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Bipolar Test 3
Bipolar-Depression & Mania
| Question | Answer |
|---|---|
| Bipolar I disorder | client has at least one episode of mania alternating with major depression |
| Bipolar II disorder | client has repeated hypomanic episodes alternating with major depressive episodes |
| Cyclothymia | client has at least 2 years of repeated hypomanic episodes alternating with minor depressive episodes |
| Mania | an abnormally elevated mood, which may also be described as expansive or irritable; usually requires inpatient treatment. |
| Hypomania | a less severe episode of mania that last at least 4 days accompanied by three or four symptoms of mania. Hospitalization is not required, and client is less impaired |
| Mixed episode | a manic episode and an episode of major depression experienced by the client simultaneously. Client has marked impairment in fx and may require admission to prevent self-harm or other directed violence |
| Rapid cycling | four or more episodes of acute mania within 1 year |
| Etiology of Bipolar | Genetics; Biochemical (norepi, dopamine, serotonin); Hypothyroidism (especially in rapid cycling) |
| Comorbidity Factors of bipolar | Substance abuse, anxiety disorders, eating disorders, ADHD |
| Major depressive order | a depressed mood or loss of interest in things that used to make you happy. Must have an impairment. Major depression has NO mania and is not caused by meds. |
| Dysthymic disorder | depression but milder form and no psychotic features |
| Continuum of Depression | Transient (not dysfunctional), Mild (associated with normal grieving), Moderate (more problematic), Severe (intensification, low suicide risk due to no energy but thoughts are consumed with it) |
| Bipolar depression is caused by.. | deficiency of norepi, dopamine, and serotonin |
| Bipolar mania is caused by... | increase of norepi and dopamine while serotonin remains the same |
| Common psychopharmacology for depression | SSRI (prozac) |
| Never give _________ to a child/adolescent | Paxil, use of singulair is rare due to increased risk of suicide |
| ECT therapy | used on the severely depressed and very suicidal client. S/E: confusion and memory loss |
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