Bipolar disorder: Difference between revisions
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*sufficient to cause impairment in functioning, relationships, or hospitalization | *sufficient to cause impairment in functioning, relationships, or hospitalization | ||
*not as a result of substance abuse or medical condition (e.g. hyperthyroid) | *not as a result of substance abuse or medical condition (e.g. hyperthyroid) | ||
===Hypomanic Episode=== | |||
*Same features as manic episode however less intense | |||
*Symptoms only need to persist for 4 days | |||
===Major Depressive Episode=== | |||
*'''<big>S</big>'''leep - increased or decreased | |||
*'''<big>I</big>'''nterest - losing interest or pleasure in activities | |||
*'''<big>G</big>'''uilt - excessive guilt | |||
*'''<big>E</big>'''nergy - feels of fatigue, low energy | |||
*'''<big>C</big>'''oncentration - cognitive decine, indecisiveness | |||
*'''<big>A</big>'''ppetite - weight loss/gain | |||
*'''<big>P</big>'''sychomotor agitation or depression | |||
*'''<big>S</big>'''uicidal ideation | |||
''Must have 5 symptoms in a 2 week period including depressed mood and loss of interest'' | |||
===Mixed Episode=== | |||
*fulfill features of both manic and major depressive episode | |||
*must last at least 1 week | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 00:06, 3 September 2015
Background
- mental disorder characterized by periods of elevated moods and periods of depression
- spectrum of disorders including Bipolar Type I, Bipolar Type II, and Bipolar NOS
Clinical Features
Manic Episode
- abnormally and persistently elevated, expansive, or irritable mood lasting at least 1 week
- at least 3 of the following symptoms (4 if only irritable)
- inflated self esteem or grandiosity
- decreased need for sleep
- more talkative/pressured speech
- flight of ideas/racing thoughts
- easily distractible
- increase in goal-directed activity or psychomotor agitation
- involvement in high pleasure, high risk activities
- gambling, shopping sprees, sexual indiscretions
- sufficient to cause impairment in functioning, relationships, or hospitalization
- not as a result of substance abuse or medical condition (e.g. hyperthyroid)
Hypomanic Episode
- Same features as manic episode however less intense
- Symptoms only need to persist for 4 days
Major Depressive Episode
- Sleep - increased or decreased
- Interest - losing interest or pleasure in activities
- Guilt - excessive guilt
- Energy - feels of fatigue, low energy
- Concentration - cognitive decine, indecisiveness
- Appetite - weight loss/gain
- Psychomotor agitation or depression
- Suicidal ideation
Must have 5 symptoms in a 2 week period including depressed mood and loss of interest
Mixed Episode
- fulfill features of both manic and major depressive episode
- must last at least 1 week
Differential Diagnosis
General Psychiatric
- Organic causes
- Psychiatric causes
