what is it
a long term disorder characterized by symptoms of schizophrenia and symptoms of a mood disorder
what are the 2 types
bipolar
depressive
bipolar type
depressive episodes + mania + schizophrenia symptoms
depressive type
depressive episodes + schizophrenia symptoms
diagnostic
rule out drug/alcohol abuse
physical exam to rule out other problems that may cause symptoms
defining features
psychotic symptoms for 2 or more weeks without mood symptoms
drugs are not responsible for the symptoms
signs and symptoms
depression or bipolar episode delusions hallucination impaired communication or speech impaired occupational or social functioning trouble with ADL's
medications
antipsychotics, antidepressants, mood stabilizers
treatment
CBT
coping strategies and stress techniques
social skills training
if all those fail use ECT