Mania Flashcards Preview

Psychiatry > Mania > Flashcards

Flashcards in Mania Deck (14)
Loading flashcards...
1
Q

What is the lifetime risk of mania?

A

1.5%

2
Q

when is the peak prevalence in females?

A

15-19 y/o

3
Q

when is the peak prevalence in males?

A

20-24 y/o

4
Q

What mood signs are often seen in mania?

A

Irritability, Euphoria, Lability, Elation/very high mood

5
Q

What cognitive signs are seen in mania?

A
  • Grandiosity
  • Distractibility/poor concentration
  • Flight of ideas/racing thoughts
  • Confusion
  • Lack of insight
6
Q

What behaviour signs are seen in mania?

A
  • Rapid speech
  • Hyperactivity
  • Reduced sleep/ sleep disturbance
  • Hyper-sexuality, sexually disinhibited
  • Extravagance
7
Q

What psychotic signs are seen in mania?

A
  • Delusions – grandiose

* Hallucinations

8
Q

What is hypomania?

A

A less severe state of mania, which has many of the characteristic symptoms but does not have the psychotic symptoms, impairment or require hospital admission.

9
Q

What is needed to diagnose mania?

A

be present for more than a week (or shorter but requiring hospital admission) and any impairment must be severe enough to limit function.

10
Q

Which medications can lead to mania?

A

Steroids, illicit drugs (amphetamines, cocaine), antidepressants

11
Q

what physical causes may lead to mania?

A

Infection, stroke, neoplasm, epilepsy, MS, metabolic disturbances e.g hyperthyroidism

12
Q

Ix for mania?

A

CT head, ECG, Blood - test for drugs and toxins

13
Q

Tx for acute mania?

A

an second generation antipsychotics or valproate

14
Q

How to confirm mania?

A
Three of the following confirm mania:
•	Grandiosity/inflated self-esteem
•	Decreased need for sleep
•	Pressured speech
•	Flight of ideas
•	Distractibility
•	Psychomotor agitation
•	Excessive involvement in pleasurable activities without thought of consequences e.g. spending spree resulting in excessive debts