W15_06 bipolar disorder Flashcards Preview

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Flashcards in W15_06 bipolar disorder Deck (22)
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1
Q

note: decreased need for sleep is a hallmark symptom of mania

A

ok

2
Q

what are the symptoms of mania? GSTPAID

A

grandiosity;
sleep (need less);
talkative;
painful (consequences);
activity (increased goal-directed activity)/psychomotor agitation;
ideas (flight of);
distractibility

3
Q

how long do manic symptoms have to last to fulfill mania criteria?

A

1 week

4
Q

what’s the difference between hypomania and mania

A

4 days;
criteria for mania are the same;
hypomania episode is not severe enough to cause impairment in social/occupational functioning

5
Q

what’s the difference between bipolar I and bipolar II?

A

if there’s 1 manic episode, then patient is bipolar I

6
Q

prevalence of bipolar disorder?

A

bipolar I: 1%;
bipolar II: 1.1%

7
Q

note:

A

bipolar patients spend more time being depressed than being manic. About half of the time, they are asymptomatic

8
Q

is there a genetic component of bipolar disorder?

A

yes

9
Q

note: there are cognitive deficits associated with patients with bipolar disorder

A

ok

10
Q

note: bipolar disorder is often misdiagnosed

A

unipolar depression, anxiety disorders, schizophrenia, personality disorder, alcohol abuse/dependence

11
Q

what’s the treatment for bipolar disorder?

A

pharmacotherapy;
psychosocial therapy

12
Q

what does IPSRT stand for?

A

interpersonal social rhythm therapy

13
Q

what’s the difference between IPSRT vs IPT?

A

IPSRT for bipolar;
IPT for depression

14
Q

note: good to do investigations before starting psychiatric treatment to get a baseline of their organ functions

A

ok

15
Q

what’s CANMAT?

A

canadian network for mood and anxiety treatments

16
Q

first line therapies for bipolar 1 depression?

A

lithium, lamotrigene, quetiapine (antipsychotics are used to treat seizures, mood problems), and more

17
Q

first line therapies for bipolar 1 mania?

A

lithium, divalproex, risperidone, and more

18
Q

first line therapies for bipolar 1 maintenance?

A

lithium, lamotrigine, divalproex, and more

19
Q

what does lithium do?

A

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
Q

what’s divalproex?

A

anticonvulsant used in mania and maintenance phases of bipolar

21
Q

what’s lamotrigine?

A

anticonvulsant used in depression phase of bipolar;
risk of steven-johnson syndrome

22
Q

note: atypical antipsychotics show some evidence for treating all three phases of bipolar disorder

A

ok

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