Bipolar and Related Disorders Flashcards Preview

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Flashcards in Bipolar and Related Disorders Deck (31):
1

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

True

2

What percent of the population has bipolar?

4%

3

What is the age of onset for bipolar?

25 years

4

Are men or women more likely to be diagnosed bipolar?

men and women equal

5

What are psychosocial predictors of mania?

pain
goals
sleep deprivation

6

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

4x greater

7

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

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

8

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

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

9

What do you need to quality for Bipolar 1?

manic episode (+depressive episode)

10

What do you need to quality for Bipolar 2?

Manic + depressive episode?

11

What are the 9 criteria for a depressive episode?

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

12

What are bipolar & depressive specifiers?

anxious distress
melancholic features
atypical
post partum
mixed features
catatonic

13

What is the duration of a major depressive episode?

2 weeks

14

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

2 years (adults)
1 year (kids)

15

What is cyclothymic disorder?

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)

16

What is dysthymic disorder?

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

17

What are the similarities between cyclothymic and dysthymic?

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

18

What % of the pop has depression?

6.7%

19

What instrument is used to measure severity of depression?

Back Depression Inventory

20

What is the onset for depression?

32 years old

21

Highest prevalence for depression?

women

22

How is depression among children identified?

changes in:
school
sleep
behavior/appetite
anger

23

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

deny symptoms and acknowledge boredom ANHEDONIA

24

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

depressive disorders

25

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

Disruptive Mood Dysregulation

26

How does major depressive disorder differ in children?

irritable mood and aggression

27

What is a less severe type of depression?

Dysthymia (long-term, chronic)

28

What are specifiers for depressive disorders?

anxious distress
mixed features
melancholic features
atypical features
psychotic features
catatonia
peripartum
seasonal

partial or full remission

severity: mild, moderate, severe

29

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

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

30

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

antidepressant is gradually decreased

31

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

true