Show:
Overview of Bipolar 1
Overview of Bipolar 2
Epidemiology & Disease Course
Treatment 1
Treatment 2
100
Define Bipolar Disorder
an episodic, lifelong mood disorder that is one of the most distinct syndromes in psychiatry?
100
Name the 4 types of Bipolar Disorder.
what are Bipolar I, Bipolar II, Cyclothymic Disorder and Bipolar not otherwise specified?
100
What does 4.4 represent%
What is the lifetime prevalence of bipolar disorder overall?
100
These dampen the swings between extreme changes in mood
What are lithium and anticonvulsants?
100
Name some non-pharmacologic therapies to treat bipolar disorder
What are individual and group psychotherapy, family therapy, case management, assertive community treatment, psychosocial rehabiliation and supported employment?
200
Hypomania is characterized by
an episode that lasts at least 4 days of an abnormal, persistently elevated, expansive or irritable mood along with at least three symptoms of a manic episode.
200
Individuals with Bipolar 1 disorder experience what?
They experience at least one manic or mixed episode and are highly likely to experience one or more depressive episodes?
200
What is significant about 18.2 years?
What is mean age of onset for Bipolar Disorder?
200
Lithium can be associated with dose-limited side effects such as these?
What are GI disturbances, weight gain, potential long term adverse effects on the kidneys and thyroid gland
200
The first line treatment therapies the APA recommends for manic or mixed episodes.
Litium + an antipsychotic or valoprate + an antipsychotic in severe cases, Monotherapy with lithium, valproate or an antipsychotic in those less ill
300
What consitutes a defines a manic episode?
What is at least one week of an abnormal, persistently elevated, expansive or irritable mood not caused by medical condition or substance abuse.
300
Define a Mixed Episode
It is characterized by at least 1 week in which an individual simultaneously experiences symptoms of both manic episodes and a major depressive episode?
300
These individuals have a mortality rate twice that of the general population.
Who are individuals with bipolar and schizophrenia?
300
Name three anticonvulsants that have indications for bipolar disorder.
What are Equetro(carbamazepine), Depakote(valproic acid), and Lamictal (lamotrigine)?
300
This is recommeded for a manic or mixed episode patient with a breakthrough episode.
What is optimizing the dosage of the first-line therapies, Introducing or resuming an antipsychotic, Short term adjunctive treatment with benzodiazepine for those severely ill
400
How do you define a Depressive episode?
a period of depressed mood or loss of interest/pleasure with additional symptoms and an impact on an individual's life.
400
Individuals with Bipolar II disorder experience what?
at least one hypomanic episode and one or more depressive episodes?
400
Individuals with bipolar disorder have a high prevalence of these risk factors (name two).
What is cardiovascular disease, smoking, obesity, and diabetes
400
These are said to have a lower incidence of EPS.
What are atypical antipsychotics?
400
For 1st line depressive episodes the APA recommends this.
The initiation of lithium or lamotrigine monotherapy, Simultaneous treatment of lithium + an antidepressant in those severely ill,
500
What is the DSM-IV-TR Criteria for major depressive episode?
at least 2 weeks of a depressed mood or loss of interest in nearly all activities.
500
Four or more mood episodes witin 12 months
What is rapid cycling?
500
Completed suicide occurs in what number of bipolar patients?
What is 10%-15%?
500
What are the 7 types of atypical antipsychotics indicated to treat bipolar disorder?
Risperidone (Risperadal), Olanzapine (Zyprexa), Quetiapine (Seroquel), Ziprasidone (Geodon), Aripiprazole (Abilify), Symbyax (olanzapine and fluoxetine) Saphris (asenapine)
500
For patients with severe or treatment resistant depression, or depression with psychotic features, or during pregnancy, the APA recommends what?
Electroconvulsive Therapy (ECT) and or Adjunctive treatment with antipsychotic medication