Bipolar disorder

Question 1

What is type 1 bipolar disorder?

Answer 1

mania and depression

Question 2

What is type 2 bipolar disorder?

Answer 2

hypomania and depression

Question 3

How is mania defined?

Answer 3

1. abnormally elevated mood or irritability
2. there is severe functional impairment
3. psychotic symptoms
4. for 7 days

Question 4

How is hypomania defined?

Answer 4

hypomania describes decreased or increased function for 4 days or more

Question 5

Key feature to distinguish between hypomania and mania?

Answer 5

psychotic symptoms (e.g.delusions of grandeur or auditory hallucinations) only present in mania

Question 6

What to do if features of mania or severe depression relating to bipolar disorder are identified in primary care?

Answer 6

if there are features of mania or severe depression then an urgent referral to the CMHT should be made

Question 7

Mx of mood in Bipolar

Answer 7

1. Lithium

2. Sodium valporate ( 2nd line)

Question 8

Mx of Mania in Bipolar

Answer 8

1. Anti psychotic therapy - olanzapine / Haloperidol

Question 9

Mx of Depression in Bipolar

Answer 9

fluoxetine is the antidepressant of choice