Bipolar disorder

Bipolar disorder - Mood stabilizers Lithium anticonvulsant...

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Bipolar disorder o DSM-IV criteria More severe than MDD Higher suicide risk than MDD Bipolar I - normal periods in between major depressive episodes and manic episodes Bipolar II – normal periods in between Major depressive episodes and hypomanic episodes Lifetime prevalence – 1% Equal sex ratio Onset: 18-22 o Cyclothymia Hypomanic episodes alternating with mild depression Chronic – 2+ years “Moody” with few neutral moods 1/3 go on to develop bipolar o Causes Less known than MDD Biology – genetics: bipolar disorders seems to have a stronger genetic component than MDD o If a family member has bipolar disorder your increased risk is for a mood disorder NTM – elevated dopamine associated with manic episodes Initial evidence that the age of father may increase risk for bipolar disorder because coping error in DNA Social – Stressful events can trigger episodes o Treatment – if you could only choose one treatment, go with medicine
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Unformatted text preview: Mood stabilizers: Lithium, anticonvulsant meds: recommended to start with Lithium because it decreases suicide • 50% benefit from lithium and toxic at high doses, severe weight gain Psychotherapy – increase compliance • Family therapy – help family understand what is going on with individual and better communication, and support • Family therapy + medicine leads to better compliance and fewer relapse (& longer time until relapse) Eating Disorders • Anorexia Nervosa (AN) o Clinical description DSM-IV criteria • Very low weight for height, <85% of their ideal body weight, usually accomplished by food restriction • Intense fear of gaining weight • One of the following… o Disturbed body perception o Self-evaluation overly due to weight/shape o Denial or seriousness of low weight • Amenorrhea – 3+ consecutive without a period...
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This note was uploaded on 11/27/2011 for the course PSYC 245 taught by Professor Snyder during the Spring '08 term at UNC.

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Bipolar disorder - Mood stabilizers Lithium anticonvulsant...

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