W15_06 bipolar disorder Flashcards Preview

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Flashcards in W15_06 bipolar disorder Deck (22):
1

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

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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

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

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