Bipolar

Question 1

bipolar affective disorder

Answer 1

disorder consists mania/hypomania alongside episodes of depression

Question 2

signs

Answer 2

hypomania:
elevated mood
irritable
high activity

mania:
same symptoms with psychotic signs

depressive episodes

Question 3

investigation

Answer 3

history

Question 4

management

Answer 4

acute episode with agitation - neuroleptic
acute episode without agitation - antipsychotic

long-term:
lithium as monotherapy if possible

management of hypo/mania:
antipsychotic

management depression:
talking therapies
fluoxetine

Question 5

what should be stopped

Answer 5

anti-depressants

Question 6

what are features in type 1 and 2 bipolar

Answer 6

type 1 - associated with mania

type 2 - associated with hypomania