Study sets matching "bipolar disorder"

Study sets
Classes
Users

Study sets matching "bipolar disorder"

38 terms
Bipolar disorder
Why you should not give antidepressant…
MDD first episode is usually before wh…
MDD is more prevalent in what age popu…
MDD has increased risk with?
They are fine for a while and then have manic disorder
30
elderly
chronic illness and stress
Why you should not give antidepressant…
They are fine for a while and then have manic disorder
MDD first episode is usually before wh…
30
70 terms
Bipolar Disorder
epidemiology
comorbidity
bipolar I is more common in males or f…
bipolar II is more common is males or…
-lifetime prevalence of BD in the US is 5%... -bipolar I - more…
-panic attacks... -alcohol abuse (higher in bipolar I than II)... -…
males
females
epidemiology
-lifetime prevalence of BD in the US is 5%... -bipolar I - more…
comorbidity
-panic attacks... -alcohol abuse (higher in bipolar I than II)... -…
14 terms
Bipolar disorder
Bipolar I
Bipolar II
Cyclothymia
Mania
mania/mixed +/- MDE
hypomania + MDE
Hypomania + "hypo-MDE" -> chronically 2 years
elevated mood where patients have lots of energy, may feel eu…
Bipolar I
mania/mixed +/- MDE
Bipolar II
hypomania + MDE
46 terms
Bipolar Disorder
What is the difference between Bipolar…
What is the goal of treatment?
Name the mood stabilizers
why should antipsyhotics be used w/ ca…
Bipolar I: most severe form of the disorder, key diagnostic s…
to stabilize the mood w/o inducing a depressive or manic state
- lithium (lithobid, Esklaith) ... - valproate... - lamotrigine (La…
*patients w/ bipolar disorder are more susceptible to extrapy…
What is the difference between Bipolar…
Bipolar I: most severe form of the disorder, key diagnostic s…
What is the goal of treatment?
to stabilize the mood w/o inducing a depressive or manic state
110 terms
Bipolar Disorder
Bipolar disorder is a mood disorder th…
Bipolar is classified as
Bipolar I the key diagnostic symptom is
Bipolar II has the same symptoms as bi…
extremely sad or hopeless state of depression to elevated moo…
Bipolar I and Bipolar II
mania but some patients can experience bouts of depression
less severe episodes called hypomania
Bipolar disorder is a mood disorder th…
extremely sad or hopeless state of depression to elevated moo…
Bipolar is classified as
Bipolar I and Bipolar II
52 terms
Bipolar Disorder
Manic Episode
DIGFAST
Hypomanic Episode
Major Depressive Episode
Abnormally and Persistantly elevated, expansive, or irritable…
3 or more of the following:... - Distractibility... - Impulsiveness…
Same criteria as Mania except last at least 4 consecutive days
Having five or more of DSIGECAPS during the past 2 week period
Manic Episode
Abnormally and Persistantly elevated, expansive, or irritable…
DIGFAST
3 or more of the following:... - Distractibility... - Impulsiveness…
12 terms
bipolar disorder
Bipolar I disorder
Bipolar II disorder
cyclothymia
unspecified bipolar disorder
-an episode of mania causing impairment in social and occupat…
-Hypomanic alternating with depression... -no psychosis... -euphori…
-hypomanic alternating with minor depression... -irritable hypom…
does not fit in category
Bipolar I disorder
-an episode of mania causing impairment in social and occupat…
Bipolar II disorder
-Hypomanic alternating with depression... -no psychosis... -euphori…
5 terms
Bipolar Disorder
extra-pyramidal motor control
Haldol (haloperidol)
Dyskinesia
Valproic Acid
my understanding of why my body moves in auto state and my co…
This medicine helps you to think more clearly, feel less nerv…
refers to a category of movement disorders that are categoriz…
This acid affects chemicals in the body that may be involved…
extra-pyramidal motor control
my understanding of why my body moves in auto state and my co…
Haldol (haloperidol)
This medicine helps you to think more clearly, feel less nerv…
61 terms
Bipolar Disorder
Bipolar I
Bipolar II
Cyclothymic
Hypomania
at least one manic episode or a mixed episode AND depressive…
depression and hypomania;
many episodes of depression hypomania, never without those ep…
increased activity or energy lasting at least 4 days and does…
Bipolar I
at least one manic episode or a mixed episode AND depressive…
Bipolar II
depression and hypomania;
58 terms
Bipolar disorder
manic state... 1st line
Bipolar depression... 1st line
Lurasidone
Lamotrigine
Valproate or Li + an antipsychotica habitual spasmodic contra…
Li or Lamotrigine
also can use as monotherapy for bipolar depression
- bipolar depression... - for maintenance... (NOT beneficial for m…
manic state... 1st line
Valproate or Li + an antipsychotica habitual spasmodic contra…
Bipolar depression... 1st line
Li or Lamotrigine
Bipolar Disorder
Etiology
Episodes
Manic Episode
Depression Episode
Biological
Manic or Depressed
Unrealistic beliefs ... Drug abuse... Provacative
Sadness... Guilt... Decreased energy... Decreased intrest
Etiology
Biological
Episodes
Manic or Depressed
19 terms
Bipolar disorder
manic episode
Bipolar 1 disorder
Bipolar 2 disorder
hypomanic episode
A period of at least one week with a prominent and persistent…
- more common... - full manic and major depressive episodes... - ma…
- less common... - hypomanic episodes and major depressive episo…
For at least four days, a person has experienced an abnormall…
manic episode
A period of at least one week with a prominent and persistent…
Bipolar 1 disorder
- more common... - full manic and major depressive episodes... - ma…
Bipolar disorder
Ziprasidone
Lurasidone
Aripiprazole
Benzisoxalone
Treat bipolar... Atypicla antipsychotics
Treat bipolar... Atypicla antipsychotics
Treat bipolar... Atypicla antipsychotics
Treat bipolar... Atypicla antipsychotics
Ziprasidone
Treat bipolar... Atypicla antipsychotics
Lurasidone
Treat bipolar... Atypicla antipsychotics
34 terms
Bipolar Disorder
Manic episode
Manic symptoms
Hypomanic episode
What happens if you psychotic symptoms…
1) elevated, expansive, or irritable mood... 2) at least one wee…
1) grandiosity... 2) decreased need for sleep... 3) increased speec…
Abnormal mood lasting at least 4 days with same symptoms as m…
Automatically becomes mania
Manic episode
1) elevated, expansive, or irritable mood... 2) at least one wee…
Manic symptoms
1) grandiosity... 2) decreased need for sleep... 3) increased speec…
52 terms
bipolar disorder
what are the two opposite poles of bip…
what does bipolar have the highest rat…
bipolar I
bipolar I mania
manic and depressive
suicide
at least one episode of mania alternating with major depressi…
high self esteem ... aggressive... decrease in nutrition and sleep…
what are the two opposite poles of bip…
manic and depressive
what does bipolar have the highest rat…
suicide
Bipolar disorder
DIGFAST
Manic episode
How many cardinal symptoms do you need…
Treatment of hypomania or mania ... sever…
cardinal symptoms of mania: ... distractibility... impulsivity... gran…
requires that the pt has an irritable or euphoric mood along…
3 of the 7 cardinal sx if mood is euphoric... 4 of the 7 if mood…
severe: Li or valproate + antipsych drug... less severe: Li or v…
DIGFAST
cardinal symptoms of mania: ... distractibility... impulsivity... gran…
Manic episode
requires that the pt has an irritable or euphoric mood along…
35 terms
Bipolar Disorder
Bipolar 1
Bipolar II
Cyclothymic disorder
Rapid cycling
one or more manic or mixed episodes usually accompanied b…
one or more major depressive episodes accompanied by atleas…
2 years of numerous periods of hypmanic symptoms that *do not…
a person with the disorder experiences four or more episodes…
Bipolar 1
one or more manic or mixed episodes usually accompanied b…
Bipolar II
one or more major depressive episodes accompanied by atleas…
7 terms
Bipolar Disorder
Diagnostic criteria
Drug treatment: Mood stabilizers
Mood stabilizers and pregnancy
Lamotrigine (Lamictal)... Valproate/Valp…
-inflated self-esteem... -decreased need for sleep... -More talkati…
Lithium, Valproate, lamotrigine, and carbamazepine. Treat bot…
Lithium, valproate, and carbamazepine are prenancy category D…
Diagnostic criteria
-inflated self-esteem... -decreased need for sleep... -More talkati…
Drug treatment: Mood stabilizers
Lithium, Valproate, lamotrigine, and carbamazepine. Treat bot…
16 terms
bipolar disorder
Identify possible risk factors for Bip…
Detect drugs that may induce mania.
List differences in the presentation o…
Compare and contrast the mechanism of…
...
...
...
...
Identify possible risk factors for Bip…
...
Detect drugs that may induce mania.
...
40 terms
Bipolar Disorder
What monitoring for Lithium?
What initial side effects do you see w…
What agent is useful in lithium-refrac…
This agent is more effective than lith…
CBC (plasma levels), Renal (Renal changes over time-Nephrotox…
GI distress, fine hand tremor, Inability to concentrate urine.
Carbemazepine
VPA
What monitoring for Lithium?
CBC (plasma levels), Renal (Renal changes over time-Nephrotox…
What initial side effects do you see w…
GI distress, fine hand tremor, Inability to concentrate urine.
12 terms
Bipolar Disorder
Valproic Acid
Lithium
You should not become pregnant while u…
Lamotrigine
In rare cases, it can damage your liver and pancreas.
This medicine can make you feel thirsty (dehydrated), nauseat…
Lithium, valproic acid, and carbamazepine (Category D)
You will need to slowly increase the dose, that's why it come…
Valproic Acid
In rare cases, it can damage your liver and pancreas.
Lithium
This medicine can make you feel thirsty (dehydrated), nauseat…
20 terms
Bipolar Disorder
Bipolar
BiPo 1
BiPo 2
Bipolar Disorder Manic Episode
the presence of one or more manic episodes. Manic or hypomanic.
has had at least ONE manic episodes
At least one major D and at least one hypomanic epidsode
Systems for at least 4 days to 1 week - hypomania to mania -…
Bipolar
the presence of one or more manic episodes. Manic or hypomanic.
BiPo 1
has had at least ONE manic episodes
47 terms
Bipolar Disorder
What is bipolar I disorder?
Does a patient need to have MDE to be…
What is the difference between bipolar…
What is cyclothymic disorder?
One or more manic episodes and depressive episodes OR with mi…
No
Bipolar II never develop into a full manic episode. Only goes…
A form of bipolar disorder consisting of short periods of mil…
What is bipolar I disorder?
One or more manic episodes and depressive episodes OR with mi…
Does a patient need to have MDE to be…
No
5 terms
Bipolar Disorder
Bipolar I Disorder
Bipolar II Disorder
Cyclothymic
Manic Episode
At least One Manic Episode... -> mostly mania with depression
At least one hypomanic episode... - Mostly depression with some…
Numerous periods of elevated mood... -> Mild bipolar... -> Amplitud…
At least for 1 week.... -> Severe enough to prevent harm to othe…
Bipolar I Disorder
At least One Manic Episode... -> mostly mania with depression
Bipolar II Disorder
At least one hypomanic episode... - Mostly depression with some…
8 terms
BIPOLAR DISORDER
1. Bipolar is considered what type of…
2. Name the 3 episodes of bipolar diso…
3. How is bipolar different than a nor…
4. What are factors that might lead to…
MOOD DISORDER
1. MIXED... 2. MANIA... 3. HYPOMANIC
It causes unusual shifts in moods, energy, and active levels…
GENETICS... BRAIN STRUCTURE ( small or frontal cortex)... BRAIN CHE…
1. Bipolar is considered what type of…
MOOD DISORDER
2. Name the 3 episodes of bipolar diso…
1. MIXED... 2. MANIA... 3. HYPOMANIC
41 terms
Bipolar Disorder
What is a manic episode
What is a hypomanic episode
What is a mixed episode
What is rapid cycling
Manic: last one week and involve ... - abrupt onset with symptom…
Less severe form of mania... -Mood that is expansive, irritable,…
Occurrence of manic and depressive symptoms at the same time…
>/= 4 mood episodes within a year
What is a manic episode
Manic: last one week and involve ... - abrupt onset with symptom…
What is a hypomanic episode
Less severe form of mania... -Mood that is expansive, irritable,…
73 terms
Bipolar disorder
treatment for acute mania
treatment for bipolar depression
maintenance drugs for mood stabilizers
mood stabilizers
lithium, valproic acid, carbamazepine ER
lithium
lithium, lamotrigine
seizure meds
treatment for acute mania
lithium, valproic acid, carbamazepine ER
treatment for bipolar depression
lithium
62 terms
Bipolar Disorder
What are some medications that can ind…
What are some medications that can cau…
Define cyclic mood, as seen in bipolar…
How is bipolar different from recurren…
Levodopa... Muscle-relaxers (Lioresal)... Synthroid... Stimulant medic…
BZD... Steroids... Interferon... Statins... Cipro... Beta-blockers
Recurrent extreme fluctuations in mood, energy, and behavior
Bipolar can have manic episodes, mixed episodes, and hypomani…
What are some medications that can ind…
Levodopa... Muscle-relaxers (Lioresal)... Synthroid... Stimulant medic…
What are some medications that can cau…
BZD... Steroids... Interferon... Statins... Cipro... Beta-blockers
25 terms
Bipolar Disorder
suicides in people with bipolar disord…
what is the age of onset of bipolar di…
how is bipolar disorder distinguished…
Bipolar I disorder definition
mixed
two peaks: 15-19 years, followed by 20-24 years... -mean 21 years
presence of at least one period of mood elevation or signific…
the presence of at least 1 manic episode with or without a hy…
suicides in people with bipolar disord…
mixed
what is the age of onset of bipolar di…
two peaks: 15-19 years, followed by 20-24 years... -mean 21 years
9 terms
Bipolar disorder
True or False? Patients with Bipolar d…
What OTC medications can increase lith…
What psychotropic agents cause intenti…
Explain the effects of a 2-gm sodium r…
True
NSAIDs
Lithium
Lithium follows salt,
True or False? Patients with Bipolar d…
True
What OTC medications can increase lith…
NSAIDs
30 terms
Bipolar Disorder
Definition
What is mania?
What is depression?
Frequent . . .
a disorder in which a person demonstrates extreme changes in…
highs in behavior
lows in behavior
mood swings/mood episodes
Definition
a disorder in which a person demonstrates extreme changes in…
What is mania?
highs in behavior
25 terms
Bipolar Disorder
suicides in people with bipolar disord…
what is the age of onset of bipolar di…
how is bipolar disorder distinguished…
Bipolar I disorder definition
mixed
two peaks: 15-19 years, followed by 20-24 years... -mean 21 years
presence of at least one period of mood elevation or signific…
the presence of at least 1 manic episode with or without a hy…
suicides in people with bipolar disord…
mixed
what is the age of onset of bipolar di…
two peaks: 15-19 years, followed by 20-24 years... -mean 21 years
25 terms
Bipolar Disorder
suicides in people with bipolar disord…
what is the age of onset of bipolar di…
how is bipolar disorder distinguished…
Bipolar I disorder definition
mixed
two peaks: 15-19 years, followed by 20-24 years... -mean 21 years
presence of at least one period of mood elevation or signific…
Flucuates between full manic episodes and episoes of major de…
suicides in people with bipolar disord…
mixed
what is the age of onset of bipolar di…
two peaks: 15-19 years, followed by 20-24 years... -mean 21 years
15 terms
Bipolar Disorder
DDx for Manic Episode
Substance-induced Bipolar
DDx for Bipolar: other psychiatric con…
How do distinguish Bipolar from ADHD?
*especially if 1st manic episode is AFTER 50 y.o., think UNDE…
cocaine, amphetamines ... antidepressants... ex: FLUOXETINE-induc…
MDD with irritable mood or mixed features ... ADHD*... *both ADHD…
ADHD is EARLY ONSET (before age 7), CHRONIC, and lack of clea…
DDx for Manic Episode
*especially if 1st manic episode is AFTER 50 y.o., think UNDE…
Substance-induced Bipolar
cocaine, amphetamines ... antidepressants... ex: FLUOXETINE-induc…
26 terms
[BIPOLAR DISORDER]
[MEDICAL CONDITIONS] that [INDUCE][MAN…
[MEDICATIONS] that [INDUCE][MANIA]
[SOMATIC THERAPIES] that [INDUCE][MANIA]
[TYPES of BIPOLAR DISORDERS]
-------------------------------------------------------------…
1. [ALCOHOL INTOXICATION]... ---------------------------------…
1. [BRIGHT-LIGHT][THERAPY]... --------------------------------…
1. [BIPOLAR DISORDER] - [Type][I] ----> [MANIA]... >>>> *[MA…
[MEDICAL CONDITIONS] that [INDUCE][MAN…
-------------------------------------------------------------…
[MEDICATIONS] that [INDUCE][MANIA]
1. [ALCOHOL INTOXICATION]... ---------------------------------…
8 terms
Bipolar Disorder
manic episode
Symptoms of manic episode (must have a…
hypomanic episode
Differences between manic and hypomani…
distinct period of abnormal or persistently elevated, expansi…
1. grandiosity... 2. racing thoughts or flight of ideas... 3. activ…
distinct period of abnormal or persistently elevated, expansi…
level of impairment, duration, and observed by others. ... hypom…
manic episode
distinct period of abnormal or persistently elevated, expansi…
Symptoms of manic episode (must have a…
1. grandiosity... 2. racing thoughts or flight of ideas... 3. activ…
7 terms
Bipolar Disorder
Bipolar disorder
Bipolar I
Bipolar II
Manic episode
Mood disorder, aka manic depression; person's mood usually sw…
Involves extreme up swings in mood (mania) coupled w/ downwar…
Involves upward swings that are more mild (hypomania) but the…
Distinct period of abnormally or persistently elevated, expan…
Bipolar disorder
Mood disorder, aka manic depression; person's mood usually sw…
Bipolar I
Involves extreme up swings in mood (mania) coupled w/ downwar…
bipolar disorder
general characteristics
bipolar 1 men or women
bipolar II men or woman
onset of bipolar disorder
extremes in mood polarity... very euphoric or depressed... labile... 6…
equal in men and women
more common in women
early 20s
general characteristics
extremes in mood polarity... very euphoric or depressed... labile... 6…
bipolar 1 men or women
equal in men and women
Bipolar Disorder
Bipolar Disorder
lifetime prevalence
onset
prognosis
both manic and depressive states
1% equally common in men and women
early adulthood
chronic
Bipolar Disorder
both manic and depressive states
lifetime prevalence
1% equally common in men and women
Bipolar Disorder
Lithium
Litium Dosing
Lithium Levels
Valproic Acid
Lithobid, Eskalith
Start: 300 mg BID... Max: 2400 mg/day divided in 2-4 doses ... 300m…
Acute: 0.8-1.5 mEq/L... Maintenance: 0.6-1.2 mEq/L
Depakene, Stavzor
Lithium
Lithobid, Eskalith
Litium Dosing
Start: 300 mg BID... Max: 2400 mg/day divided in 2-4 doses ... 300m…
15 terms
Bipolar Disorder
classification of Bipolar I disorder
classification of Bipolar II disorder
manic symptoms
manic episode criteria
has to have had at least one episode of mani
no mania just hypomania
euphoria... irritability... inflated self esteem/grandiosity... increa…
DSM 5 requires 4 of the manic systems for diagnosis
classification of Bipolar I disorder
has to have had at least one episode of mani
classification of Bipolar II disorder
no mania just hypomania
BIPOLAR DISORDER
SEROQUEL
RISPERDAL
LAMICTAL
ABILIFY
Quetiapine
Risperidone
Lamotrigine
Aripiprazole... (or schizo)
SEROQUEL
Quetiapine
RISPERDAL
Risperidone
Bipolar disorder
Lithium
valproic acid
Carbamazepine
Oxcarbazepine
Range: 0.6-1.2 mEq/L; does not bind to plasma protein.... Drugs…
hepatically metabolized, very high plasma protein binding. (5…
hepatically metabolized, very potent inducer of CYP3A4... SE: dr…
cause induction to CYP3A4 (not as much as carbamazepine) SE:…
Lithium
Range: 0.6-1.2 mEq/L; does not bind to plasma protein.... Drugs…
valproic acid
hepatically metabolized, very high plasma protein binding. (5…
Bipolar Disorder
Lithonate
Lithotabs
Depakote
Adverse Effects
lithium
lithium
divalproex sodium
Lethargy... Toxicity: nausea, tremor, muscle weakness
Lithonate
lithium
Lithotabs
lithium
6 terms
bipolar disorder
Lamotrigine
valproate/valproic acid derivatives
carbamazepine
lithium
Brand: Lamictal, Lamictal ODT, Lamictal XR ... Supplemet Ca++ a…
Brand: Depakene, Depakote, Stavzor, Depacon ... available as tab…
Brand: Equetro (approved for bipolar), Carbatrol, Tegretol XR…
Brand: Lithobid, Eskalith ... Available as a tablet, capsule, a…
Lamotrigine
Brand: Lamictal, Lamictal ODT, Lamictal XR ... Supplemet Ca++ a…
valproate/valproic acid derivatives
Brand: Depakene, Depakote, Stavzor, Depacon ... available as tab…
5 terms
Bipolar Disorder
Manic episode criteria
Manic Symptoms
Hypomanic Episode
Categories
1. ... -A distinct period of abnormally and persistently elevate…
a. inflated self-esteem or grandiosity... b. decreased need for…
same as Manic Episode, with 2 differences:... 1. elevated, expan…
1. Bipolar I Disorder... 2.Cyclothymic Disorder
Manic episode criteria
1. ... -A distinct period of abnormally and persistently elevate…
Manic Symptoms
a. inflated self-esteem or grandiosity... b. decreased need for…
24 terms
Bipolar Disorder
Bipolar Disorder
Subtypes of Bipolar Disorder
Bipolar I Disorder
Criteria for Manic Episode
Characterized by severe ups and downs... Length and frequency o…
Bipolar I... Bipolar II... Cyclothymia
One or more manic episodes and often one or more major depres…
Period of abnormally persistent, elevated, and expansive, or…
Bipolar Disorder
Characterized by severe ups and downs... Length and frequency o…
Subtypes of Bipolar Disorder
Bipolar I... Bipolar II... Cyclothymia
5 terms
Bipolar Disorder
Mania
Depressed
Bipolar Disorder in Children and Adole…
Suicide
Refers to a period of hyper-elevated mood that is euphoric, g…
Exaggerated pessimism, social withdrawal, lack of felt pleasu…
Many young people have cycles from depression to extended rag…
Every year, 1 million people commit suicide, giving up on the…
Mania
Refers to a period of hyper-elevated mood that is euphoric, g…
Depressed
Exaggerated pessimism, social withdrawal, lack of felt pleasu…
18 terms
Bipolar Disorder
Bipolar I
Bipolar II
Cyclothymic Disorder
Rapid Cyclers
one episode of mania
hypomania and depressive episodes
hypomania with moderate depression... does not impact social fun…
4 or more episodes within a 12 month period
Bipolar I
one episode of mania
Bipolar II
hypomania and depressive episodes
23 terms
Bipolar Disorder
Bipolar Disorder
Hypomania
Bipolar I Disorder
Mania
-Characterized by mood swings from profound depression to ext…
-Mild form of mania... -Not severe enough to caused marked impai…
-Experiencing a manic episode or has a history of one or more…
-Alteration in mood with feelings of elation, inflated self-e…
Bipolar Disorder
-Characterized by mood swings from profound depression to ext…
Hypomania
-Mild form of mania... -Not severe enough to caused marked impai…
1 of 10