Kornbluh Quiz Material #2 - PSYCH QUIZ QUESTIONS #2...

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PSYCH QUIZ QUESTIONS #2 – KORNBLUH  BIPOLAR DS 1. What are the symptom domains of bipolar ds?  1. 2. 3. Psychotic symptoms  4. Cognitive symptoms  2. What is the distribution of age of first onset of  bipolar disorders?  Peak @ 15-19 yo 3. What are the DSM-IV criteria A for manic  episode?  elevated, expansive, or irritable  mood lasting at least  1 week (or any duration if hospitalization is  necessary)  4. What is the DSM-IV criteria B for manic episodes?  Criteria B: inflated self-esteem, decreased need for  sleep, more talkative than usual, flight of ideas,  distractibility, psychomotor agitation, excessive  involvement in pleasurable activities that have high  potential for painful consequences  DIG FAST (Distractibility, Irritability, Flight of Ideas,  Affectionate, Subjective feelings of racing thoughts,  Pressure speech)   5. episodes? Criteria C: does not meet criteria for a mixed episode Criteria D: sufficiently severe to cause impairment in  functioning  Criteria E: not due to physiological effects of  substance or general medical condition  6. What is bipolar I disorder?  Mania + depression (1-2% of adult pop)  7. What is bipolar II disorder?  Hypomania + depression (5% of adult pop)  8. What is the age of onset for mania? Is the onset  rapid or gradual?  Early 20’s, adolescence, after 50  Rapid onset  9. What are 50% of mania episodes followed by?  Major depressive episodes 1
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10. How long do mania episodes last? What is the  natural course of a manic episode? How long do  manic episodes last with treatment?  Weeks to months Natural time course: 4-6 months  W/ treatment: 2-4 weeks  11. What is the average number of manic episodes  across lifetime? What is the time period that  separates the 1 st nd  episodes? What is the  trend between episodes over time?  Average: 8-10 episodes 1 st nd  episodes separated by 4-6 years   Inter-episode interval   between 2 nd th  episode  12. What are some predictors of a poor response to  manic episode tx?  1. highly loaded family Hx 2. early age of onset 3. severity of manic episode 4. Hx of past suicide attempts 5. Chronic course 6. rapid-cycling course  13. What are the phases in management of BIPOLAR  DS?  1. Acute mania/hypomania/mixed episode phase 2. Acute depression  3. Maintenance tx 14. What are the strategies to managing BIPOLAR  DS?  1. Rx 2. Psychoeducation  3. Psychotherapy (DBT, IPSRT, family therapy) 
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This note was uploaded on 05/20/2008 for the course PSYCH 5155 taught by Professor Singer-chang during the Spring '08 term at Western University of Health Sciences.

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Kornbluh Quiz Material #2 - PSYCH QUIZ QUESTIONS #2...

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