mh ch 17

mood

pervasive and sustained emotion

affect

emotional reaction associated with an experience

blunted affect

show little feeling even in emotional situations

restricted affect

show some feeling and emotion but less than expected

flat affect

show absolutely no feeling or emotion regardless of circumstances

labile affect

rapid changes in emotions

is BD more common in men or women

the same! gender equality!

is BD more common in high or low SES

high SES

which two main med types are used for BD

antidepressants and mood stabilizers

BD drugs

lithium, anticonvulsants, antidepressants, antipsychotics

BD nonpsychopharmacological therapy

CBT, mood diary

cyclothymic disorder

chronic mood disturbance for 2 years, not severe enough for BD I or II

mania biochemical influences

excess of norepinephrine and dopamine with low serotonin

first line meds for childhood BD

atypical antipsychotics

if you have ADHD and BD, which one do you treat first

BD

is delirious mania worse or less severe than acute mania

more severe!

delirious mania

intensification of acute mania symptoms, grave form of the disorder, very rare

main outcome for BD

no evidence of physical injury PATIENT SAFETY IS #1

what happens to vital signs during manic episode

increase

how does lithium help BD

mood stabilizer

symptoms of lithium toxicity

nausea, vomiting, severe diarrhea, ataxia, blurred vision, tinnitus, excessive urination

signs you should see a doctor while taking anticonvulsants

skin rash, unusual bleeding, spontaneous bruising, sore throat, fever, dark urine, jaundice

signs you should see a doctor while taking calcium channel blocker

irregular heartbeat, chest pain, dizziness, swelling of hands and feet, profound mood swings, severe and persistent headache

signs you should see a doctor while taking antipsychotics

sore throat, fever, malaise, unusual bleeding, easy bruising, rash, nausea and vomiting, severe headache, rapid heart rate, urine issues, tremors, jaundice, excessive thirst or hunger, muscle weakness