Bipolar and Related Disorders

Question 1

patients with bipolar depressions stay depressed longer, relapse more frequently, show more severe symptoms, more suicides, delusions and hospitalizations?

Answer 1

True

Question 2

What percent of the population has bipolar?

Answer 2

4%

Question 3

What is the age of onset for bipolar?

Answer 3

25 years

Question 4

Are men or women more likely to be diagnosed bipolar?

Answer 4

men and women equal

Question 5

What are psychosocial predictors of mania?

Answer 5

pain
goals
sleep deprivation

Question 6

What is the risk for bipolar among children of bipolar parents?

Answer 6

4x greater

Question 7

What is the difference between a Manic Episode or a Hypomanic Episode?

Answer 7

manic: 1 week or more
hypomanic: 4 days-1week

Question 8

What are the 7 criteria for a manic/hypomanic episode?

Answer 8

elevated mood & energy (manic: 1 week/ hypo = 4days)

3 or more:

Grandiosity
Sleep decline
Talkative
Flight of ideas
Distractibility
Goal-directed activity
High risk behaviors

Question 9

What do you need to quality for Bipolar 1?

Answer 9

manic episode (+depressive episode)

Question 10

What do you need to quality for Bipolar 2?

Answer 10

Manic + depressive episode?

Question 11

What are the 9 criteria for a depressive episode?

Answer 11

Major Depressive Episode:
2 week period/ 5 or more + either 1 or 2

Depressed mood
Activity loss of interest
Weight change
Insomnia
Psychomotor agitation
Fatigue
Guilt
Thinking decreased
Suicidal thoughts

Question 12

What are bipolar & depressive specifiers?

Answer 12

anxious distress
melancholic features
atypical
post partum
mixed features
catatonic

Question 13

What is the duration of a major depressive episode?

Answer 13

2 weeks

Question 14

What is the duration for cyclothymia? (kids & adults)

Answer 14

2 years (adults)
1 year (kids)

Question 15

What is cyclothymic disorder?

Answer 15

2 years of hypomanic & depressive symptoms that do not meet criteria

Sx present for 1/2 time & not w/out Sx for more than 2 months

criteria for any episodes never been met (manic, hypomanic & depressive)

Question 16

What is dysthymic disorder?

Answer 16

depressed mood for 2 years w/ 2 or more Sx
P-oor appetite
I-nsomnia
L-ow self-esteem
L-ow energy

never without Sx for more than 2 months

never met criteria for any episodes

Question 17

What are the similarities between cyclothymic and dysthymic?

Answer 17

2 year period (1 yr = kids)
never without Sx for more than 2 months
never met criteria for any episodes

Question 18

What % of the pop has depression?

Answer 18

6.7%

Question 19

What instrument is used to measure severity of depression?

Answer 19

Back Depression Inventory

Question 20

What is the onset for depression?

Answer 20

32 years old

Question 21

Highest prevalence for depression?

Answer 21

women

Question 22

How is depression among children identified?

Answer 22

changes in: 
school
sleep
behavior/appetite
anger

Question 23

Juvenile delinquents have depression 25% of the time. What is a classic feature of how their symptoms manifest?

Answer 23

deny symptoms and acknowledge boredom ANHEDONIA

Question 24

What disorders are characterized by a prolonged disturbance in emotional state NOT DUE to physical/mental disorder?

Answer 24

depressive disorders

Question 25

What disorder involves severe temper outbursts only in children 7-18 years with Sx prior to age 10?

Answer 25

Disruptive Mood Dysregulation

Question 26

How does major depressive disorder differ in children?

Answer 26

irritable mood and aggression

Question 27

What is a less severe type of depression?

Answer 27

Dysthymia (long-term, chronic)

Question 28

What are specifiers for depressive disorders?

Answer 28

``` anxious distress mixed features melancholic features atypical features psychotic features catatonia peripartum seasonal ``` partial or full remission severity: mild, moderate, severe

Question 29

Why do Most people with bipolar relapse when they stop taking medication?

Answer 29

they feel better and no longer feel the need to take meds

Question 30

Use of antidepressants is limited to treatment during depressive episodes. Once depressive episode is gone?

Answer 30

antidepressant is gradually decreased

Question 31

atypical antipsychotics are used for bipolar in order to make mood swings less frequent and less intense?

Answer 31

true