Bipolar Disorders Exam Study Guide Q&A

Risk Factors of Bipolar Disorder - Answer-1. Blood relatives: parent or sibling with bipolar disorder 2. Periods of high stress 3. Drug or alcohol abuse 4. Major life changes: death of a loved one 5. Early 20s Bipolar I - Manic Dx Criteria - Answer-A. A distinct period of abnormally and persistently elevated, expansive, or irritable mood B. Mood disturbance plus THREE of the following symptoms (four if the mood is only irritable): Inflated self esteem or grandiosity Decreased need for sleep - get "2nd wind" More talkative than usual or pressure to keep talking Flight of ideas, or racing thoughts Distractibility Increase in goal directed activity Excessive involvement in pleasurable activities - promiscuous sexual practices, multiple partners C. Marked impairment D. No psychosis E. Not organic DIGFAST - Manic Criteria - Answer-Distractibility Indiscretion Grandiosity Flight of ideas Activity increase Sleep deficit Talkativeness Bipolar II - Hypomanic Dx Criteria - Answer-Characterized by at least one or more major depressive episodes and at least ONE Hypomanic episode The patient has never experienced a manic episode or mixed episode *No impairment* Bipolar I Disorder - Answer-Alternation of full manic and depressive episodes Average onset is 18 years Average age of actual dx is 30 yo Tends to be chronic High risk for suicide