WK2 - bipolar Flashcards
(27 cards)
Anticonvulsant Mood Stabilizers
valproate
carbamazepine
lamotrigine
gabapentin
Antipsychotics
olanzapine
risperidone
aripiprazole
quetiapine
Benzodiazepines
diazepam
lorazepam
Benzodiazepines
diazepam
lorazepam
bipolar 1 is more common in
males
bipolar 2 is more common in
females
Hypomania
Lability
rapid extreme mood swings, with irritability or sudden outburst of misplaced rage
7 Categories of Bipolar and related disorders
Bipolar I / Bipolar II / Cyclothymic Disorder / Substance/Medication-Induced / Bipolar and Related Disorder / Bipolar and Related Disorder Due to Another Medical Condition / Other specified bipolar and related disorder / Unspecified bipolar and related disorder
7 Categories of Bipolar and related disorders
Bipolar I / Bipolar II / Cyclothymic Disorder / Substance/Medication-Induced / Bipolar and Related Disorder / Bipolar and Related Disorder Due to Another Medical Condition / Other specified bipolar and related disorder / Unspecified bipolar and related disorder
7 Categories of Bipolar and related disorders
Bipolar I / Bipolar II / Cyclothymic Disorder / Substance/Medication-Induced / Bipolar and Related Disorder / Bipolar and Related Disorder Due to Another Medical Condition / Other specified bipolar and related disorder / Unspecified bipolar and related disorder
Clinical features of Mania
DIG FAST
D-distractibility I-indiscretion G-grandiosity F-flight of ideas A-activity increase S-sleep deficit T-talkativeness
Clinical features of Mania
DIG FAST
D-distractibility I-indiscretion G-grandiosity F-flight of ideas A-activity increase S-sleep deficit T-talkativeness
Clinical picture of Bipolar 1 Disorder
Most severe form
Highest mortality rate of the three
At least 1 manic episode
Clinical picture of Bipolar 1 Disorder
Most severe form
Highest mortality rate of the three
At least 1 manic episode
Clinical picture of Bipolar II disorder
At least 1 hypomanic episode
At least 1 major depressive episode
Clinical picture of Cyclothymic disorder
Alternate with symptoms of mild to moderate depression for at least 2 years (adults)
Rapid cycling possible
Clinical picture of Bipolar II disorder
At least 1 hypomanic episode
At least 1 major depressive episode
Clinical picture of Bipolar 1 Disorder
Most severe form
Highest mortality rate of the three
At least 1 manic episode
Manic highs mirror the depressive lows
The more manic the episodes the more intense they are
Diagnostic Criteria: Bipolar I
A. Abnormally and persistently elevated, expansive, or irritable mood and goal directed activity or energy, for a duration of at least 1 week.
B. Three or more of these symptoms (4 symptoms if mood is only irritable)
- Inflated self-esteem or grandiosity
- Decreased need for sleep
- More talkative than usual or pressure to keep talking
- Flight of ideas or subjective experience that thoughts are racing
- Distractibility
- Increase in goal-directed activity or psychomotor agitation
- Excess involvement in pleasurable activities with high potential for painful consequences
C. Symptoms cause marked impairment in social or occupational functioning; or require hospitalization to prevent harm to self or others; or there are psychotic features.
D. The episode is not caused by substance use, medication, or a medical condition.
Diagnostic Criteria: Bipolar I
A. Abnormally and persistently elevated, expansive, or irritable mood and goal directed activity or energy, for a duration of at least 1 week.
B. Three or more of these symptoms (4 symptoms if mood is only irritable)
- Inflated self-esteem or grandiosity
- Decreased need for sleep
- More talkative than usual or pressure to keep talking
- Flight of ideas or subjective experience that thoughts are racing
- Distractibility
- Increase in goal-directed activity or psychomotor agitation
- Excess involvement in pleasurable activities with high potential for painful consequences
C. Symptoms cause marked impairment in social or occupational functioning; or require hospitalization to prevent harm to self or others; or there are psychotic features.
D. The episode is not caused by substance use, medication, or a medical condition.
Diagnostic Criteria: Bipolar I
A. Abnormally and persistently elevated, expansive, or irritable mood and goal directed activity or energy, for a duration of at least 1 week.
B. Three or more of these symptoms (4 symptoms if mood is only irritable)
- Inflated self-esteem or grandiosity
- Decreased need for sleep
- More talkative than usual or pressure to keep talking
- Flight of ideas or subjective experience that thoughts are racing
- Distractibility
- Increase in goal-directed activity or psychomotor agitation
- Excess involvement in pleasurable activities with high potential for painful consequences
C. Symptoms cause marked impairment in social or occupational functioning; or require hospitalization to prevent harm to self or others; or there are psychotic features.
D. The episode is not caused by substance use, medication, or a medical condition.
What mania looks like
Mood lability: rapid extreme mood swings, with irritability or sudden outburst of misplaced rage.
Quick to anger/feels misunderstood/ low frustration tolerance
Pacing
Dramatic mannerisms
Uses jokes, puns
Flamboyant or sexually suggestive dress
Spend extravagantly on self or others
Hostile/physically threatening
what is the primary outcome for an acute manic phase
injury prevention