Bipolar Disorder

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What are the characteristics of clients during manic phases of bipolar disorder?

Euphoric, grandiose, energetic, and sleepless

What may prevent the initial diagnosis of bipolar disorder if the first episode is a depressed phase?

A person might be diagnosed with major depression

What tool can health care professionals use to increase awareness about bipolar disorder?

Mood Disorder Questionnaire

What is the lifetime risk for bipolar disorder?

At least 1.2%

What is the risk of completed suicide for bipolar disorder?

15%

Who is at the highest risk for suicide in bipolar disorder?

Young men early in the course of the illness

What is the rank of bipolar disorder as a cause of worldwide disability?

Second, after major depression

What was bipolar disorder formerly known as?

Manic-depressive illness

What are the characteristics of clients during depressed phases of bipolar disorder?

Mood, behavior, and thoughts similar to those diagnosed with major depression

What is the risk of completed suicide for bipolar disorder in young men early in the course of the illness?

15%

What may prevent the initial diagnosis of bipolar disorder if the first episode is a depressed phase?

A person might be diagnosed with major depression

What is the rank of bipolar disorder as a cause of worldwide disability?

Second, after major depression

How long can major depression last?

6 months to 2 years

What do bipolar mixed episodes involve?

Alternating major depressive and manic episodes interspersed with periods of normal behavior

How long can each mood in bipolar disorder last before the pattern repeats?

Weeks to months

Is bipolar disorder more common in highly educated individuals?

Yes

When does the first manic episode typically occur?

Teens, 20s, or 30s

What is debated about some children diagnosed with ADHD?

They may actually have early-onset bipolar disorder

How do manic episodes begin?

Suddenly with rapid escalation of symptoms over a few days

Are adolescents with bipolar disorder more likely to have psychotic manifestations?

Yes

How long does a diagnosis of a manic episode require heightened, grandiose, or agitated mood?

At least 1 week

Why may clients with bipolar disorder stop taking medications?

Liking the euphoria and feeling burdened by side effects and medical visits

When can psychotherapy be useful for clients with bipolar disorder?

In the mildly depressive or normal portion of the bipolar cycle, but not during acute manic stages

How long can major depression last?

6 months to 2 years

What do bipolar mixed episodes involve?

Alternating major depressive and manic episodes

How long can each mood in bipolar disorder last before the pattern repeats?

Weeks to months

Is bipolar disorder more common in men or women?

Equally affects men and women

When does the first manic episode typically occur?

Teens, 20s, or 30s

Is there debate about the diagnosis of some children with ADHD?

Yes, they may actually have early-onset bipolar disorder

How do manic episodes begin?

Sudden with rapid escalation of symptoms

Are adolescents with bipolar disorder more likely to have psychotic manifestations?

Yes

What is required for the diagnosis of a manic episode?

At least 1 week of heightened, grandiose, or agitated mood

Why may clients with bipolar disorder stop taking medications?

Liking the euphoria and feeling burdened by side effects and medical visits

When can psychotherapy be useful for bipolar disorder?

In the mildly depressive or normal portion of the bipolar cycle

Study Notes

Bipolar Disorder: Key Facts and Clinical Course

  • Major depression can last 6 months to 2 years, while bipolar disorder cycles between depression and normal behavior or mania and normal behavior.
  • Bipolar mixed episodes involve alternating major depressive and manic episodes interspersed with periods of normal behavior.
  • Each mood in bipolar disorder can last for weeks or months before the pattern repeats.
  • Bipolar disorder affects men and women equally and is more common in highly educated individuals.
  • Some individuals with bipolar disorder deny their mania, leading to potentially higher prevalence rates than reported.
  • The first manic episode typically occurs in a person's teens, 20s, or 30s.
  • There is debate about whether some children diagnosed with ADHD may actually have early-onset bipolar disorder.
  • Manic episodes begin suddenly with rapid escalation of symptoms over a few days and can last from a few weeks to several months.
  • Adolescents with bipolar disorder are more likely to have psychotic manifestations.
  • The diagnosis of a manic episode requires at least 1 week of heightened, grandiose, or agitated mood, along with specific symptoms such as inflated self-esteem and decreased need for sleep.
  • Clients with bipolar disorder may stop taking medications due to liking the euphoria and feeling burdened by side effects and medical visits.
  • Psychotherapy can be useful in the mildly depressive or normal portion of the bipolar cycle, but not during acute manic stages.

Test your knowledge of bipolar disorder with this quiz covering key facts and the clinical course of the condition. Explore topics such as manic episodes, mixed episodes, prevalence rates, age of onset, and the role of psychotherapy in managing the disorder.

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