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Bipolar Disorder & Manic Depression Flashcards

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1
Q

What is generally underdiagnosed in mood disorders?

A
  1. Schizophrenia
  2. Bipolar disorder
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2
Q

What is generallly overdiagnosed in mood disorders?

A

Mood swings

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3
Q

What is the Kraepelinian Triad for Mania?

A
  1. Elation
  2. Flight of Ideas
  3. Increased Psychomotor Activity
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4
Q

How is a manic episode diagnosed?

A
  • Distinct period, at least one week
  • Abnormally and persistently elevated, expansive mood
  • irritable mood
  • Sufficient severity
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5
Q

If the patient is irritable, what are the criteria for a manic episode?

A

Minimum of 3, 4 if irritable

  1. Grandiosity
  2. Decreased need for sleep
  3. Hyperverbal or pressured speech
  4. Flight of ideas or racing thoughts
  5. Distractibility
  6. Increased goal directed activity, psychomotor agitation
  7. More pleasurable activity with painful consequences
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6
Q

How many stages of mania are there?

A

3

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7
Q

Mania: Stage I

A
  • > 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
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8
Q

Mania: Stage II

A
  • > Pressured speech, psychomotor activity
  • > Dysphoric mood, depression
  • Open hostility, anger
  • Explosive, assaultive behavior
  • Flight of ideas
  • Preoccupations now frankly delusional
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9
Q

Mania: Stage III

A
  • Desperate, panic stricken state
  • Frenzied, bizarre psychomotor activity
  • Bizarre, idiosyncratic delusions
  • Hallucinations
  • Disorientation
  • Loose associations
  • Ideas of reference
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10
Q

How does Kraepelin classify mania?

A
  • Acute mania
  • Delusional mania
  • Delirious mania
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11
Q

List the medications used for Bipolar Disorder:

A
  1. Lithium carbonate
  2. Anti-seizure
  3. Neuroleptics (Antipsychotics)
  4. Antidepressants
  5. Omega-3 Fatty Acids
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12
Q

List the anti-seizure meds:

A
  1. Carbamazapine
  2. Valproate
  3. Lamictal
  4. Clonazepam
  5. Gabapentin
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13
Q

List the atypical antipsychotics:

A
  1. Aripiprazole
  2. Chlorpromazine
  3. Olanzapine
  4. Quetiapine
  5. Risperidone
  6. Ziprasidone
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14
Q

List the antidepressant drugs classes:

A
  1. SSRIs
  2. SNRIs
  3. Tricyclics
  4. MAOis
  5. Atypicals
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