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9 Cards in this Set

  • Front
  • Back
Define Bipolar Disorder
Occurrence of one or more MDE accompanied by at least one manic episode
DSM-IV Criteria for Manic Episodes in Bipolar Disorder
- Required Symptom
- 3/4 of these symptoms
- Compare to Hypomania
*Abnormally and persistently elevated, expansive, or irritable mood for at least one week

-decreased need for sleep
-pressured speech
-racing thoughts
-increase in goal directed activity or psychomotor agitation
-risky pleasure seeking behavior

-Mania must be associated with substantial social or occupational impairment. Hypomania has milder symptoms with no functional impairment.
Mixed Episodes
-Frequent characteristics
Duration: at least 1 week

Symptoms: full symptoms of mania and depressions sufficient to impair functioning.

Frequent characteristics
-anxiety, agitation
-suicidal ideation
-substance abuse
3 Reasons the Depressive phase of Bipolar Disorder is important
-First episode for BP I vs. BP II
-Time with depression for BP 1
1. First affective episode is depression in 39% of Bipolar I and 96% of Bipolar II

2. In BP I 32% of the time is with depressive symptoms

3. Impairments in functioning are primarily determined by the intensity of depression.
Bipolar I Disorder
-One or more manic or mixed episodes usually accompanied by major depressive episodes.
Bipolar II Disorder
-One or more major depressive episodes accompanied by at least one hypomanic episode
-Never been a manic episode.
Cyclothymic Disorder
-At least 2 years of numerious periods of hypomanic and depressive symptoms that do not meet the criteria for full manic /major depressive episodes.
-Symptoms have never subsided for more than 2 months
Life time course of Bipolar
-Multiple recurrence
-Mean # episodes
-Effect of aging
-Can progress to what?
-90% patients have multiple recurrence
-Age decreases time being well and increases number of episodes
-Rapid cycling course, 4 or more affective episodes per year. (mostly women)
??Pathophsyiology of BP??
??Pathophsyiology of BP??