Mental Health Exam 2 (Bipolar & Depression)
Bipolar I disorder that is characterized by excessive activity and energy (manic phase can
extend over a week period)
Bipolar II bipolar that is less severe and manic phase is rarely associated with psychotic
symptoms (hallucinations, delusions, disordered thinking); low level hypomania
alternating with severe depression
Cyclothymia disorder that is characterized by symptoms of hypomania alternating with mild
depression for at least 2 years (not bipolar I or II)
males which sex is bipolar I more common in?
females which sex is bipolar II more common in?
adolescence (or early adulthood) when does cyclothymia generally occur?
genetic, neurobiological, neuroendocrine 5 factors that can contribute to bipolar disorder
(hypothyroidism associated with depressed mood),
psychological (stressful events), environmental factors
(higher socioeconomic class)
mood how the patient SAYS they feel
affect how the nurse interprets how a patient feels
pressured __ speech is common in someone with bipolar
substance abuse the #1 coexisting medical condition with bipolar
prevent injury the primary outcome of the Acute Phase of bipolar disorder is to
relapse prevention the primary outcome of the Continuation Phase f bipolar disorder is
limit severity and duration of future episodes (relapse the primary outcome of the Maintenance Phase of bipolar disorder is
prevention)
Acute, Continuation, Maintenance the 3 Phases of bipolar disorder
Lithium Carbonate the #1 drug used to treat bipolar disorder
, Mental Health Exam 2 (Bipolar & Depression)
narrow window for toxicity what is one of the dangers for Lithium?
0.8-1.4 what is the therapeutic window for Lithium?
elderly (meds are metabolized slower) who is most apt to get Lithium toxicity?
drink fluids what is important (besides adherence) in someone taking Lithium?
Valproate (Depakote), Carbamazepine (Tegretol), 3 anticonvulsant drugs are
Lamotrigine (Lamictal)
CBT and interpersonal and social rhythm therapy 2 types of psychotherapies used with Bipolar Disorder patients
major depressive disorder this is a persistently depressed mood lasting a minimum of 2 weeks
disruptive mood disregulation disorder depressive disorder given to kids 6-18; frequent temper tantrums resulting in
behavioral and verbal outbursts
premenstrual dysphoric disorder depressive disorder that refers to a cluster of symptoms that occur in the last
week prior to the onset of a women's period with social and occupational distress
depression the leading cause of disability in the US
Serotonin and norepinephrine 2 neurotransmitters involved in mood are
serotonin a neurotransmitter important in regulating sleep, appetite, and libido
norepinephrine a neurotransmitter that is stimulated by stressful events and modulates attention
and behavior
medication nonadherence major cause of relapse in bipolar patients
rapid cycling patient has at least 4 mood episodes in 12 month period (can also occur within a
month OR a 24 hour period)
have legal issues, be violent men with bipolar are more like to (2 things)
Bipolar I disorder that is characterized by excessive activity and energy (manic phase can
extend over a week period)
Bipolar II bipolar that is less severe and manic phase is rarely associated with psychotic
symptoms (hallucinations, delusions, disordered thinking); low level hypomania
alternating with severe depression
Cyclothymia disorder that is characterized by symptoms of hypomania alternating with mild
depression for at least 2 years (not bipolar I or II)
males which sex is bipolar I more common in?
females which sex is bipolar II more common in?
adolescence (or early adulthood) when does cyclothymia generally occur?
genetic, neurobiological, neuroendocrine 5 factors that can contribute to bipolar disorder
(hypothyroidism associated with depressed mood),
psychological (stressful events), environmental factors
(higher socioeconomic class)
mood how the patient SAYS they feel
affect how the nurse interprets how a patient feels
pressured __ speech is common in someone with bipolar
substance abuse the #1 coexisting medical condition with bipolar
prevent injury the primary outcome of the Acute Phase of bipolar disorder is to
relapse prevention the primary outcome of the Continuation Phase f bipolar disorder is
limit severity and duration of future episodes (relapse the primary outcome of the Maintenance Phase of bipolar disorder is
prevention)
Acute, Continuation, Maintenance the 3 Phases of bipolar disorder
Lithium Carbonate the #1 drug used to treat bipolar disorder
, Mental Health Exam 2 (Bipolar & Depression)
narrow window for toxicity what is one of the dangers for Lithium?
0.8-1.4 what is the therapeutic window for Lithium?
elderly (meds are metabolized slower) who is most apt to get Lithium toxicity?
drink fluids what is important (besides adherence) in someone taking Lithium?
Valproate (Depakote), Carbamazepine (Tegretol), 3 anticonvulsant drugs are
Lamotrigine (Lamictal)
CBT and interpersonal and social rhythm therapy 2 types of psychotherapies used with Bipolar Disorder patients
major depressive disorder this is a persistently depressed mood lasting a minimum of 2 weeks
disruptive mood disregulation disorder depressive disorder given to kids 6-18; frequent temper tantrums resulting in
behavioral and verbal outbursts
premenstrual dysphoric disorder depressive disorder that refers to a cluster of symptoms that occur in the last
week prior to the onset of a women's period with social and occupational distress
depression the leading cause of disability in the US
Serotonin and norepinephrine 2 neurotransmitters involved in mood are
serotonin a neurotransmitter important in regulating sleep, appetite, and libido
norepinephrine a neurotransmitter that is stimulated by stressful events and modulates attention
and behavior
medication nonadherence major cause of relapse in bipolar patients
rapid cycling patient has at least 4 mood episodes in 12 month period (can also occur within a
month OR a 24 hour period)
have legal issues, be violent men with bipolar are more like to (2 things)
