Bipolar Disorder Study Activity

BIPOLAR DISORDER STUDY ACTIVITY Involuntary Commitment - CORRECT ANSWERS-placing patient in psych hospital in the event of uncontrollable or imminently dangerous mental illness -pts must show danger to themselves (suicidality) -or danger to others (homicidality or extreme, violent, acting out behavior) -or be unable to take care of themselves commitment papers should be signed and patient must be scene in court later to determine if commitment still needed Life time prevalence of bipolar 1 - CORRECT ANSWERS-2.4% Life time prevalence of bipolar 2 - CORRECT ANSWERS-.3-4.8% Bipolar Epidemiology - CORRECT ANSWERS-men = women age of onset 5-50 Bipolar disorders usually present first with _______ - CORRECT ANSWERSdepression Bipolar 1 Disorder - CORRECT ANSWERS-Episodes of depression and episodes of full blown mania Mania - CORRECT ANSWERS-indicated by elevated, expansive, or irritable mood that deviates from patient's normal mood Manic Patients - CORRECT ANSWERS-impulsive, grandiose, distractible, and participate in risky behaviors Diagnostic Criteria for Bipolar Disorder, Manic - CORRECT ANSWERS-Patient must exhibit continuously and abnormally *elevated* or *irritable* mood for at least 1 week or shorter if hospitalization occurs During period mood is disturbed, patients must exhibit *3 or more of the following* -Inflated self esteem or grandiosity -Decreased need for sleep -Increased talkativeness -Racing thoughts -Distractibility Increased goal directed activity -excessive involvement in pleasurable activities that have potential for painful consequences (overspending, or sexual indiscretions) Symptoms do not meet criteria for mixed episode Social and/or occupational fxning is impaired Symptoms not caused by substance or general medical condition DIG FAST - CORRECT ANSWERS-D = Distractibility and easy frustration I = Irresponsibility and erratic uninhibited behavior G = Grandiosity F = Flight of ideas A = Activity increased with weight loss and increased libido S = Sleep is decreased T = Talkativeness Bipolar II - CORRECT ANSWERS-episodes of depression and episodes of hypomania (symptoms milder, briefer, and do not meet full criteria) Rapid Cycling - CORRECT ANSWERS-indicates taht patient has had at least *four episodes w/in a 12 month period* Mixed State - CORRECT ANSWERS-elements of both bipolar depression and mania or hypmania (depressed mood with irritability and insomnia) Cyclothymic disorders - CORRECT ANSWERS-Both Bipolar I and II disorders need to be differentiated from ______ Major depressive disorder - CORRECT ANSWERS-prognosis worse for bipolar disorder than _______ Identical clinical presentation as Bipolar Disorder - CORRECT ANSWERS-*SubstanceInduced* mood disorder, mood disorder 2/2 general medical condition, mania all have ______ Illicit or prescribed agents must be ruled out and medical conditions - CORRECT ANSWERS-What should you do for differential diagnosis of bipolar Drugs that cause manic like behavior - CORRECT ANSWERS-corticosteroids, levodopa, stimulants (cocaine) Differential Diagnosis for Bipolar - CORRECT ANSWERS-Schizophrenia - r/o by looking at 2ndary features such as family hx, level of premorbid functioning, or hx of mania symptoms Schizoaffective disorder - characterized by psychotic behavior and manic features ; psychotic symptoms precede mood symptoms and psychotic features are present in the absence of manic features Treatment for Bipolar Disease - CORRECT ANSWERS-Mood stabilizers alone or combo with atypical or second gen antip