MH: Chapter 13: Bipolar and Related Disorders

What is Bipolar I Disorder characterized by?

What is a manic episode in Bipolar I Disorder? (Select all that apply)

During a manic episode, individuals may experience which of the following symptoms? (Select all that apply)

While not required for a diagnosis, many individuals with Bipolar Disorder I will also experience depressive episodes.

While not required for a diagnosis, many individuals with Bipolar Disorder I will also experience depressive episodes. Which of the following symptoms can these episodes include? (Select all that apply)

Bipolar II Disorder does not include full-blown manic episodes.

What is true about hypomanic episodes?

Hypomanic episodes are more severe than manic episodes and lead to significant impairment in social or occupational functioning.

Hypomanic episodes involve a noticeable change in mood and increased energy or activity lasting at least four consecutive days.

Symptoms of hypomanic episodes can include which of the following? (Select all that apply)

Individuals with Bipolar II typically don't experience major depressive episodes.

Which of the following symptoms are associated with major depressive episodes in individuals with Bipolar II? (Select all that apply)

Mania is an abnormally elated mental state, typically characterized by feelings of euphoria, lack of inhibitions, racing thoughts, diminished need for sleep, talkativeness, risk taking, and irritability.

Mania interferes with lifestyle in a negative manner, requiring hospitalization to control severe symptoms and psychotic features.

Manic patients will do many risky things as a result of the raced thoughts they experience, which will endanger their lives as well as other people's lives.

Hypomania is an abnormal psychological state that is similar to but milder than mania, characterized by an elevated or agitated mood and commonly occurring in people with bipolar disorder.

People in a hypomanic state have more severe symptoms which are serious enough to need hospitalization.

A state of hypomania may also bring happiness and joy to one's life since the elevated moods do not do any harm or put the lives of affected individuals in danger.

Which of the following statements about appearance in a Mental Status Exam for a Bipolar patient experiencing Mania or Hypomania is true? (Select all that apply)

Which of the following statements about Behavior in a Mental Status Exam for a Bipolar patient experiencing Mania or Hypomania is true? (Select all that apply)

Which of the following statements about Mood and Affect in a Mental Status Exam for a Bipolar patient experiencing Mania or Hypomania is true? (Select all that apply)

Which of the following statements about Speech in a Mental Status Exam for a Bipolar patient experiencing Mania or Hypomania is true? (Select all that apply)

Which of the following statements about Thought Process in a Mental Status Exam for a Bipolar patient experiencing Mania or Hypomania is true? (Select all that apply)

Which of the following statements about Thought Content in a Mental Status Exam for a Bipolar patient experiencing Mania or Hypomania is true? (Select all that apply)

When examining perception in a Mental Status Exam for a bipolar patient experiencing mania or hypomania, the patient may report hallucinations (auditory or visual), though these are less common in pure mania than in mixed episodes or psychotic states.

Which of the following statements about Cognition in a Mental Status Exam for a Bipolar patient experiencing Mania or Hypomania is true? (Select all that apply)

Which of the following statements about Insight and Judgement in a Mental Status Exam for a Bipolar patient experiencing Mania or Hypomania is true? (Select all that apply)

What is a common mood stabilizer used in the treatment of bipolar disorder?

Which of the following anticonvulsants are used to treat mania? (Select all that apply)

Which of the following anticonvulsants is used to treat depression in bipolar disorder?

Which of the following antipsychotics are commonly used in the treatment of bipolar disorder? (Select all that apply)

Which of the following components is typically included in a Mental Status Exam? (Select all that apply)

Which of the following statements accurately describe the mechanism of action of lithium? (Select all that apply)

Lithium is primarily indicated for which of the following conditions? (Select all that apply)

Lithium is typically administered in which form?

Dosage of lithium varies based on individual factors, including the specific condition being treated, individual response, and serum lithium levels.

What is the optimal therapeutic range for serum lithium levels to ensure therapeutic effectiveness and avoid toxicity?

Which systems should be monitored during lithium treatment due to its potential effects?

Which of the following are common side effects of lithium? (Select all that apply)

Which of the following are serious side effects of lithium? (Select all that apply)

What symptoms are indicative of lithium toxicity when blood levels exceed the therapeutic range? (Select all that apply)

What are the indications for Divalproex Sodium (Depakote)?

What is the proposed mechanism of action for Divalproex Sodium (Depakote)?

What factors influence the dosage of Depakote for managing mania?

What is the therapeutic range for Depakote levels in the blood?

Which of the following statements regarding Depakote is true?

Which of the following are known side effects of Depakote? (Select all that apply)

Which of the following are serious side effects of Depakote? (Select all that apply)

Depakote should be used with caution in individuals with liver disease, pancreatitis, bleeding disorders, or a history of urea cycle disorders.

When giving a patient Depakote, it is not essential to monitor for potential drug interactions if the patient is on other medications.

What are common safety risks associated with bipolar disorder? (Select all that apply)

What is the duration requirement for symptoms to be considered cyclothymia in adults?

Which of the following symptoms are characteristic of hypomanic episodes in cyclothymia? (Select all that apply)

Which statement about depressive symptoms in cyclothymia is true?

Cognitive Behavioral Therapy (CBT) for Bipolar Disorders or cyclothymia focuses on recognizing and changing negative thought patterns and behaviors. Is this statement true or false?

What is the primary focus of Interpersonal Therapy for Bipolar Disorder or cyclothymia?

Why is psychoeducation important for patients with Bipolar or cyclothymia?

Which lifestyle modification is essential for managing symptoms of bipolar disorder?