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27 Cards in this Set
- Front
- Back
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Presence of mania leads to diagnosis of .. |
Bipolar 1 |
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How long does the manic episode have to last in order to consider the diagnosis of BP1
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7 consecutive days unless hospitalized |
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What does mania look like |
Expanded mood, racing thoughts, pressured speech, grandiosity, distractibility, increased energy, decreased need for sleep |
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Hypomania |
Observable increase in energy or activity- 4 consecutive days Mood and activity are abnormally elevated |
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How is hypomania distinguished from mania? |
Severe impairment , potential for psychosis, duration of symptoms, or hospitalization |
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Differences between hypomania and happiness |
Hypo- Cheerfulness switches to irritability, drive and energy , less sleep than normal, grandiosity, poor judgement, proceeded or followed by a depression, cyclical/ seasonal Happiness- mood is even, able to settle down, full nights sleep, good judgement, no relationship to depression, not cyclical/ seasonal |
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True or False- can drugs or medical conditions induce mania |
True |
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What medical conditions induce mania? |
CNS trauma (stroke), hyperthyroidism, infectious disease, seizure disorders, CNS tumors |
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What drugs may induce mania? |
Stimulants, antidepressants for atypical depression, antihypertensive, corticosteroids, anticholinergics, thyroid hormones |
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What are the types of bipolar |
Bipolar 1, 2, cyclothymia , other bipolar related disorders |
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What is the suicide rate for Bipolar? |
15%-19% |
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What is the men to women ratio for bipolar |
BP1- 1:1 BP2- 1:2
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What is the age of onset for bipolar (range) |
20-40 years |
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Average Number of bipolar episodes in a lifetime |
7-9 |
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What are the average recovery times for Depressed state, manic state, and mixed state (bipolar) |
D- 9 weeks Manic- 5 weeks Mixed-14 weeks |
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What is the diagnosis of one manic episode, even without depression |
Bipolar 1 |
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True of false - in Bipolar 1 episodes become more frequent and prolonged with age |
True |
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True or false- in bipolar 1 the depressive episode meets the diagnostic criteria for generalized anxiety |
False (major depression)! |
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True or False- in Bipolar 2 there must be one or more depressive episodes with at least one episode of hypomania (4 days) |
True |
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True or false- bipolar can be difficult to differentiate from major depression |
True |
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What is one of the first things that a therapist should ask when deciphering whether or not client has a bipolar 2 diagnosis |
Have you ever had a period where you did not need much sleep? |
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Which is one symptom not associated with Bipolar 1/2 diagnosis A. With catatonia B. With seasonal pattern C. With trauma induced flashbacks D. With anxious distress E. With rapid cycling |
C |
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What is the most difficult mood disorder to treat? |
Rapid Cycling - specifier for BP 1 and 2 |
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What is the percentage of bipolar patients who experience rapid cycling- |
10%-20% (70-90% are women) |
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Rapid cycling is NOT associated with A. Schizophrenic tendencies B. Response to Antidepressants C. Poor lithium response |
A |
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Cyclothymic disorder |
Back (Definition) |
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Other bipolar disorders |
Triggered by medications, disease, and hypothyroid |
