Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key


Play button


Play button




Click to flip

24 Cards in this Set

  • Front
  • Back
mean age of onset for bipolar disorder in men and women
20 y/o
slightly younger in females
DSM IV criteria for manic episode:
Criteria A: elevated, expansive, or irritable mood lasting at least 1 week (or any duration if hospitalization is necessary

Criteria B:
-Inflated self-esteem or grandiosity
-Decreased need for sleep
-More talkative than usual or pressure to keep talking
-Flight of ideas or the subjective feeling of racing thoughts
-Increased goal-directed activity or psychomotor agitation
-Excessive involvement in pleasurable activities that have a high potential for painful consequence

CriteriaC:Not a Mixed Episode

Criteria D: impairment in functioning; necessity for hospitalization; presence of psychotic features

Criteria E: not due to drugs or medical condition
Mania: epidemiology
bipolar I
bipolar II
bipolar I
manic + depression
1-2% of adult pop.

bipolar II
hypomanic + depression
5% of adult pop.
what percent of mood disorders?
What percent go untreated?
What percent end in suicide?


Mania: Course
Onset- early 20’s; adolescence, after 50

Frequently follow psychosocial stressors
Sudden onset with rapid escalation (days)
Last weeks to months
50% of episodes followed my MDEs
May be postpartum
Mania: Course Across lifetime
Average of 8-10 episodes
4-6 years typically separates 1st and 2nd episodes
Inter-episode interval typically grows shorter between the 2nd and 5th episodes, with subsequent episodes lasting about 18 months
Mania: Predictors of poor response
Highly loaded family history(especially first degree relatives)
Early age of onset
Severity of manic episode
History of past suicide attempts
Chronic course
Rapid-cycling course
A distinct period of persistently elevated, expansive, or irritable mood, lasting throughout at least 4 days, that is clearly different from the usual nondepressed mood
During the period of mood disturbance, 3 or more symptoms of mania persist (4 if the mood is only irritable) to a significant degree
Criteria C, D, and E of Mania Criteria
For at least 2 years, the presence of numerous periods with hypomanic symptoms and numerous periods with depressive symptoms that do not meet criteria for a MDD

During the 2 year period (1 year in child and adolescents), the person has not been without the symptoms for more than 2 months

No MDD, Manic or Mixed Episode has been present during the first 2 years of the disturbance[afterwards these diagnoses may be superimposed]
Mania: Treatment

Know this flashcard
Start lithium, divalproex, psychotropic

If psychotic features add psychotropic

If agitated add psychotrophic or benzodiazepine

If poor response, add/change to another mood stabilizer, consider carbamazepine

Bilateral ECT
Mania: Treatment

acute & maintenance treatment
Mania: Treatment

acute treatment
Mania: Treatment

Olanzapine (in combination with lithium or valproate
acute mania
Mania: Treatment

-“the maintenance treatment of BP I disorder to delay the time to occurrence of mood episode(depression, mania, hypomania, mixed episodes) in patients treated for acute mood episodes with standard therapy”
Mania: Treatment

Zyrexa (olanzapine) -
acute mania
Mania: Treatment

Seroquel (quetiapine) -
acute bipolar mania and/or mixed state
Mania: Treatment

Risperidal (risperidal) -
acute bipolar mania and/or mixed state
Mania: Treatment

Abilify (aripiprazole
acute bipolar mania
Mania: Treatment

Geodon (ziprasidone)
acute manic and/or mixed state
Bipolar depression is less pervasive than mania T/F
Mean duration of the depressive episode in bipolar disorder is longer than manic episodes T/F
Depression is chronic in more than 20% of patients with bipolar disorder T/F
Recently introduced medications (anticonvulsants and atypical antipsychotics) have predominantly antimanic—rather than antidepressant—properties T/F
T/F patients with cyclical mood disorders typically take longer to get to a stable mood than unipolar patients