Flashcards in Bipolar Disorder, including treatment Deck (9)
What is required for a diagnosis of bipolar disorder?
Bipolar I: at least 1 manic episode (>1wk)
Bipolar II: can include depressive and hypomanic episodes (no true mania)
Kid comes into college student clinic w/o psych hx and is clearly depressed. What do you consider before prescribing SSRI or some other antidepressant?
if he has bipolar disorder, this could facilitate a transition from depression to mania.
What is cyclothymic disorder?
2 years of mild hypomania and mild depressive symptoms. normal mood
What is the diagnostic criteria for a manic episode?
3/7. >1wk, impairs functioning
flight of ideas
activity increase or agitation
decreased need for sleep
talkative, loud, pressured speech
What qualifies as a hypomanic episode?
doesn't impair functioning
some of the manic features, but no psychosis
Which mood stabilizers can be used to treat bipolar disorder?
Atypical Antipsychotics: risperidone, aripiprazole, olanzapine
Anti-epileptics: Lamotrigine, Carbamazepine, Valproic Acid
Aside from bipolar disorder, what else can lithium be used to treat?
b/c it inhibits the effects of ADH
Note: this can also be a bad side effect (causing nephrogenic diabetes insipidus)
What are the SE of Lithium Use?
Nephrogenic Diabetes Insipidus
hypOthyroidism or goiter
Pregancy teratogen--Ebstein anomaly
**other: sedation, dizziness
Heart: sick sinus syndrome, bradycardia, arrhythmias (heart block)