bipolar disorders. other conditions mood disorder or personality dysthymia cyclothymia grief...
TRANSCRIPT
Bipolar disorders
Other Conditions
Mood disorder or personality dysthymia cyclothymiaGrief reaction denial , depression , acceptance Atypical grief Adjustment disorder
Bipolar disorders
DefinitionC/F1-behavior dress,expression,activity,attitude2-mood Euphoria, elation, ecstasy, irritability3- speech Form rapid Content
4- thought Form flight of ideas Content delusion grandiose5- perception Hallucinations6-cognition Distractibility Disinhibition, reckless spending7- insight N/B Sleep appetite Mania and hypomania
Bipolar disordersDDx 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 disorderEpidemiologyAge 30Prevalence 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