Bipolar Disorder: criteria, types, symptoms, and treatment

Welcome to the dirty psychiatry series of dirty medications in this video, we will talk about all

bipolar

spectrum

disorder

s, this is what we are going to cover today, we will begin discussing the

symptoms

of all

bipolar

spectrum

disorder

s. For bipolar disorder that are stabilizers of mood in general they will be covered in their own video, so let's start by talking about the

symptoms

that generally present in someone who suffers from one of these bipolar spectrum disorders now may have heard about the symptoms of SIGE when people talk about the major depressive disorder and as in the major depression with their symptoms of Caps Ciggy Mania, which is the point. of the symptoms of the bipas of the classics or the point of the specifications of the bipordúrumes or the point of the symptoms of the classic or the point of the symptoms of the symptoms of the focal of the classic or the point of the symptoms of the bipordúrumes or the point of the symptoms of the symptoms of the bipas of the focal or the symptoms of the symptoms of the biopor.

Point of the symptoms of the symptoms of bipas bipas. The presentation is composed of its own acronym for symptoms and these symptoms are called Dig Fail Dig Fa s t and must be familiar with what each of these letters represents because each of these symptoms is part of the

criteria

for things such as bipolar one bipolar and cyclootimia, so, therefore, pass through this D of distraction, so this is the distraction capacity of someone who begins to a task and then we see that we see that we see the left of someone. Left and then we see that someone is seen on the left and then we see that someone is seen to see a task of the left and then we see that someone is seen to see a task of the left and that we see to the left.

Their eye and then stop what they are doing and do something else and then they are doing another task and then stop what they are doing because someone begins to talk to them and then get involved with that person, so they bounce like this and, easily distracted, it is called the distraction of the top of the upper part of the upper part and the trains of the move and the traffic of the climbing of the classics and this is a behavior of the protection of the protection of the protection of the protection of the furniture And just as going through the cable to the next pole, so a very impulsive risky behavior that is out of place, so the patient could do typically if they were not manic, grandeur is what it means that G is what is great means that you think it is more important than it really is and when someone has a bipolar and they are manic, they could believe that they are Jesus or that they are Jesus.

Understand the really complex astrophysics or something, so it is greatly a It is so fast that it is so fast that it is so fast that it is a large amount that it cannot have a word that it cannot take into account that the emptiness of ideas is the part of thought content and then comes out of its mouth as the really fast discourse, which is the T at the end of this mnemonic, which is a large number of ideas, so that a leak of ideas and a kind of size, is accompanied by the escape of ideas is the content in its brain which is uninterrupted, which is the T and the conversation that comes out of its mouth, the activity of the activity and this is the activity of the objectives.

Have some kind of effort in which they are starting an example could be someone who wants to save all hungry children in Africa, so they go to a bookstore and buy thousands of books and then go to a UPS store or a Fedex and buy all these boxes to send all these books and arrive at the store and realize that they do not have enough money and then leave that different task and begin the different task of all these task of all these books. And they begin to buy all the bags of the Hershey bars that are there in the paid hall because they will send all these hereshey bars to Africa and are bouncing from one goal to the next, although it never completes in most cases that are an unrealistic dream and specifically this goes to a decrease in the need to sleep, this is really important and I want to occur for a second to occur to the two patients who are in the two patients who are in the two patients. patients.

Sleep and it is really important that you understand this difference, especially for step two, level two and beyond because test writers can get it here, so in the depressed patient you will generally have trouble sleeping, but despite only two to three hours sleep, but still maintain that incredibly high level of energy and are not tired, so it is a diminished need to sleep, do not sleep to sleep and that subtlety is very high, because if you write a writer. Question what I could ask in the question of the question that the patient only slept for two hours and then is his work to solve this depression, which I am seeing the depressed phase of a bipolar disease, since he will learn later the patients with whom patients with a videos that occur this depression occur. depressed states and states of low energy or it is this someone who is simply depressed and has a major depressive disorder and only have a unipolar unipolar depression for a survey because it is only below and depressed, it is not bipolar bipolar bipolar surveys that is not so and manic and depressed and depressed, so it is a very high point about the dream and then the dream and then we have already talked about the tea.

Life, so it is said that tea is said that tea is said to say tea, what is said, what is said, what is said. Siggy's covers are depression, so you must know these symptoms absolutely because they will be described in the clinical vignettes of their questions, so now that it understands how the symptoms see the symptoms. Episode are immediately diagnosed with a bipolar disorder that stops what you are doing. The diagnosis is bipolar, so you do not have to worry about bipolar 1 versus bipolar 2 versus cyclootimia if they have a manic episode, it is bipolar 1 termination of discussion, so we talk about what a manic episode really consists of a manic episode of a horny episode is 4 of 7 DIs quick symptoms, so the symptoms of the symptoms of the symptoms that only talk about the symptoms that only talk about the symptoms of quotas of the quotas.

Lasts for at least one week so 4 of 7 dig fast symptoms that last for alt least one week is a manic episode or now this is the very high yield yield point for stepp two level two and beyond if the patient gets hospitalized they present with psychototic features and there's a Known History of submordolar spectrum disorder it automatically qualifies to manic episode it Automatically qualifies as bipolar one disorder so i want to be see Clear here if he is taking his test and they give at least four of those symptoms of dickfist. They will give you the timeline, so be sure to read it in the question if there are at least four rapid excavation symptoms that last at least seven days, it is a manic episode and that means that it is mania that is bipolar, so in bipolar two you are not obtained more that is called more that is called hypomania and it will get a little contact.

The alternative hypomania with something called dystimia that we will touch in a moment, but the only bipolar spectrum disorder that really presents a real manic episode is a bipolar disorder, so I am repeating several times here because this is so high, please, please, please know that this 4 of 7 fast symptoms last at least a week makes you a bipolar that you are bipolar that you are doing and choose what you are doing and you Answer or if you get a patient who seems that the type of patient is that the type of patient is that the type of question is to be belonging to what the patient must be seen that is in which there is a patient who is like in which there is a patient who is like a patient who is in which there is a patient who is as if the voyant is the one that is being a patient as a patient like in which there Patient as a patient like there is. is a real pain in the ass and they they give you like three symptoms of dig fast but they tell you that the patient ends up admitted to inpatient psychiatry it's bipolar one disorder scholause as long asy're getting admitted to the hospital it's a it's a automatically qualifies Bipolar One Disorder Same Thing with Psychototic Symptoms Don't Worry about the Subtleties Here Just Memorize Four of Seven Take Fast Symptoms for At Least One Week Is A Manic Episode and That Qualifies As Bipolar One Disorder Now the more or less depressive episode Taught that bipolar means two poles and you are changing between the mania, which is the advantage and depression, and it is absolutely true that the patient will have manic and depressed episodes, but it is the manic episode that will seal the diagnosis for you, so, so he remembers that this right remembers this really important.

He wants him to remember that Mania is a fun week, so he has a fun week, it lasts seven days, there are four of seven symptoms for at least seven days or at least a week, so a fun week and if we compare that with the major depressive disorder, the MDD Major depression is two blue weeks, so there is a fun week for the mania and two blue weeks for depression well, one week of depression, a week of depression, one week Depression, therefore, therefore, therefore, therefore, therefore, therefore, therefore, therefore, therefore, a week, therefore, a week, therefore, a week, therefore, a week, therefore, therefore, a week, therefore, a week, therefore, a week, therefore, a week, therefore, a week, therefore.

A week is bipolar, now, this is what we have talked about so far and I want to illustrate this in a small graph so that you can understand how a bipolar disorder is seen in terms of its clinical fluctuation, so here is youth a mine in the middle of the graphic and amia youth simply means that normal mood is not depressed. The mood is more expansive, perhaps it is more irritable, it is above Thymio's youth, so it is maniac and the depression phase is obviously in blue, so if you know that you will go down and are getting worse of what you think will be depressed, so it is this fluctuation between the manic episode and the depressed episode that the episode was depressed depressed.

Disorder If we wanted to deal with this, what we would do is that we would like to fix the mania and return to the youth that you see there in the red phase of the graph and if we wanted Drug addicts of the videos. Maniac portion would use mood stabilizers such as lithium -carbamazepine lithium valproic oceanzapine and risperidone now stabilizers of mood despite the fact that it is a great category that are drugs that are drugs that stabilize their mood are actually drug mood of the valleys and mood are the state of medicines of the beloved of the Vápica and the state of medication that are actually used, lithium are used in itself.

Olanzapine and risperidone stabilizers are atypical or second generation antipsychotics that are used as mood stabilizers, so they are really used in their own category despite Quetiapine So Again We're Pulling Different Drugs from Different Categories and using them to treat Drugs wheill they're antipsychotges or whether they're anti-epileptics all have mood Stabiling properties and fix the manic episode or the fluctuation Between mania and depression now submiss SSRI ALONE TO A PATIENT THAT'S MANIC OR A PATIENT THAT HAS BIPOLAR ONE AND IS IN THE PORTION OF MANIA O A bipolar disorder that lends me for a second that were like Huh, see that someone is having symptoms of depression depression.

A SSRI, so you give them a SSRI and when it presents the SSRI, pushes the depressed part of this graphic to AMIA youth and you are like an incredible medicine student, I suggested that the patient obtains a SSRI and now his depression has gone, but what has left, but what whatIt has gone. It happens to the patient with a bipolar disorder is that he pushes them beyond their Thema and unfortunately throws them into the mania because when the depressed part is reversed, excessive and turning them to the mania, so it is a high performance, never gives an ISRS only to a manic patient, this is what we have spoken so far from their own stabilizers of mood in terms of adverse mechanism Clinical drugs of the drug and all the clinical grays of the drug and all the grautics of the drug and all the drug graphs and all the drug graphs and all the drug graphs and all the drug graphs and all the grays of the drugs of the drug and everything that we have spoken of their own videos and what we have talked about and what we have talked about own stabilizers. coming but now let's switch gears and talk about bipolar two disorder so bipolar two is a lot like bipolar one and the Major Difference here is that instead of a manic episode episode these patients get Hypomanic Episodes They Get Hypomanic Episodes usually prominent Major depressive episode but what what the different 7 Fast excavation symptoms for at least four days and are never peanuts, so they are not 4 or more symptoms for 1 week, which was the criterion for mania and bipolar 1 and never obtain psychotic characteristics because if they obtain psychotic characteristics that would be diagnosed with a bipolar disorder or something like the type of bipolar disorder will be diagnosed, but in this case they are diagnosed bipolar disorder that is diagnosed.

Criteria for mania and are only for four days instead of 7, so it is a mania of hypomania, so they will present symptoms that sound as if they were peanuts, their speech could be really fast and could have increased the activity directed by objectives, perhaps there are perhaps there are little great. Mnemonic for you, so I want you to remember Hicar Mein Threa, so hiccase has four letters that remind me that you need this for at least four days and instead of saying mania, I say three main to 'three main to' three because you need three of the seven fast symptoms, so the hypomania is how I remember the hypomaniac

criteria

of the episodes and again hiccip And the three three of the seven of the seven of the seven of the seven, the seven cava symptoms are the Hipomané symptoms.

Just to illustrate this let's go back to the graph so This is the graph that I showed you for bipolar one disorder there was the manic episode that flipped into depressive episodes and the patient woold alternate Between the Two Since Hypomania is a little bit bit les than mania man. if we just bump that red part of the graph download a little bit this is What bipolar 2 looks like so the patient will alternate Between before Hypomanic Episodes and also Major depressive episodes it's three of seven dig fast symptoms for at least four days when they are in the part of at least four days when they are in the part of at least four days Hypomaniac and when they are in the largest depressive part, they are only the criteria for the major depressive disorder, so it knows Larezo Doane Which Are Atypical Second-Generation Antipsychotics But the Subtleties of That Are Beyond The Scope of This Lecture and Mood Stabilizers We'll Get Their Own Video SO that's bipolar two disorder let's talk about cyclothmia so a Lot of People a Lot of Medical Students Get Really Caught Up On Exams With The Terminology Here of Cyclothymia and Dyshymia and All The Things That End About criteria for cycleimia cycle meaning cycling or alternation and thighs that mine is how of mood, so the right youth is a normal mood.

On the hypomaniac episodes, in fact, we have just talked about it, there are 3 of 7 rapid excavation symptoms for more than 4 days, so 3 at least 4 days 3 of 7 dig rapid symptoms, so that the patient has hypomaniac episodes, but when they are not hypomaniacs that have district episodes and district episode Excuses, they should say more than 2 and no more than 4 symptoms, and they are not more than 4 symptoms. Not Meet Criteria For Major Depressive Disorder So It's Sort of Like Baby Depression So If You Want To Think About Cyclothymia In A Really Simple Way ITS Baby Mania Alternating With Baby Depression The Never Meet Criteria For Mania The Never Meet Criteria for A Major Depressive Epis. they're still a Little Hypomanic and they're a little depresssed at time so they're flipping between them so if we put like on a graph instead of mania and Major depression it's gonna be hypomania and dysthymia then, the patient will alternate, they will alternate, they will alternate, they will alternate, they will alternate, the patient will alternate.

Active, but they are not completely awake because they are only hypomaniac and then those red parts of the graphic will have three of seven rapid excavation symptoms for at least four days, but when they are down, they will not be the one that will have at least four symptoms. MDD Then, this is how cycloimia is seen in our mood graph in such an important way to know, so only memorize that cycloimia, which means that alternating the mood, are hypomaniac episodes mixed with the Dis imim-Kepis odes and this alternation occurs at least two years of high performance.

Bipolar one bipolar two or cyclootimia, but the patient will still be presented with the great fast symptom, so these are some things that the steroids should take into account if a patient begins with steroid And then you can obtain an autoimmune induced mania, so some people with autoimmune conditions such as lupus can become peanuts if the disease is not correctly managed Neurosyphilis and HIV can cause combined degeneration combined by a vitamin B12. Zaira's disease is Lyme's disease of Masquerader Lyme, which I did not put in this slide, can cause mania and then you know that Wilson's disease there are many more causes, but I am only listing some things that you could see emerging because there are neuropsychiatric manifestations of all these disease processes, so I maintain this on the back, but that is that for this video, I hope that now I hope that now I hope that now I hope that now I hope that I now Now you have to now.

That you understand the symptoms of Dig Fast the criteria for each of these three different disorders and how they are seen in the graphics if you have enjoyed this video, know that more psychiatry videos are approaching and will be an expert for when it ends.