Understanding Bipolar Disorder and Its Episodes
Explore the types of bipolar disorders, major features, differences between manic and hypomanic episodes, characteristics of mania, and depressive episodes. Learn about the Mini International Neuropsychiatric Interview (MINI) for diagnosis.
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Presentation Transcript
Bipolar Disorders Cody Stitzel
Questions of the Day 1) How many types of Bipolar Disorders are there? 2) What is the major feature of Bipolar Disorder? 3) What is the difference between a manic and hypomanic episode?
Bipolar Disorders Mood disorder depicted by significant changes in mood that typically last a week or more Bipolar I Manic (and sometimes hypomanic or depressive) episodes Bipolar II Hypomanic and depressive episodes Can be mixed episode
What is Mania? A distinct period of abnormally and persistently elevated, expansive, or irritable mood + Abnormally and persistently increased goal-directed activity or energy 3 or more of the following (4 or more if mood is irritable): Inflated self-esteem or grandiosity Decreased need for sleep More talkative than usual or pressure to keep talking Flight of ideas or subjective experience of racing thoughts Distractible Increase goal-directed activity Excessive involvement in high risk activities
How is Mania Different From Hypomania? Hypomanic episode > 3 days Manic episode > 7 days Hypomanic episodes common in Bipolar I, though not necessary for diagnosis
What is a Depressive Episode? A distinct 2 week period where depressed mood or loss of interest is present most of the day, nearly every day Five or more of the following: Depressed mood Diminished interest in all or most activities Weight loss or gain Insomnia or hypersomnia Psychomotor agitation Fatigue or loss of energy Feelings of worthlessness Loss of concentration Recurrent thoughts of death
Mini International Neuropsychiatric Interview (MINI) Brief structured interview for major DSM diagnoses Different modules for each disorder Used by clinicians after a brief training Inform clients of structure and to answer with yes or no Clinical judgment should be used when appropriate
Discussion Was Mary in a manic or hypomanic episode? Objections/differences in scoring? Was she in a depressive episode? Objections/differences in scoring? Were you able to answer all of the questions, or did you have difficulty with some? What are some pros of using a structured questionnaire? Cons?
