What is generally underdiagnosed in mood disorders?
- Bipolar disorder
What is generallly overdiagnosed in mood disorders?
What is the Kraepelinian Triad for Mania?
- Flight of Ideas
- Increased Psychomotor Activity
How is a manic episode diagnosed?
- Distinct period, at least one week
- Abnormally and persistently elevated, expansive mood
- irritable mood
- Sufficient severity
If the patient is irritable, what are the criteria for a manic episode?
Minimum of 3, 4 if irritable
- Decreased need for sleep
- Hyperverbal or pressured speech
- Flight of ideas or racing thoughts
- Increased goal directed activity, psychomotor agitation
- More pleasurable activity with painful consequences
How many stages of mania are there?
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
Mania: Stage II
- > Pressured speech, psychomotor activity
- > Dysphoric mood, depression
- Open hostility, anger
- Explosive, assaultive behavior
- Flight of ideas
- Preoccupations now frankly delusional
Mania: Stage III
- Desperate, panic stricken state
- Frenzied, bizarre psychomotor activity
- Bizarre, idiosyncratic delusions
- Loose associations
- Ideas of reference
How does Kraepelin classify mania?
- Acute mania
- Delusional mania
- Delirious mania
List the medications used for Bipolar Disorder:
- Lithium carbonate
- Neuroleptics (Antipsychotics)
- Omega-3 Fatty Acids
List the anti-seizure meds:
List the atypical antipsychotics:
List the antidepressant drugs classes: