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Bipolar Affective Disorder Notes

This is a sample of our (approximately) 3 page long Bipolar Affective Disorder notes, which we sell as part of the Clinical Psychiatry Notes collection, a 1st package written at Bristol University in 2014 that contains (approximately) 47 pages of notes across 21 different documents.

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Bipolar Affective Disorder Revision

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Bipolar Affective Disorder (BPAD)
    Categories o Type 1
 Mood swings across mood scale (both mania and depression)
 Untreated
  Mania= 3-6 months
  Depressive= 6-12 months o Type 2
 Prevalence of depression
 >1 severe depression
 Hypomania (6-8 on scale) rather than extreme manic episode o Rapid cycling BPAD
 Mood swings change faster
 4 in year
 Can happen in T1 & T2
    Epidemiology o Lifetime prevalence 1%
o M 1:1 F o Mean age= 21
    Aetiology o Genetics o Neurochemical abnormalities o Life events/Environmental factors o Organic causes
    Features of Mania o Period of elevated/expansive/irritable mood (>1week) o 3/4 of these are present
 Inflated self-esteem
 Distractibility
 More talkative/Pressure to talk
 Flight of ideas/Subjective thoughts racing
 Increase in goal directed activities or psychomotor activities
 Pleasurable activities that can have painful consequences
 Decrease need sleep o Other features
 Social & occupation functioning impaired
 Psychotic symptoms
 Hospitalisation
    DDx o Organic causes o Schizoaffective disorders o Cyclothymia o Puerperal disorders
    Treatment o Antipsychotics
o Benzodiazepines (ST) o Mood stabilisers
o ECT [Rapid/ST improvement; Severe; Others ineffective

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