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What is Stage I mania
Talking fast; increased spending; incr smoking; incr phone use; labile; irritable; overconfidence; sexual/religious preoccupation; racing thoughts
What is manic behaviors
Inflated self-esteem/grandiosity Decr need for sleep more talkative flight of ideas excessive involvement in pleasurable activities
What is manic episode
Distinct period of abnormally/persistently elevated/irritable mood lasting at least 1 week.
What is Stage II Mania
Open hostility/anger; delusions; pressured speech; occasional assaultive behavior.
What is Stage III Mania
Panic stricken; hopeless; incoherent; hallucinations; disorientation; bizarre psychomotor activity.
What is Bipolar Disorder (BPD)
Combination of mania and depression
What is switch process (pg 301)
Mood change from mania to depression or depression to mania
What is BPD tends to be inherited.
Studies of manic-depression in twins concludes.
What are EPISODES (h/o)
Sets of symptoms
What is "rapid cycle"
Four or more episodes per year; more common in women.
What is Hypomania
Cheerfully elated mood which is different from normal. Milder than mania; lasting few days to many months. Very unstable; person might "crash"; presence of three mania symptoms, lasting 4 days
What is Bipolar Disorder
Periods of extreme mood elevation followed by period of depression; followed by a full/partial recovery period.
What are anxiety disorders; substance misuse; attention problems; asthma/obesity; migraines; bulemia.
Common problems seen in bipolar people.
What is Unipolar
Person who experiences only episodes of depression, never mania/hypomania
What is 10yrs.
Length of time it could take to Dx and Tx BPD.
What is Bipolar I
People experienced one or more episodes of mania; may/may not experience depression.
What is Cyclothymia
Chronic unstable mood state.
What is MOOD disorder
DSM classification of Bipolar disorder
What is Bipolar II
People have had at least one hypomanic episode, but never a full mania; at least one episode of depression.
What are ADHD; panic disorder, bdl personality, substance abuse, hyperthyroidism, lupus, MS, and drug withdrawal.
Conditions which produce s/s of BPD.
What are mood stabilizers (Lithium; tegretol, lamictal, zyprexa, abilify, depakote, depkene)
Medications to tx BPD
What is switching from depression to mania. (pg 305)
Antidepressants, especially tricyclics; St Johnson's Wort can cause this.
What is suicide
BPD patients are at high risk for this.
What is mania (pg 305)
Clients taking anabolic steroids/ oral corticosteroids/ levo dopa are at risk for this.
What is Anti-depressive and stimulants may worsen sx and cause mania.
Caution when giving these meds before a definite Dx is made of BPD.