Bipolar Disorder

Question 1

Define Bipolar 1

Answer 1

Severe mania

may be psychotic/delusional

Question 2

Define Bipolar 2

Answer 2

Hypomania

• doesn’t affect social/work functioning
• doesn’t cause psychosis

Question 3

DSM-5 of BP disorder

Answer 3

mania: elevated or irritable mood for at least 1 week
>3 symptoms
-inflated self-esteem
-sleeping less
-talkative
-jumping from topic to topic
-easily distracted
-increase in goal-directed activity
-involved with high-risk pleasure activities

Question 4

first-line treatment for BP disorder

-manic and depressive state

Answer 4

manic state: valproate or lithium + antipsychotic

depressive state: lithium or lamotrigine

Question 5

mood stabilizer preferred in pregnancy

Answer 5

lamotrigine