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Bipolar Affective Disorder Notes

Medicine Notes > Clinical Psychiatry Notes

This is an extract of our Bipolar Affective Disorder document, which we sell as part of our Clinical Psychiatry Notes collection written by the top tier of Bristol University students.

The following is a more accessble plain text extract of the PDF sample above, taken from our Clinical Psychiatry Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:

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
[OLANZIPINE/RISPERIDONE/HALOPERIDOL]
o Benzodiazepines (ST) o Mood stabilisers
[LITHIUM; CARABAZEPINE; VALPROATE; LAMOTRIGINE]
o ECT [Rapid/ST improvement; Severe; Others ineffective

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