Bipolar I Disorder

Diagnosis

100

True or False: Depressive episodes are a requirement for the diagnosis of Bipolar I Disorder.

False! The presence of one manic episode is a requirement for the diagnosis of Bipolar I Disorder.

200

True or false: Hypomanic episodes are a requirement for a diagnosis of bipolar I disorder.

False! The presence of one manic episode is a requirement for the diagnosis of Bipolar I Disorder.

300

How long do mania symptoms have to last for it to "count" as a manic episode? (Remember Jaclyn's magic number!)

2 weeks

400

What is the difference between a manic episode and a hypomanic episode?

Hypomanic episodes do not cause marked impairment in social or occupational functioning. Hypomanic episodes do not necessitate hospitalization.

500

Name 3 symptoms of a manic episode.

Choose 3 of the following:

• Inflated self-esteem or grandiosity
• Decreased need for sleep
• More talkative than usual or pressure to keep talking
• Flight of ideas or subjective experience that thoughts are racing
• Distractability, as reported or observed
• Increase in goal-directed activity or psychomotor agitation (i.e., anxious restlessness)
• Excessive involvement in activities with high risk of painful consequences

Signs/Symptoms

100

True or false: someone who gave their car to a complete stranger who reported "feeling like a king" may be experiencing a manic episode.

True, manic episodes may be accompanied by feelings of grandiosity (as seen here by their "feeling like a king" and being extremely generous).

200

True or false: people experiencing manic episodes never require hospitalization.

False, it is common for people with BD to be hospitalized during a manic episode (for their safety and the safety of others).

300

What type of mood(s) can be expected from someone experiencing a manic episode?

Abnormal and persistently elevated, expansive, or irritable mood and persistently increased activity or energy. (Will take persistently irritated, and or energetic.)

400

Name three symptoms of a major depressive episode.

Depressed mood most every day; diminished interest in activities; significant weight loss or decrease in appetite; insomnia or hypersomnia; Psychomotor agitation; fatigue most days; feelings of worthlessness or inappropriate guilt; diminished ability to think or concentrate; recurrent thoughts of death

500

What is a relational symptom that may be experienced in a marriage where one person has BD?

Divorce or separation; inability to communicate effectively or at all; resentment for manic episodes; caregiving fatigue and mental health concerns (anxiety, depression)...

Relational & Cultural Factors

100

Name something that affects access to care for individuals with bipolar I disorder.

Stigma, socioeconomic status, etc.

200

Choose 1 of the following to answer:

A. How may religion or culture negatively affect an individual with bipolar I disorder?

B. How may religion or culture positively affect an individual with bipolar I disorder?

• “In the Muslim population, an illness is treated very fatalistically...”
• “Certain religious communities have the view that mental illness is due to sin...”
• People with bipolar disorder may seek treatment from faith healers first
• In Mexican culture, the whole community may be involved in the healing process

300

How can stigma negatively affect an individual with bipolar I disorder?

• Religious or cultural shame around bipolar disorder reduce the likelihood of seeking professional help
• Men may tend to deny the consequences of bipolar disorder - having a mental illness may be perceived as “being weak” and “not a man”
• Having bipolar disorder may decrease chances of finding a romantic partner

400

Name 3 ways that romantic relationships may be negatively affected by the presence of bipolar I disorder.

• Self-sacrifice, caregiver burden, negative emotional impact, health problems
• Relationship volatility, stigmatization of bipolar disorder, dissatisfaction with sexual life, lower rates of childbearing

500

Name 2 strengths that children may develop when they have a parent with bipolar I disorder.

Increased independence and self-sufficiency; increased curiosity and interest in psychoeducation