Bipolar Disorders and Other Related Conditions
Bipolar disorders
Other Conditions
Mood disorder or personality
dysthymia cyclothymia
Grief reaction
denial , depression , acceptance
Atypical grief
Adjustment disorder
Bipolar disorders
Definition
C/F
1-behavior
dress,expression,activity,attitude
2-mood
Euphoria, elation, ecstasy, irritability
3- speech
Form rapid
Content
4- thought
Form flight of ideas
Content delusion grandiose
5- perception
Hallucinations
6-cognition
Distractibility
Disinhibition, reckless spending
7- insight
N/B Sleep appetite
Mania and hypomania
Bipolar disorders
DDx
schizophrenia
drug induced states
organic conditions
Etiology
1- genetic
2- amine theory
Raised noradrenaline metabolites
Serotonine related mechanism
Dopamine
3-psychological
Flight into mania
Bipolar disorder
Epidemiology
Age 30
Prevalence 0.6-1%
No women excess
Course and prognosis
3-6 months
Recurrence 50 %
Less mania more depression
Bipolar disorders
Management
1- acute phase
Mood stabilizers
Antipsychotics; haloperidol ECT
2- prophylaxis
Lithium; risk of toxicity, teratogenic
Close monitoring
Physical work up
Carbamazepine, valproate
lamotrigine
Indications of lithium
3 or > 2 years
severity
prophylaxis in unpopular depression
augmentation in resistant depression
Bipolar disorder
Bipolar depression
unique entity
mood stabilizers , lamotrigine
Bipolar disorders encompass a range of mood and behavioral disturbances, characterized by fluctuations between mania and depression. Other conditions like mood disorders, dysthymia, cyclothymia, and grief reactions are also discussed, along with management strategies involving mood stabilizers and close monitoring. The content delves into the definitions, clinical features, differential diagnoses, etiology, epidemiology, and treatment options for bipolar disorders.
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Presentation Transcript
Other Conditions Mood disorder or personality dysthymia cyclothymia Grief reaction denial , depression , acceptance Atypical grief Adjustment disorder
Bipolar disorders Definition C/F 1-behavior 2-mood Euphoria, elation, ecstasy, irritability 3- speech Form rapid Content dress,expression,activity,attitude
4- thought Form flight of ideas Content delusion grandiose 5- perception Hallucinations 6-cognition Distractibility Disinhibition, reckless spending 7- insight N/B Sleep appetite Mania and hypomania
Bipolar disorders DDx schizophrenia drug induced states organic conditions Etiology 1- genetic 2- amine theory Raised noradrenaline metabolites Serotonine related mechanism Dopamine 3-psychological Flight into mania
Bipolar disorder Epidemiology Age 30 Prevalence 0.6-1% No women excess Course and prognosis 3-6 months Recurrence 50 % Less mania more depression
Bipolar disorders Management 1- acute phase Mood stabilizers Antipsychotics; haloperidol ECT 2- prophylaxis Lithium; risk of toxicity, teratogenic Close monitoring Physical work up Carbamazepine, valproate lamotrigine Indications of lithium 3 or > 2 years severity prophylaxis in unpopular depression augmentation in resistant depression
Bipolar disorder Bipolar depression unique entity mood stabilizers , lamotrigine
