which is inappropriate to the circumstances
- Decreased need for sleep
- Inflated self-esteem or grandiosity
- Distractibility or constant changes in activity or plans
- Behaviour which is foolhardy or reckless and whose risks the subject does not recognize e.g. spending sprees, foolish enterprises, reckless driving
- Marked sexual energy or sexual indiscretions.
