Other Conditions Mood disorder or personality dysthymia cyclothymia Grief reaction denial depression acceptance Atypical grief Adjustment disorder Bipolar disorders ID: 225250
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Slide1
Bipolar disordersSlide2
Other Conditions
Mood disorder or personality
dysthymia
cyclothymia
Grief reaction
denial , depression , acceptance
Atypical grief
Adjustment disorder Slide3
Bipolar disorders
Definition
C/F
1-behavior
dress,expression,activity,attitude
2-mood
Euphoria, elation, ecstasy, irritability
3- speech
Form rapid
Content Slide4
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 hypomaniaSlide5
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
Slide6
Bipolar disorder
Epidemiology
Age 30
Prevalence 0.6-1%
No women
excess
Course and prognosis
3-6 months
Recurrence 50 %
Less mania more depression
Slide7
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 depressionSlide8
Bipolar disorder
Bipolar depression
unique entity
mood stabilizers ,
lamotrigine