463: Exam 2: Bipolar + related disorders

A \_ episode involves a significant deviation from a patient’s baseline mood and activity and often includes \_ speech, thoughts, and movements (psychomotor agitation), an \_ , \_ , or \_ mood, a decreased need for \_, and frequently an inflated sense of self-esteem and/or grandiosity.

manic, rapid, elevated, expansive, irritable, sleep, grandiosity

A \_ episode has similar symptoms to a manic episode but the symptoms are usually less intense and dont typically cause impairment that results in \____.

manic, job loss, relationship loss, psychosis, or hospitalization

\_ disorder is defined by having the presence of at least one lifetime \_ episode that lasts at least \_ days unless interuptted by treatment, such as psychiatric hospitalization. While bipolar 1 disorder is diagnosed based on the presence of a \_ episode, individuals with Bipolar 1 spend approximately 3x more time in a \_ state than in a manic state (@30% Depressed + 10% manic) on average.

Bipolar 1, manic, 7, manic, depressed

Bipolar 2 disorder is defined by the presence of at least 1 lifetime \_ and one \_ episode. While hypomanic symptoms may not reach the full intensity of a manic episode in Bipolar 1 disorder, \_ symptoms may still feel uncomfortable (agitated depression). Further, because individuals with BPD2 spend so much time in a \_ state, bipolar 2 disorder can be even more impairing than Bipolar 1 disorder in its total impact on the individuals work, relationships, and ADL’s.

hypomanic, major depressive, hypomanic, depressed

\_ is having an inflated self-esteem and sense of excessive confidence that is not fully aligned with the individual’s achievements. When the \_ beliefs are clearly not rooted in reality, then they are said to be \_ .

Grandiosity, grandiose, grandiose delusions

Grandiosity is most common during \_ or \_ episodes in Bipolar disorder. When grandiose beliefs become clearly delusional {delusions of grandeur) the episode could be considered a full \_ episode. While grandiose delusions occur most frequently during full manic episodes in bipolar 1 disorder, they may also occur in substance induced bipolar episodes, psychotic episodes in schizophrenia, etc.

manic, hypomanis, manic

To qualify for a full-manic episode in bipolar 1 disorder, the manic symptoms must last at least \_ days, though may last for weeks, months, or years in some cases if not interrupted by treatment. To qualify for a hypomanic episode in BPD2, the hypomanic symptoms must last at least \_ days but also may last much longer. However, in Bipolar 2, hypomania does \_ result in psychiatric hospitalization or \_.

7, 4, NOT, psychosis

\__ is an acronym used to help remember the symptoms required for a manic or a hypomanic episode.

DIG FAST

One aspect of differentiating mood cycling in bipolar disorder from mood changes in disorders like Borderline personality disorder is the \_ of the changes. Mood cycling in bipolar tends to occur over \_ while a \_ mood in borderline may change in \_.

speed, days to weeks, labile, seconds

\__ is a bipolar related disorder characterized by having subthreshold hypomanic and depressive symptoms for at least a \_ year period and at least half the time the symptoms are \_. Cyclothymic mood states may be shorter lived (<1 week) and between 30-50%, eventually go on to be diagnosed with \_.

Cyclothymic disorder, 2, hypomanic, bipolar disorder

Manic, hypomanic, or mixed mood episodes that seem to result from medications like \_ (prednisone, Dexamethasone, hydrocortisone, etc), antidepressants like \_ (Prozac, sertraline, lexapro), or \_ like methamphetamine, and resolve within a resonable time after detox (@ 30 days) could be considered a \_ bipolar related disorder.

corticosteroids, SSRIs, stimulants, substance or medication induced

Manic, hypomanic, or mixed mood episodes that seem to result from medical conditions like \_ or \_ (Cushings disease) and resolve by correcting the medical condition could be considered a bipolar + related disorder due to \_.

Hyperthyroidism, hypercortisolism, another medical condition