NU 670 Unit 6
What are the symptoms of depression? - answer feelings of sadness or hopelessness,
anhedonia, negative thoughts about the future, loss of energy, insomnia or
hypersomnia, SI
What are the symptoms of mania? - answer poor concentration or easily distracted,
poor appetite, weight loss, sleeping little, racing speech, impulsiveness, jumping from
one idea to another, heightened sense of self-importance
What is bipolar disorder? - answer A mood disorder in which the person alternates
between the hopelessness and lethargy of depression and the overexcited state of
mania.
What are common risk factors for developing bipolar disorder? - answer Brain structure
abnormalities, comorbid anxiety disorders, substance abuse, environmental factors,
hypothyroidism or hyperthyroidism, family history of mood disorders, high family conflict,
lack of support, and periods of high stress.
What are some poor prognostic indicators for bipolar disorder? - answerBaseline
severity, comorbidities, earlier onset of first depressive episode, high family conflict,
social isolation, increased mood cycling, increased suicide risk, lack of support, longer
untreated illness duration, poor metabolizer genotype, predominant depressive polarity,
previous suicide attempts, psychotic features, rapid-cycling pattern, severity of
depression, and worse quality of life.
What factors are considered favorable prognostic indicators for bipolar disorder? -
answerDiet, exercise, familial support, family psychoeducation, skill building, therapeutic
alliance with clinicians, and adherence to medication and substance misuse recovery
programs.
What is a key diagnostic criterion for Bipolar I Disorder? - answerAt least one manic
episode lasting a minimum of 1 week or any duration during hospitalization.
What symptoms must be present to diagnose a manic episode in Bipolar I Disorder? -
answerChange in energy level, increased activity, expansive mood, decreased need for
sleep, distractibility, impulsive behavior, abnormal goal-directed behaviors, and
psychomotor agitation.
HOw is a manic mood and behavior characterized? - answereuphoria, grandiosity,
pressured speech, impulsivity, excessive libido, recklessness, social intrusiveness,
diminished need for sleep
, How does dysphoric or negative mood and behavior in bipolar manifest? -
answerdepression, anxiety, irritability, hostility, violence or suicide
What are psychotic symptoms of bipolar? - answerdelusions, hallucinations, formal
thought disorder
What are the cognitive symptoms of bipolar disorder? - answerracing thoughts,
distractability, disorganization, inattentiveness
How is a manic episode characterized? - answerat least one week, severely disturbed
functioning, requires hospitalization, aggressive or agitated, may have delusions of
grandeur
How is a hypomanic episode characterized? - answerat least 4 days but lasts longer,
mildly disturbed functioning, usually treated in CMH centers, goal-directed hyperactivity,
no delusions
What is the significance of a family history in bipolar disorder? - answerA family history
of first-degree relatives with major depressive disorder or bipolar disorder is a significant
risk factor.
How does environmental stress impact bipolar disorder? - answerAdverse childhood
events, maltreatment, and trauma are environmental factors that can increase the risk
of developing bipolar disorder.
What is the role of exercise in managing bipolar disorder? - answerExercise is
considered a favorable prognostic indicator and can contribute to better management of
symptoms.
What is the impact of social support on bipolar disorder prognosis? - answerLack of
social and family support is a poor prognostic indicator, while familial support is
favorable.
What does 'rapid-cycling pattern' refer to in bipolar disorder? - answerA pattern
characterized by frequent mood episodes, including manic and depressive episodes,
occurring within a short period.
What is the relationship between untreated illness duration and bipolar disorder
prognosis? - answerLonger duration of untreated illness is associated with poorer
prognosis.
What are the implications of a predominant depressive polarity in bipolar disorder? -
answerIt is considered a poor prognostic indicator and may lead to more severe
depressive episodes.
What are the symptoms of depression? - answer feelings of sadness or hopelessness,
anhedonia, negative thoughts about the future, loss of energy, insomnia or
hypersomnia, SI
What are the symptoms of mania? - answer poor concentration or easily distracted,
poor appetite, weight loss, sleeping little, racing speech, impulsiveness, jumping from
one idea to another, heightened sense of self-importance
What is bipolar disorder? - answer A mood disorder in which the person alternates
between the hopelessness and lethargy of depression and the overexcited state of
mania.
What are common risk factors for developing bipolar disorder? - answer Brain structure
abnormalities, comorbid anxiety disorders, substance abuse, environmental factors,
hypothyroidism or hyperthyroidism, family history of mood disorders, high family conflict,
lack of support, and periods of high stress.
What are some poor prognostic indicators for bipolar disorder? - answerBaseline
severity, comorbidities, earlier onset of first depressive episode, high family conflict,
social isolation, increased mood cycling, increased suicide risk, lack of support, longer
untreated illness duration, poor metabolizer genotype, predominant depressive polarity,
previous suicide attempts, psychotic features, rapid-cycling pattern, severity of
depression, and worse quality of life.
What factors are considered favorable prognostic indicators for bipolar disorder? -
answerDiet, exercise, familial support, family psychoeducation, skill building, therapeutic
alliance with clinicians, and adherence to medication and substance misuse recovery
programs.
What is a key diagnostic criterion for Bipolar I Disorder? - answerAt least one manic
episode lasting a minimum of 1 week or any duration during hospitalization.
What symptoms must be present to diagnose a manic episode in Bipolar I Disorder? -
answerChange in energy level, increased activity, expansive mood, decreased need for
sleep, distractibility, impulsive behavior, abnormal goal-directed behaviors, and
psychomotor agitation.
HOw is a manic mood and behavior characterized? - answereuphoria, grandiosity,
pressured speech, impulsivity, excessive libido, recklessness, social intrusiveness,
diminished need for sleep
, How does dysphoric or negative mood and behavior in bipolar manifest? -
answerdepression, anxiety, irritability, hostility, violence or suicide
What are psychotic symptoms of bipolar? - answerdelusions, hallucinations, formal
thought disorder
What are the cognitive symptoms of bipolar disorder? - answerracing thoughts,
distractability, disorganization, inattentiveness
How is a manic episode characterized? - answerat least one week, severely disturbed
functioning, requires hospitalization, aggressive or agitated, may have delusions of
grandeur
How is a hypomanic episode characterized? - answerat least 4 days but lasts longer,
mildly disturbed functioning, usually treated in CMH centers, goal-directed hyperactivity,
no delusions
What is the significance of a family history in bipolar disorder? - answerA family history
of first-degree relatives with major depressive disorder or bipolar disorder is a significant
risk factor.
How does environmental stress impact bipolar disorder? - answerAdverse childhood
events, maltreatment, and trauma are environmental factors that can increase the risk
of developing bipolar disorder.
What is the role of exercise in managing bipolar disorder? - answerExercise is
considered a favorable prognostic indicator and can contribute to better management of
symptoms.
What is the impact of social support on bipolar disorder prognosis? - answerLack of
social and family support is a poor prognostic indicator, while familial support is
favorable.
What does 'rapid-cycling pattern' refer to in bipolar disorder? - answerA pattern
characterized by frequent mood episodes, including manic and depressive episodes,
occurring within a short period.
What is the relationship between untreated illness duration and bipolar disorder
prognosis? - answerLonger duration of untreated illness is associated with poorer
prognosis.
What are the implications of a predominant depressive polarity in bipolar disorder? -
answerIt is considered a poor prognostic indicator and may lead to more severe
depressive episodes.
