PHRM 311 Lecture Notes - Lecture 15: Anticonvulsant, Etiology, Atypical Antipsychotic
Document Summary
More diffuse to all things, less specific to one object. Decreased need for sleep (e. g. rested after 3 hours) Flight of ideas, nearly continuous flow of accelerated speech. Increase in goal-directed activity (e. g. work, social, sexual, restlessness) Excessive involvement in high-risk activities (e. g. spending 8008, sexual indiscretion) Bipolar ii disorder no manic episode, but hypo-manic episode. Cyclothymic disorder numerous subsyndromal episodes over 2 years. Rapid-cycling 4 or more mood episodes within 1 year. Mixed episode/features full criteria for mania or hypomania, with 3 or more depressive symptoms. Age of onset: 15-25 years old (may have later onset around 45-54 years old) Long term follow-up % time in mood state. Higher premature deaths (~10 year life loss) Bipolar patients have 2x higher risk of death compared to general population. Unintentional injuries, suicides (7% of deaths in bd) 24% return to normal life functioning 1 year after hospitalization. 57% unable to work, or work in supportive environment.
