Behavioral Science: Bipolar Related Disorders Flashcards Preview

MS2 Unit 3 > Behavioral Science: Bipolar Related Disorders > Flashcards

Flashcards in Behavioral Science: Bipolar Related Disorders Deck (15):
1

Mania

Distinct, abnormal, elevated, expansive (or irritable mood) x 7 days minimum
- at least 3 of the following must be present for at least 1 week:
1. increased self-esteem/grandiosity
2. decreased sleep
3. increased speech
4. racing thoughts
5. distractibility
6. increased activity
7. increased dangerous impulsivity

- must cause distress/dysfunction, cannot be due to another disorder, medical condition, substance misuse

2

Hypomania

- milder mania
- at least 4 days or more
- same symptoms
- not severe enough to cause marked impairment, but symptoms are noticed by others

3

Bipolar 1

Mania + MDE
- MUST HAVE MANIA, don't need depression

4

Bipolar 2

Hypomania + MDE
- MUST HAVE HYPOMANIA, don't need depression

5

Cyclothymia

>2 years hypomania with minor depressions

6

Other characteristics of bipolar:

increased sexual activity, seductive/flashy dress, increased anger, lots of energy, able to be creative/think outside the box/take chances, can become psychotic
- most spend more time depressed than manic

7

Biological factors a/w bipolar

- Altered NT activity
- Monoamine receptor deficiency
- genetics
- Kindling Hypothesis: too much neuronal limbic firing, seizure and anti-epilepsy drug model via Na2+ channel blockade

8

Gender prevalence

More common in women

9

Psychosocial factors a/w bipolar

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!

10

Bipolar treatment

- don't use antidepressants, if you must, use a mood stabilizer first to prevent antidepressant from causing mania
- atypical antipsychotics (block D2 receptor which treats mania, blocks 5HT2a receptor which treats depression)
- mood stabilizers
- therapy doesn't work. meds are a must.

11

Mood stabilizers

Lithium, Divalproex, Carbamazepine, Atypical antipsychotics (risperidone, aripiprazole)

12

Lithium

provides Ca2+ membrane stability and promotes neuronal health and protective factors

13

Divalproex

Increases GABA activity

14

Cabamazepine

Blocks Na+ channels and promotes neuronal health

15

Psychotherapy for bipolar

Works for depressed phase, def not for manic phase