Term
| What is the essential fieature of a manic episode? |
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Definition
| a one-week period during which the predominant mood is either elevated, expansive, or irritable |
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Term
| Is elevated mood always the mood disturbance? |
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Definition
| No-elevated mood is a prototypic symptom, but the predom. mood disturbance could be irritability |
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Term
| What are the physiologic disturbances? |
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Definition
| decreased need for sleep; excessive energy; excessive pleasure seeking |
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Term
| What are the motor activities of a manic? |
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Definition
| difficulty sitting still, pacing, repetitive activites with increased motor speed |
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Term
| What are the speech patterens of a pt with mania? |
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Definition
| loud, rapid, theatrical. Sounds, rather than meaningful conceptual relationships may govern word choice (clanging). |
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Term
| What type of self esteem is characteristic? |
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Definition
| inflated (uncritical self-confidence to marked gradiocity, may be delusional) |
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Term
| Are associated delusions mood-congruent? |
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Definition
| yes--they are usually consistant with the predom mood. |
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Term
| How is cognition impaired? |
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Definition
| Delusions, hallucinations, inability to concentrate, poorly organized, flights of ideas, distractability |
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Term
| What are flights of ideas? |
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Definition
| nearly continuous flow of accelerated speech, with abrupt changes from topic to topic, based on non-understandable associations. |
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Term
| Does a manic pt recognize that they are ill? |
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Definition
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Term
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Definition
| Rapid shift from anger to depression to euphoria |
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Term
| In hypomanic episodes, do pts suffer from social and occupational impairment? |
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Definition
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Term
| What is the difference btw BPI and BPII? |
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Definition
BPI = atleast 1 manic episode
BPII = hypomania |
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Term
| is BP1 more common in men or women? BPII? |
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Definition
| men are equal. Women have 2X a chance of men of getting BP |
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Term
| What is the pathophysiology that occurs in mania? |
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Definition
| increased norepi, increased dopa activity |
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Term
| What brain regions are required to regulate mood in BP? |
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Definition
| prefrontal cortex, temporal lobes, amydala, limbic structures, BG, midbrain raphe |
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Term
| What are some organic caused of depressive symptoms? |
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Definition
| steriod psychosis, hypothyroidism, infections Mono, stopping meth/coke |
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