Abnormal mood: Elevation

Question 1

Bipolar I?

Answer 1

Criteria for mania, previous episodes may have been hypomanic and/or depressive

Classic form of manic depressive psychosis

MANIA + DEPRESSION

Question 2

Bipolar II?

Answer 2

Current or past hypomanic episode and current or past depressive episode

Has never met criteria for manic episode

Most common

HYPOMANIA + DEPRESSION

Question 3

ICD10 criteria for hypomanic episode?

Answer 3

Elevated or irritable to an abnormal degree for individual concerned, at least 4 consecutive days

Increased activity
Increased talkative
Difficult to concentrate
Decreased need for sleep
Increase sexual energy
Mild spending sprees

Question 4

ICD10 criteria for manic episode?

Answer 4

Predominantly elevated, expansive or irritable mood, at least 1 week

Increased activity
Increase talkative
Flight of ideas
Loss of normal social inhibitions
Decrease need for sleep
Distracted
Reckless behaviour
Marked sexual energy

Question 5

Onset features of BPAD

Answer 5

Usually late teens early 20s

FH of BPAD often earlier onset