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24 Cards in this Set
- Front
- Back
What characterizes Bipolar Type I?
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At least 1 manic episode
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What characterizes Bipolar Type II?
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Hypomania and depression; no manic episodes
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What has
- Distinct period of abnormally elated or irratible mood (AT LEAST 7 DAYS) - Grandiosity, decreased, sleep, pressured speech - impairment in occupational/social functioning |
Manic episode
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What does a manic episode HAVE to have?
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Impairment of some kind
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What is the prevelance of psychosis in mania?
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58% of patients have at least 1 psychotic symptom
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Which is more common in bipolar, delusions or hallucinations?
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Delusions
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What is hypomania?
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A miler form of mania
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Rapid cycling in bipolar is characterized by what?
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4+ episodes / yr
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What is mixed feature bipolar?
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Concurrently meets criteria from mania AND depression
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What is season pattern bipolar?
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Depression in fall/winter and mania in spring/summer
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While BP-II does not need to have mania, what does it need to have?
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A full depressive episode
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When does bipolar usually present?
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At an early age (17.5)
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Is bipolar heritable?
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YES, highly
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Is BP-I usually associated with other psychiatric illnesses?
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Yes, highly comorbid
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What are the 3 most frequent misdiagnoses for bipolar disorder?
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Unipolar depression, personality disorders, and anxiety disorders
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While BP-II does not need to have mania, what does it need to have?
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A full depressive episode
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When does bipolar usually present?
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At an early age (17.5)
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Is bipolar heritable?
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YES, highly
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Is BP-I usually associated with other psychiatric illnesses?
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Yes, highly comorbid
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What are the 3 most frequent misdiagnoses for bipolar disorder?
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Unipolar depression, personality disorders, and anxiety disorders
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Which has a better long term outcome, bipolar or unipolar depression?
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Unipolar depression
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What percentage of BP-I patients will ultimately die by suicide?
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10-19%
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What is the major goal of treatment in bipolar disorder?
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Mood Stabilization
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What are the 4 main antimanic therapies?
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1. Lithium
2. Divalproex 3. Carbamazapine 4. First/Second generation antipsychotics |