Flashcards in W15_06 bipolar disorder Deck (22)
note: decreased need for sleep is a hallmark symptom of mania
what are the symptoms of mania? GSTPAID
sleep (need less);
activity (increased goal-directed activity)/psychomotor agitation;
ideas (flight of);
how long do manic symptoms have to last to fulfill mania criteria?
what's the difference between hypomania and mania
criteria for mania are the same;
hypomania episode is not severe enough to cause impairment in social/occupational functioning
what's the difference between bipolar I and bipolar II?
if there's 1 manic episode, then patient is bipolar I
prevalence of bipolar disorder?
bipolar I: 1%;
bipolar II: 1.1%
bipolar patients spend more time being depressed than being manic. About half of the time, they are asymptomatic
is there a genetic component of bipolar disorder?
note: there are cognitive deficits associated with patients with bipolar disorder
note: bipolar disorder is often misdiagnosed
unipolar depression, anxiety disorders, schizophrenia, personality disorder, alcohol abuse/dependence
what's the treatment for bipolar disorder?
what does IPSRT stand for?
interpersonal social rhythm therapy
what's the difference between IPSRT vs IPT?
IPSRT for bipolar;
IPT for depression
note: good to do investigations before starting psychiatric treatment to get a baseline of their organ functions
canadian network for mood and anxiety treatments
first line therapies for bipolar 1 depression?
lithium, lamotrigene, quetiapine (antipsychotics are used to treat seizures, mood problems), and more
first line therapies for bipolar 1 mania?
lithium, divalproex, risperidone, and more
first line therapies for bipolar 1 maintenance?
lithium, lamotrigine, divalproex, and more
what does lithium do?
gold standard that treats all three phases of bipolar;
small therapeutic index with lots of side effects. Renally cleared, so take into account any water pills
anticonvulsant used in mania and maintenance phases of bipolar
anticonvulsant used in depression phase of bipolar;
risk of steven-johnson syndrome