Flashcards in Bipolar Disorder & Manic Depression Deck (14)
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1
What is generally underdiagnosed in mood disorders?
- Schizophrenia
- Bipolar disorder
2
What is generallly overdiagnosed in mood disorders?
Mood swings
3
What is the Kraepelinian Triad for Mania?
- Elation
- Flight of Ideas
- Increased Psychomotor Activity
4
How is a manic episode diagnosed?
- Distinct period, at least one week
- Abnormally and persistently elevated, expansive mood
- irritable mood
- Sufficient severity
5
If the patient is irritable, what are the criteria for a manic episode?
Minimum of 3, 4 if irritable
- Grandiosity
- Decreased need for sleep
- Hyperverbal or pressured speech
- Flight of ideas or racing thoughts
- Distractibility
- Increased goal directed activity, psychomotor agitation
- More pleasurable activity with painful consequences
6
How many stages of mania are there?
3
7
Mania: Stage I
- > Psychomotor activity, rate of speech
- > Sexual preoccupation, religiousness, spending, letter writing
- “High”but not out of control
- Labile mood, euphoric
- Expansiveness, grandiosity
- Coherent thoughts, tangential
8
Mania: Stage II
- > Pressured speech, psychomotor activity
- > Dysphoric mood, depression
- Open hostility, anger
- Explosive, assaultive behavior
- Flight of ideas
- Preoccupations now frankly delusional
9
Mania: Stage III
- Desperate, panic stricken state
- Frenzied, bizarre psychomotor activity
- Bizarre, idiosyncratic delusions
- Hallucinations
- Disorientation
- Loose associations
- Ideas of reference
10
How does Kraepelin classify mania?
- Acute mania
- Delusional mania
- Delirious mania
11
List the medications used for Bipolar Disorder:
- Lithium carbonate
- Anti-seizure
- Neuroleptics (Antipsychotics)
- Antidepressants
- Omega-3 Fatty Acids
12
List the anti-seizure meds:
- Carbamazapine
- Valproate
- Lamictal
- Clonazepam
- Gabapentin
13
List the atypical antipsychotics:
- Aripiprazole
- Chlorpromazine
- Olanzapine
- Quetiapine
- Risperidone
- Ziprasidone
14
List the antidepressant drugs classes: