Flashcards in W15_06 bipolar disorder Deck (22)
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1
note: decreased need for sleep is a hallmark symptom of mania
ok
2
what are the symptoms of mania? GSTPAID
grandiosity;
sleep (need less);
talkative;
painful (consequences);
activity (increased goal-directed activity)/psychomotor agitation;
ideas (flight of);
distractibility
3
how long do manic symptoms have to last to fulfill mania criteria?
1 week
4
what's the difference between hypomania and mania
4 days;
criteria for mania are the same;
hypomania episode is not severe enough to cause impairment in social/occupational functioning
5
what's the difference between bipolar I and bipolar II?
if there's 1 manic episode, then patient is bipolar I
6
prevalence of bipolar disorder?
bipolar I: 1%;
bipolar II: 1.1%
7
note:
bipolar patients spend more time being depressed than being manic. About half of the time, they are asymptomatic
8
is there a genetic component of bipolar disorder?
yes
9
note: there are cognitive deficits associated with patients with bipolar disorder
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10
note: bipolar disorder is often misdiagnosed
unipolar depression, anxiety disorders, schizophrenia, personality disorder, alcohol abuse/dependence
11
what's the treatment for bipolar disorder?
pharmacotherapy;
psychosocial therapy
12
what does IPSRT stand for?
interpersonal social rhythm therapy
13
what's the difference between IPSRT vs IPT?
IPSRT for bipolar;
IPT for depression
14
note: good to do investigations before starting psychiatric treatment to get a baseline of their organ functions
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15
what's CANMAT?
canadian network for mood and anxiety treatments
16
first line therapies for bipolar 1 depression?
lithium, lamotrigene, quetiapine (antipsychotics are used to treat seizures, mood problems), and more
17
first line therapies for bipolar 1 mania?
lithium, divalproex, risperidone, and more
18
first line therapies for bipolar 1 maintenance?
lithium, lamotrigine, divalproex, and more
19
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
20
what's divalproex?
anticonvulsant used in mania and maintenance phases of bipolar
21
what's lamotrigine?
anticonvulsant used in depression phase of bipolar;
risk of steven-johnson syndrome
22
