Bipolar Disorders and Other Related Conditions
Bipolar disorders encompass a range of mood and behavioral disturbances, characterized by fluctuations between mania and depression. Other conditions like mood disorders, dysthymia, cyclothymia, and grief reactions are also discussed, along with management strategies involving mood stabilizers and close monitoring. The content delves into the definitions, clinical features, differential diagnoses, etiology, epidemiology, and treatment options for bipolar disorders.
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Presentation Transcript
Other Conditions Mood disorder or personality dysthymia cyclothymia Grief reaction denial , depression , acceptance Atypical grief Adjustment disorder
Bipolar disorders Definition C/F 1-behavior 2-mood Euphoria, elation, ecstasy, irritability 3- speech Form rapid Content dress,expression,activity,attitude
4- thought Form flight of ideas Content delusion grandiose 5- perception Hallucinations 6-cognition Distractibility Disinhibition, reckless spending 7- insight N/B Sleep appetite Mania and hypomania
Bipolar disorders DDx 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 disorder Epidemiology Age 30 Prevalence 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
