Flashcards in Bipolar and Related Disorders Deck (50)
What is a manic episode for bipolar I disorder?
Abnormally and persistently elevated, expensive, or irritable mood and persistently increased goal directed activity or energy.
To qualify as a manic episode how long must symptomology last for?
What are the defining characteristics (7) of a manic episode?
Inflated self-esteem or grandiosity. Decreased need for sleep. More talkative or pressure to keep talking. Flight of ideas/thoughts are racing. Distractibility. Increase in goal directed activity or psychomotor agitation. Excessive involvement in activities with high potential for painful consequences.
True or false. At least one lifetime manic episode is required for the diagnosis of bipolar I disorder?
What is the difference between a manic and hypomanic episode?
A hypomanic episode must last at least four consecutive days whereas a manic episode is a week duration.
True or false. Someone can have psychotic features during a hypomanic episode.
For an individual to have a major depressive episodes, symptoms must be present for how long?
Same two week period.
What are the defining features of a major depressive episode?
Depressed mood most of the day, nearly every day. Diminished interest or pleasure in all activities. Significant weight loss or weight gain, decrease or increase in appetite. Insomnia or hyposomnia. Psychomotor agitation or retardation. Fatigue or loss of energy. Worthlessness or excessive or inappropriate guilt. Diminished ability to think or concentrate, or indecisiveness. Reoccurring thoughts of death, or recurrent suicidal ideation.
For a major depressive episode, what does depressed mood look like in children?
Depressed mood may be seen as an irritable mood instead.
For a child or adolescent to be diagnosed with major depressive episode, significant weight loss or weight gain may look like what?
Instead of weight gain or weight loss consider failure to make expected weight gains.
True or false. Major depressive episodes are required for a diagnosis of bipolar I disorder.
What does the mood in a manic episode look like?
euphoric, excessively cheerful, "feeling on top of the world".
What is lability?
Rapid shifts in mood over brief periods of time
What does a manic episode look like in children?
Happiness, silliness, goofiness. These qualities are recurrent, and inappropriate to the context and beyond what is expected for the developmental level of the child.
True or false. During a manic episode individuals believe they are ill and need treatment and do not resist efforts to be treated.
60% of manic episodes occur immediately before what ?
Major depressive episode.
True or false. Females are more likely to experience rapid cycling or mixed states.
True or false. Males are more likely to experience depressive episodes in bipolar I disorder?
How does an individual get diagnosed with bipolar II disorder ?
Must meet the criteria for current or last hypomanic episode and past or current major depressive episode.
True or false. A person with at least one manic episode can be diagnosed with bipolar II disorder.
True or false. One can use the with seasonal pattern specifier on any type of bipolar episode?
False. It can only be used with depressive episodes.
Do hypomanic episodes need to cause clinically significant distress ?
No only depressive episodes do.
When do individuals with bipolar II typically present to a clinician?
During a major depressive episode.
True or false. Bipolar II is a milder form of a bipolar I disorder.
Which bipolar disorder has greater chronicity and typically spend more time in a depressive phase.
Bipolar II disorder.
True or false. The interval between mood episodes in the course of bipolar II disorder tend to increase with age.
Can an individual have a hypomanic episode and receive a diagnosis of major depressive disorder ?
What type if bipolar II disorder has the poorest prognosis.
Rapid cycling pattern.
What is the most common co-occurring disorder with bipolar II disorder.