Difference between revisions of "Bipolar disorder"

(Clinical Features)
(Clinical Features)
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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)
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===Hypomanic Episode===
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*Same features as manic episode however less intense
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*Symptoms only need to persist for 4 days
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===Major Depressive Episode===
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*'''<big>S</big>'''leep - increased or decreased
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*'''<big>I</big>'''nterest - losing interest or pleasure in activities
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*'''<big>G</big>'''uilt - excessive guilt
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*'''<big>E</big>'''nergy - feels of fatigue, low energy
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*'''<big>C</big>'''oncentration - cognitive decine, indecisiveness
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*'''<big>A</big>'''ppetite - weight loss/gain
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*'''<big>P</big>'''sychomotor agitation or depression
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*'''<big>S</big>'''uicidal ideation
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''Must have 5 symptoms in a 2 week period including depressed mood and loss of interest''
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===Mixed Episode===
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*fulfill features of both manic and major depressive episode
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*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

Diagnosis

Management

Disposition

See Also

External Links

References