BCPP Bipolar Disorder Review Questions with Answers

Manic Episode At least 1 week (or any time if hospitalization is required) 3 of - these Grandiosity, Decreased sleep, flight of ideas, easily distracted, pressured speech, psychomotor agitation, risky activities. Significant social and occupational functioning. " Hypomanic Episode Elevated, expansive irritable mood increased activity for at least 4 consecutive days. 3 of: Grandiosity, Decreased sleep, flight of ideas, easily distracted, pressured speech, psychomotor agitation, risky activities. No psychotic sx. Change in fx. " Bipolar I Disorder Dx after one manic episode. Hypomanic or depressive episode may occur before or after the manic episode Bipolar II Disorder Occurrence of one hypomanic episode and at least one depressive episode. No history of mania. Depressive sx, or frequent alteration between depression and hypomania. " Cyclothymic Disorder At least 2 years (1 year children/adolescents) periods of hypomanic and depressive symptoms that meet criteria for manic, hypomanic, depressive. Distress or impaired fx. 50% hypomania or depression. no periods greater than 2 months. " Bipolar and Related Disorders Substance induced. Due to another medical condition. Short duration. Hypomania with insuff sx for depression. Hypomania without previous depression. Less than 2 years cyclothymia. Bipolar Disorder with Anxiety At least 2 anxious sx. Severity specified on # of sx. Bipolar Disorder with mixed features Manic or Hypomanic with mixed fx. full criteria for manic or hypomanic with at least 3 sx of depression. or visa versa. Criteria for full manic and depressive episodes, dx manic with mixed fx. " Rapid Cycling 4 separate mood episodes in 12 months. Separated by full or partial remission or switch to opposite polarity. Melancholic features Anhedonia, decreased mood reactivity. 3 or more - despair, depression worse in morning, early awakening, psychomotor agitation or retardation, significant weight loss, excessive guilt. Atypical features Most during depression. 2 or more - weight gain/increased appetite, hypersomnia, leaden paralysis, rejection sensitivity"