Study sets matching "bipolar"

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Study sets matching "bipolar"

Bipolar
Classifications of BPD
Bipolar I
Bipolar II
Cyclothymia
1. Bipolar I... 2. Bipolar II... 3. Cyclothymia
Presence of mania and depression
Presence of depression and hypomania
Two years of hypomanic and depressive episodes without meetin…
Classifications of BPD
1. Bipolar I... 2. Bipolar II... 3. Cyclothymia
Bipolar I
Presence of mania and depression
Bipolar
T/F. There is a significant difference…
What is the genetic concordance of BPD?
Which of the following is not criteria…
In order to be considered a manic epis…
False. There is no significant difference in BPD-I. BPD-II is…
Basically occurs more in identical twins than fraternal twins.
(B) There is an decrease in sleep. Remember:... (D)istractibilit…
7 days.
T/F. There is a significant difference…
False. There is no significant difference in BPD-I. BPD-II is…
What is the genetic concordance of BPD?
Basically occurs more in identical twins than fraternal twins.
8 terms
bipolar
lithium concs for acute tx
lithium concs for maintenance tx
lithium concs for toxicity
lithium side effects (7)
0.9-1.2 mEq/L
0.6 - 0.9 mEq/L
1.5 - > 3 mEq/L
-hand tremor... -hypothyroidism... -polyuria, polydipsia... -acne... -dry…
lithium concs for acute tx
0.9-1.2 mEq/L
lithium concs for maintenance tx
0.6 - 0.9 mEq/L
34 terms
Bipolar
bipolard 1 disorder
bipolar II disorder
manic episode
YMaRS
characterized by manic or mixed episode with or without major…
characterized by major depression episode and HYPOMANIC epsiode
mood is elevated or irritable for 1 week causing impairment i…
What is the standardized rating scale for bipolar disorder?
bipolard 1 disorder
characterized by manic or mixed episode with or without major…
bipolar II disorder
characterized by major depression episode and HYPOMANIC epsiode
118 terms
Bipolar
Classifications of BPD
Bipolar I
Bipolar II
Cyclothymia
1. Bipolar I... 2. Bipolar II... 3. Cyclothymia
Presence of mania and depression
Presence of depression and hypomania
Two years of hypomanic and depressive episodes without meetin…
Classifications of BPD
1. Bipolar I... 2. Bipolar II... 3. Cyclothymia
Bipolar I
Presence of mania and depression
38 terms
Bipolar
Mood Cycles
DSM 5 Diagnostic Criteria
Bipolar Type 1
Bipolar Type 2
Manic Episode... A. A distinct period of abnormally and persiste…
Predominately more manic symptoms
Predominately more depressive symptoms
Mood Cycles
DSM 5 Diagnostic Criteria
Manic Episode... A. A distinct period of abnormally and persiste…
87 terms
Bipolar
Classifications of BPD
Bipolar I
Bipolar II
Cyclothymia
1. Bipolar I... 2. Bipolar II... 3. Cyclothymia
Presence of mania and depression
Presence of depression and hypomania
Two years of hypomanic and depressive episodes without meetin…
Classifications of BPD
1. Bipolar I... 2. Bipolar II... 3. Cyclothymia
Bipolar I
Presence of mania and depression
49 terms
Bipolar
Bipolar types & definitions
Pathophysiology (Permissive serotonin…
Bipolar sx
Episodes... - Depression... - Manic= G…
Bipolar 1: depression & mania... Bipolar 2: depression & *h…
⤵ Serotoninn*: depression & mania... ⬆ DA in Limbicc*: mania
Distractibility... Insomnia... Grandiosity... Flight of ide…
...
Bipolar types & definitions
Bipolar 1: depression & mania... Bipolar 2: depression & *h…
Pathophysiology (Permissive serotonin…
⤵ Serotoninn*: depression & mania... ⬆ DA in Limbicc*: mania
73 terms
Bipolar
T/F. There is a significant difference…
What is the genetic concordance of BPD?
Which of the following is not criteria…
In order to be considered a manic epis…
False. There is no significant difference in BPD-I. BPD-II is…
Basically occurs more in identical twins than fraternal twins.
(B) There is an decrease in sleep. Remember:... (D)istractibilit…
7 days.
T/F. There is a significant difference…
False. There is no significant difference in BPD-I. BPD-II is…
What is the genetic concordance of BPD?
Basically occurs more in identical twins than fraternal twins.
107 terms
bipolar
MDD single episode
MDD - recurrent
bipolar disorder type 1
bipolar disorder type 2
1 MD episode
2 or more MD episodes
≥ 1 manic or mixed mood episode
≥ 1 major depressive + ≥ 1 hypomanic episode
MDD single episode
1 MD episode
MDD - recurrent
2 or more MD episodes
107 terms
bipolar=
MDD single episode
MDD - recurrent
bipolar disorder type 1
bipolar disorder type 2
1 MD episode
2 or more MD episodes
≥ 1 manic or mixed mood episode
≥ 1 major depressive + ≥ 1 hypomanic episode
MDD single episode
1 MD episode
MDD - recurrent
2 or more MD episodes
24 terms
Bipolar
Mania
Hypomania
Bipolar I
Bipolar II
alteration in mood that is expressed by feeling of elation, i…
a mild form of mania. Symptoms are excessive hyperactivity bu…
diagnosis is given to an individual experiencing a manic epis…
recurrent bouts of major depression with episodic occurrence…
Mania
alteration in mood that is expressed by feeling of elation, i…
Hypomania
a mild form of mania. Symptoms are excessive hyperactivity bu…
54 terms
Bipolar
Which Bipolar type tends to be in women?
What are episodes of Bipolar and their…
Which episode of Bipolar would likely…
Which episode of Bipolar would likely…
-Bipolar type 2... -Depression... -Mixed mania
Manic 1/3-DIGFAST... -Criteria: at least 1 week of 3 or more D…
Manic episode... -D/t impulsiveness (sexual indiscretions)
Major depressive episode
Which Bipolar type tends to be in women?
-Bipolar type 2... -Depression... -Mixed mania
What are episodes of Bipolar and their…
Manic 1/3-DIGFAST... -Criteria: at least 1 week of 3 or more D…
38 terms
Bipolar
Bipolar Spectrum Disorders
Classifications
Hypomania
Bipolar I disorder
-Characterized as a disorder in which the pt has two opp pole…
1. Bipolar I disorder... 2. Bipolar II disorder... 3. Cyclothymia…
Mild mania or excited w/moderate change in behavior
-Pt has at least one episode of mania alternating w/major dep…
Bipolar Spectrum Disorders
-Characterized as a disorder in which the pt has two opp pole…
Classifications
1. Bipolar I disorder... 2. Bipolar II disorder... 3. Cyclothymia…
Bipolar
Bipolar 1 and 2 description
Bipolar 1
Manic episode
Major depressive episode:​
Striking period of unusually and persistently elevated, expan…
Required one manic episode and one or more major depressive e…
abnormal and persistent lasting a​ week​ and present most of…
symptoms last for a 2 week period; depressed mood most of the…
Bipolar 1 and 2 description
Striking period of unusually and persistently elevated, expan…
Bipolar 1
Required one manic episode and one or more major depressive e…
Bipolar
Bipolar Disorder
Treatment Regimen
Lithium: Rationale for drug use
Pre - lithium
Type of Bipolar Disorder... Type 1 = ... Mania? ... - Inflated, activ…
Acute mania ... - AP + lithium or valproate ... - Monotherapy lithi…
Treat symptoms of mania ... Treat depression ... Prevent recurrence…
Pregnancy Test - Category D (linked with cardiac defects) ... Br…
Bipolar Disorder
Type of Bipolar Disorder... Type 1 = ... Mania? ... - Inflated, activ…
Treatment Regimen
Acute mania ... - AP + lithium or valproate ... - Monotherapy lithi…
12 terms
bipolar
mania
mania behaviours include
affective symptoms
cognitive symtoms
exaggerated euphoria or irritability, vary in intensity
impulsive, decrease inhibition, increase distractibility, pre…
1)inappropriate lack of restraint in expressing feelings ... 2)i…
decrease ability to concentrate, learn or problem solve effec…
mania
exaggerated euphoria or irritability, vary in intensity
mania behaviours include
impulsive, decrease inhibition, increase distractibility, pre…
33 terms
bipolar
Diagnostic criteria- MANIA
D I G F A S T
Hypomania:
Depressive episode ... DSIGECAPs
+7 days/daily of persistent elevated/expanded/irritable mood…
D: distractiaility ... I: insomnia... G: grandiose... F: flight of ide…
less severe DIGFAST, not affecting daily functiong or require…
need to have 5 Sx for 2 weeks with either depressed or loss o…
Diagnostic criteria- MANIA
+7 days/daily of persistent elevated/expanded/irritable mood…
D I G F A S T
D: distractiaility ... I: insomnia... G: grandiose... F: flight of ide…
14 terms
Bipolar
Bipolar 1 Disorder
Bipolar 2 Disorder
Cyclothymic Disorder
Substance/medication-induced Bipolar
ONSET: 18yrs... DX: At least 1 week of mania (euphoric OR dyspho…
ONSET: 20yrs... DX: Periods of hypomania alternate w/ periods of…
ONSET: Adolescence... DX: Mild-moderate depression for at least…
Induced by use of drugs or medications.
Bipolar 1 Disorder
ONSET: 18yrs... DX: At least 1 week of mania (euphoric OR dyspho…
Bipolar 2 Disorder
ONSET: 20yrs... DX: Periods of hypomania alternate w/ periods of…
64 terms
Bipolar
mood
affect
mania
biological (organic), psychological, r…
defined as a pervasive and sustained emotion that may have a…
described as the emotional reaction associated with an experi…
an alteration in mood that is expressed by feelings of elatio…
Mania can occur as a ___________ or ________ disorder, or as…
mood
defined as a pervasive and sustained emotion that may have a…
affect
described as the emotional reaction associated with an experi…
9 terms
Bipolar
mood stabilizers
APA guidelines for 1st line treatment…
1st line for bipolar
lamotrigine
lithium, valproate, lamotrigine, carbamazepine are important…
(valproate or lithium) + antipsychotic
lithium or lamotrigine. lamotrigine not useful for acute mani…
lamictal, lamictal ODT, lamictal XR. supplement with calcium…
mood stabilizers
lithium, valproate, lamotrigine, carbamazepine are important…
APA guidelines for 1st line treatment…
(valproate or lithium) + antipsychotic
14 terms
Bipolar
Mania
Epidemiology
Bipolar
Bipolar 1
an alteration in mood that is expressed by feelings of elatio…
- equal ratio of men and women... - average onset is early 20's,…
- mood swings from profound depression to extreme euphoria (m…
- person who is experiencing a manic episode or has a history…
Mania
an alteration in mood that is expressed by feelings of elatio…
Epidemiology
- equal ratio of men and women... - average onset is early 20's,…
13 terms
Bipolar
Symptomatology
Manic Episode
Hypomanic Episode
Bipolar I
Presence of manic(hypomanic) & depressive episodes
Elevated, expansive and irritable mood... Inflated self-esteem... D…
Same criteria as manic episode but less severe and shorter in…
manic + depressive episode
Symptomatology
Presence of manic(hypomanic) & depressive episodes
Manic Episode
Elevated, expansive and irritable mood... Inflated self-esteem... D…
113 terms
Bipolar
mood
mood disorder
Hypomania epidose
manic episode
emotional state
any of several mental disorders characterized by abnormalitie…
less intense than mania; does not result in marked impairment…
abnormally and persistently elevated, expansive, or irritable…
mood
emotional state
mood disorder
any of several mental disorders characterized by abnormalitie…
16 terms
Bipolar
psychosis
depression
mania
Bipolar
too much DA and 5HT
too little NE and 5HT
too much NE and DA
-cyclic attacks of mania and depression... -manic: impulsive, en…
psychosis
too much DA and 5HT
depression
too little NE and 5HT
8 terms
Bipolar
Lithium
Lamotrigine
Divalproex/valproic acid
Carbemazepine
Lithobid
Lamictal
Depakote
Tegretol
Lithium
Lithobid
Lamotrigine
Lamictal
Bipolar
bipolard 1 disorder
bipolar II disorder
manic episode
YMaRS
characterized by manic or mixed episode with or without major…
characterized by major depression episode and HYPOMANIC epsiode
mood is elevated or irritable for 1 week causing impairment i…
What is the standardized rating scale for bipolar disorder?
bipolard 1 disorder
characterized by manic or mixed episode with or without major…
bipolar II disorder
characterized by major depression episode and HYPOMANIC epsiode
5 terms
Bipolar
AP are sometimes used with bipolar med…
formulation available for asenapine
2nd gen AP used in Bipolar disease wit…
Akathisia
Risperidone (Risperdal) and paliperidone (Invega) are associa…
sublingual ... dissolves under tongue... can cause numbess
Geodon (ziprasidone)
a state of agitation, distress or restlessness
AP are sometimes used with bipolar med…
Risperidone (Risperdal) and paliperidone (Invega) are associa…
formulation available for asenapine
sublingual ... dissolves under tongue... can cause numbess
Bipolar
Bipolar 1
Bipolar 2
Bipolar 3
Cyclothymic disorder
full manic episode (just 1 episode). can have: full major dep…
depressive episode. must have major depression episodes and h…
antidepressant induced
Chronic, relatively mild depressive and hypomanic episodes (l…
Bipolar 1
full manic episode (just 1 episode). can have: full major dep…
Bipolar 2
depressive episode. must have major depression episodes and h…
bipolar
bipolar I
bipolar II
tx
recommendations for tx
most severe version
hypomania - not as severe... do not require hospitalization
mood stabilizers (Li, VPA, LTG, CBZ)... SGAs... MS: treat either m…
MS... SGA ... or combo of both... if psychosis first - start SGA... LTG…
bipolar I
most severe version
bipolar II
hypomania - not as severe... do not require hospitalization
Bipolar
Bipolar with Rapid Cycling
Bipolar
MANIC episode
HYPOMANIC episode
Used when there have been at least 4 mood episodes in the pre…
...
MUST last at least 1 week & be present most of the day nearly…
A "distinct period of abnormally and persistently elevated, e…
Bipolar with Rapid Cycling
Used when there have been at least 4 mood episodes in the pre…
Bipolar
...
17 terms
Bipolar
Bioploar
manic episode
Depressive episode
mixed state
People with bipolar disorder experience unusually intense emo…
An overly joyful or overexcited state is called a manic episo…
an extremely sad or hopeless state is called a depressive epi…
Sometimes, a mood episode includes symptoms of both mania and…
Bioploar
People with bipolar disorder experience unusually intense emo…
manic episode
An overly joyful or overexcited state is called a manic episo…
Bipolar
Bipolar Symptoms
DSM5 - Manic
DSM5 - Hypomanic
DSM5 - Depressive
Distractability... Involvement in pleasurable activities... Grandio…
3+ symptoms for at least 1 week, requiring hospitalization
3+ symptoms for 4 consecutive days, no hospitalization
2 week period of depression
Bipolar Symptoms
Distractability... Involvement in pleasurable activities... Grandio…
DSM5 - Manic
3+ symptoms for at least 1 week, requiring hospitalization
Bipolar
Lithium... Divalproex-seizures... Carbamazep…
Frequency: Symptoms occur most days in…
ADHD is most common comorbid condition…
Lithium carbonate... Anticonvulsants... Vera…
Medications used in children and adolescents for Bipolar
FIND
Mania and ADHD
For Mania
Lithium... Divalproex-seizures... Carbamazep…
Medications used in children and adolescents for Bipolar
Frequency: Symptoms occur most days in…
FIND
14 terms
Bipolar
Bipolar I
Bipolar II
Cyclothymic
Dysthymia
Full Manic Episode
Full depressive episode and hypomania
2+ years of hypomania or dysthmia
term form of depression
Bipolar I
Full Manic Episode
Bipolar II
Full depressive episode and hypomania
5 terms
Bipolar
Eskalith, Lithonate
Tegretol, Equetro
Depakote
Lamictal
lithium, carbonate
carbamazepine
divalproex
lamotrigine
Eskalith, Lithonate
lithium, carbonate
Tegretol, Equetro
carbamazepine
13 terms
Bipolar
Lamotrigine
Valproate/ Valproic acid
Carbamazepine
Lithium
Lamictal... Usually start dose 25mg QD and max to 200mg QD... If on…
Depakene... Depakote... Thera range: 50-125mcg/ml... Box: Hep failure…
Equetro... There range: 4-12mcg/ml... Box: SJS/TEN ... HLAB*1502
Lithobid... Eskalith... Drink a lot of fluid... Thera range: 0.6-1.2mE…
Lamotrigine
Lamictal... Usually start dose 25mg QD and max to 200mg QD... If on…
Valproate/ Valproic acid
Depakene... Depakote... Thera range: 50-125mcg/ml... Box: Hep failure…
bipolar
bipolar I
bipolar II
percentage that goes from bipolar I to…
manic or hypomanic symptoms
major depressive episodes not necessary for diagnosis... manic e…
major depressive episodes necessary for diagnosis... manic episo…
10-25%
inflated self-esteem or grandiosity... decreased need for sleep…
bipolar I
major depressive episodes not necessary for diagnosis... manic e…
bipolar II
major depressive episodes necessary for diagnosis... manic episo…
bipolar
lET'S FUGGIN GOOOOOOO!!!
mania
hypomania,
bipolar 1
ACE THIS SHIT
has to be present for atleast a week, significantly impairs s…
just below mania, usually lasts about 4 days, don't require h…
one or more manic or mixed episodes usually accompanied by by…
lET'S FUGGIN GOOOOOOO!!!
ACE THIS SHIT
mania
has to be present for atleast a week, significantly impairs s…
Bipolar
bipolar 1
cyclothymic
other specified bipolar
-manic episode ... -major depressive history... -major depression…
less like dat
-doesn't meet all symps of full blown
bipolar 1
-manic episode ... -major depressive history... -major depression…
cyclothymic
less like dat
Bipolar
Valproate/valproic acid
Divaproex
Lamotrigine
Lithium
Depakene, stavzor (DR), depacon
Depakote, sprinkle
Lamictal, lamictal ODT, chewable
Lithobid
Valproate/valproic acid
Depakene, stavzor (DR), depacon
Divaproex
Depakote, sprinkle
7 terms
Bipolar
Distractibility
Insomnia
Grandiosity
Flight of ideas
D in symptom mnemonic
I in symptom mnemonic
G in symptom mnemonic
F in symptom mnemonic
Distractibility
D in symptom mnemonic
Insomnia
I in symptom mnemonic
33 terms
Bipolar
Manic
Hypomania
Depressive
Mixed
ELEVated/expansive and irritable mood, inflated, risk-taking,…
less severe manic symptoms
depressed, loss of interest, fatigue
manic & depressive occurring simultaneously
Manic
ELEVated/expansive and irritable mood, inflated, risk-taking,…
Hypomania
less severe manic symptoms
Bipolar
Etiology
hypomania
DSM for depression
Pathophys of mania
Highly genetic
mania without the need for hospitalization or presence of psy…
many criteria but must have at least depressed mood or loss o…
increased NE and DA but decrease in 5-HT
Etiology
Highly genetic
hypomania
mania without the need for hospitalization or presence of psy…
Bipolar
Haldol
Abilify
Clozaril
Zyprexa
Haloperidol
Aripiprazole
Clozapine
Olanzapine
Haldol
Haloperidol
Abilify
Aripiprazole
10 terms
Bipolar
Bipolar I
Bipolar II
Mania symptoms
ECT
major depression and mania ... can be symptom free but still str…
low level mania (hypomania) alternates with severe depression…
grandiosity, abnormal self confidence, not sleeping, hypersex…
used to subdue manic behavior when other treatments have not…
Bipolar I
major depression and mania ... can be symptom free but still str…
Bipolar II
low level mania (hypomania) alternates with severe depression…
17 terms
bipolar
bipolar 1
irritability
rapid cycling
bipolar 1
At least one full manic episode in the lifetime. 3+ symptoms…
what mania may manifest as in bipolar 1
4+ mood episodes in 1 year
type of bipolar that rapid cycles
bipolar 1
At least one full manic episode in the lifetime. 3+ symptoms…
irritability
what mania may manifest as in bipolar 1
Bipolar
types
1st line
mood stabilizer definition
lamotrigine use
bipolar I: most severe, mania (affects functioning, needs hos…
mood stabilizers: Li, valproate, lamotrigine, carbamazepine…
treat either mania or depression without inducing either... *ant…
bipolar depression... NOT for mania - slow titration
types
bipolar I: most severe, mania (affects functioning, needs hos…
1st line
mood stabilizers: Li, valproate, lamotrigine, carbamazepine…
12 terms
Bipolar
Depakene
Stavzor
Depacon
Depakote
Valproate/Valproic acid
Valproate/Valproic acid (delayed-release soft gel)
Valproate/Valproic acid (intravaneous)
Divalproex (also comes in sprinkle capsules)
Depakene
Valproate/Valproic acid
Stavzor
Valproate/Valproic acid (delayed-release soft gel)
18 terms
bipolar
age of onset of bipolar
manic episode criteria
hypomania episode criteria
psychiatric comorbities
20 years... (may occur childhood to mid 40s) ... older is medical c…
>1wk of abnormal and persistently elevated mood (expansive or…
4 days or abnormal and persistently elevated mood (expansive…
personality disorders... alcohol/substance abuse ... anxiety ... panic…
age of onset of bipolar
20 years... (may occur childhood to mid 40s) ... older is medical c…
manic episode criteria
>1wk of abnormal and persistently elevated mood (expansive or…
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