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Bipolar disorders

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Page 1: Bipolar disorders. Other Conditions Mood disorder or personality dysthymia cyclothymia Grief reaction denial, depression, acceptance Atypical grief Adjustment

Bipolar disorders

Page 2: Bipolar disorders. Other Conditions Mood disorder or personality dysthymia cyclothymia Grief reaction denial, depression, acceptance Atypical grief Adjustment

Other Conditions

Mood disorder or personality dysthymia cyclothymiaGrief reaction denial , depression , acceptance Atypical grief Adjustment disorder

Page 3: Bipolar disorders. Other Conditions Mood disorder or personality dysthymia cyclothymia Grief reaction denial, depression, acceptance Atypical grief Adjustment

Bipolar disorders

DefinitionC/F1-behavior dress,expression,activity,attitude2-mood Euphoria, elation, ecstasy, irritability3- speech Form rapid Content

Page 4: Bipolar disorders. Other Conditions Mood disorder or personality dysthymia cyclothymia Grief reaction denial, depression, acceptance Atypical grief Adjustment

4- thought Form flight of ideas Content delusion grandiose5- perception Hallucinations6-cognition Distractibility Disinhibition, reckless spending7- insight N/B Sleep appetite Mania and hypomania

Page 5: Bipolar disorders. Other Conditions Mood disorder or personality dysthymia cyclothymia Grief reaction denial, depression, acceptance Atypical grief Adjustment

Bipolar disordersDDx schizophrenia drug induced states organic conditions Etiology 1- genetic 2- amine theory Raised noradrenaline metabolites Serotonine related mechanism Dopamine 3-psychological Flight into mania

Page 6: Bipolar disorders. Other Conditions Mood disorder or personality dysthymia cyclothymia Grief reaction denial, depression, acceptance Atypical grief Adjustment

Bipolar disorderEpidemiologyAge 30Prevalence 0.6-1%No women excess

Course and prognosis 3-6 months Recurrence 50 % Less mania more depression

Page 7: Bipolar disorders. Other Conditions Mood disorder or personality dysthymia cyclothymia Grief reaction denial, depression, acceptance Atypical grief Adjustment

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

Page 8: Bipolar disorders. Other Conditions Mood disorder or personality dysthymia cyclothymia Grief reaction denial, depression, acceptance Atypical grief Adjustment

Bipolar disorder

Bipolar depression unique entity mood stabilizers , lamotrigine

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