Test 2 BD

Question 1

BD DX Mania Criteria

Answer 1

A. Elevated or Irritable mood for at least 1 week.
Changes in activity and energy
B. 3+ sxs (4 if mood in A is only irritable)
C. Impairment or psychotic features
D. Exclusion

Question 2

Criteria B SX (7)

Answer 2

1. Grandiosity or Inflated self-esteem
2. Decreased need for sleep
3. More talkative than usual or Pressure to keep talking
4. Flight of ideas or Experience that thoughts are racing
5. Distractibility
6. Increase in goal-directed activity or Psychomotor agitation
7. Impulsivity

Question 3

Impulsivity def

Answer 3

Excessive involvement in pleasurable activities that have a high potential for painful consequences

Question 4

BD DX MDE

Answer 4

Criteria A:
1. Dysphoric mood
2. Anhedonia
3. Weight +/- or appetite change
4. Insomnia/Hypersomnia
5. Psychomotor agitation/retardation
6. Fatigue/Loss of energy
7. Feelings of worthlessness/guilt
8. Dismished ability to think/concentrate or indecisiveness
9. Suicidal thoughts/behaviors
Criteria B: Impairment/Distress
Criteria C: Exclusion

Question 5

BD and the Law

Answer 5

Does not satisfy both criteria of M’N rule (only 1st, rarely 2nd). If psychosis is present = M’N applies

Question 6

R.v Debra Lafave

Answer 6

Teacher who had sexual relations with her student, a 14 yrs old boy.
-Excuse used “I was manic, when women are manic they are hypersexual”
-> M’N: 1- Disease of mind: Bipolar disorder
2- Right/wrong: Knew sex w/ minor was wrong

Question 7

Sex diff

Answer 7

Men:
- Begin with a manic episode
- More likely to act their mania
Women:
- Begin with a depressive episode