June
2008
Bipolar Disorder - Manic Depressive Illness
Bipolar disorder involves mania. 2 types: bipolar disorder I and II. Focus on I: episodes of sustained mania and usually depressive episodes. bipolar disorder is often undetected and a person is treated for depression instead. 1% prevalence. Probably genetic component to this disorder. Men and women are equally affected, and usually onset age 15-30.
Mania has 5 criteria per American Psychiatric Association 1) at least 1 week of abnormally and persistently elevated, expansive, or irritable mood. 2) During this time of mood disturbance, 3 of the following (4 if mood is only irritable): a) inflated self-esteem or grandiosity b) decreased need for sleep c) more talkative than usual or pressure to keep talking d) flight of ideas or subjective experience that thoughts are racing e) distractibility f) increase in goal-directed activity g) excessive involvement in pleasurable activities that have a high potential for painful consequences 3) The symptoms don’t meet criteria for mixed episode 4) The mood disturbance a) is sufficiently severe to cause marked impairment in occupational functioning, usual social activities, or relationships with others, b) necessitates hospitalization to prevent harm to self or others, or c) has psychotic features. 5) The symptoms are not due to the direct physiological effects of a substance (eg, a drug of abuse, a medication, or other treatment) or a general medical condition (eg, hyperthyroidism).
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