BIPOLAR AND RELATED DISORDERS

Question 1

this diagnostic class is characterized by prominent and prolonged disturbances of mood generally inappropriate to the individual’s life situation

Answer 1

BIPOLAR & RELATED DISORDERS

Question 2

this symptom refers to the abnormal, persistent elevated, expansive or irritable mood and abnormal, persistent increased goal-directed activity or energy most of the day, nearly every day for at least ONE WEEK (any duration if hospitalized) plus 3 additional symptoms

Answer 2

Manic episode

Question 3

this symptom refers to the abnormal, persistent elevated, expansive or irritable mood and abnormal, persistent increased goal-directed activity or energy most of the day, nearly every day for at least 4 DAYS plus 3 additional symptoms

Answer 3

Hypomanic episode

Question 4

this symptom refers to depressed mood or loss of interest or pleasure and 4 additional symptoms most of the day, nearly every day for at least 2 WEEKS

Answer 4

Major depressive episode

Question 5

this disorder is a manic-depressive disorder that can exist both with and without psychotic episodes

Answer 5

BIPOLAR 1 DISORDER

Question 6

this disorder consists of depressive and manic episodes which alternate and are typically less severe and do not inhibit function.

Answer 6

BIPOLAR II DISORDER

Question 7

this disorder is characterized by numerous distinct sub-criteria periods with hypomanic symptoms
and periods of depressive symptoms present at least half the time for at least 2 YEARS

1 YEAR IN CHILDREN AND ADOLESCENTS

Answer 7

Cyclothymic Disorder

Question 8

what does it mean if the specifier, with rapid cycling is present?

Answer 8

In the context of bipolar disorder, “rapid cycling” means experiencing four or more distinct mood episodes (mania, hypomania, or depression) within a 12-month period

Question 9

when is a full HYPOMANIC EPISODE that emerges during antidepressant treatment but persists at a fully syndromal level beyond the physiological effect of that treatment sufficient? for a BIPOLAR II DIAGNOSIS?

Answer 9

only sufficient if preceded by a major depressive episode

Question 11

what are the disorders present in the 3rd DIAGNOSTIC CLASS, BIPOLAR AND RELATED DISORDERS?

Answer 11

Bipolar I Disorder

Bipolar II Disorder

Cyclothymic Disorder

Question 12

these disorders are characterized by prominent and prolonged disturbances of mood generally inappropriate to the individual’s life situation

Answer 12

mood disorders

Question 13

what is the difference between manic and hypomanic?

Answer 13

duration and psychotic features

manic - w psychotic features (1 week)

hypomanic - no psychotic features (4 days)

Question 14

give me a summary of either major depressive episode, a manic episode, and/or a hypomanic episode

Answer 14

MDE: for at least 2 weeks, the patient feels depressed (or cannot enjoy life) and has problems with eating and sleeping, guilt feelings, low energy, trouble concentrating and thoughts about death

Manic: for at least 1 week, the patient feels elated (or sometimes only irritable) and may be grandiose, talkative, hyperactive, and distractible; bad judgment leads to marked social or work impairment; often patients must be hospitalized

Hypomanic: This is much like a manic episode, but it is briefer and less severe; hospitalization is not required

Question 15

what is cyclothymic disorder?

Answer 15

symptoms for MDE and Hypomanic but not enough

duration is 2 years for adults and 1 year for children and adolescents

Question 16

what is the duration for cyclothymic disorder?

Answer 16

2 YEARS FOR ADULTS
1 YEAR FOR CHILDREN AND ADOLESCENTS

Question 17

what are benzodiazepines?

Answer 17

depressants that produce sedation and hypnosis, relieve anxiety and muscle spasms and reduce seizures

Question 18

what is serotonin for?

Answer 18

serotonin regulates our emotions

Question 19

how is dopamine involved in BIPOLAR AND RELATED DISORDERS

Answer 19

dopamine is involved in manic episodes, atypical features, or depression with psychotic features

Question 19

what does norepinephrine do?

Answer 19

it is associated with suicidal tendencies

Question 20

what is in beck’s model of depression

Answer 20

negative triad
- negative view of the self
- negative view of the world
- negative view of the futur

Question 21

what are some of the biological treatment for mood disorders?

Answer 21

ssri - selective serotonin reuptake inhibitors

MAOi - monoamine oxidase inhibitors

TCA - tricyclic antidepressants

St. John’s Wort

Question 22

what should you advise your client if they are taking MAOis?

Answer 22

tell them to avoid cheese and alcohol