Behav. Sci. bipolar Flashcards Preview

Abbey MSII Unit 3 > Behav. Sci. bipolar > Flashcards

Flashcards in Behav. Sci. bipolar Deck (17):
1

dysthymia

chronic low level depression

2

cyclothymia

chronic low level mania

3

mania DSM-V

distinct, abnormal, elevated, expansive (or irritable mood) for 7 day minimum - at least 3 symptoms present
1. increased self esteem/grandiosity
2. decreased sleep
3. increased speech
4. racing thoughts
5. distractibility
6. increased activity (energy)
7. increased dangerous impulsivity

4

What is the mneumonic for mania?

DTRHIGH
Distractible
talkative
racing thoughts
hyperactive
impulsive
grandiose
hyposomnic

5

hypomania

milder mania - 4 days, same symptoms as mania - not severe enough to cause marked impairment

6

major depressive episode (MDE)

pervasive sad, down, irritable mood for at least 2 weeks

7

bipolar 1

mania + MDE
must have mania, do not need to have depression***

8

bipolar 2

hypomania + MDE - must have hypomania, do not need to have depression

9

cyclothymia

>2 years hypomania with minor depressions

10

biologic factors affecting bipolar

altered neurotransmitter activity (increase of DA, SR, NE)
monoamine receptor deficiency theory (opposite of depression)
genetics (high association)
kindling hypothesis (too much neuronal limbic firing; seizure and anti-epilepsy drug model via Na++ channel blockade)

11

occurrence of bipolar disorder (1, 2)

1: 1% lifetime prevalence, women = men
2: women > men

12

pyschosocial factors of bipolar disorder

low self esteem, negative outlook, learned helplessness, catastrophic loss, demeaning parents, peers can yield denial and fantasy defenses to occur = mania
stress can increase mania

13

what pharmacologic option should be used for bipolar disorder? why?

antipsychotics (for schizophrenia) - block dopamine-2 receptor which treats mania/helps prevent AND block 5HT2a receptors which treats depression

14

what pharmacologic option should NOT be used for bipolar disorder? why?

antidepressants - make mania worse - need to use a mood stabilizer first if need to use

15

antimanic agents

mood stabilizers - when psychotherapy does not work and medication management is critical

16

what are the antimanic agents?

lithium (provides Ca++ membrane stability);
divalproex (increases GABA);
carbamazepine (blocks Na channels promoting neuronal health

17

how to treat mania

block Na channels to slow neuronal firing