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Lecture 7

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Psychology 2042A/B
Jeff St Pierre

thLecture 7 mar 5 2013Bipolar disorder Young people with BP display Significant impairment in functioning including previous hospitalization MDD medication treatment cooccurring disruptive behaviour anxiety disorders history of psychotic symptoms and suicidal ideationattempts Symptoms include restlessness agitation sleeplessness pressured speech figh of ideas racing thoughts sexual distinction surges of energy expansive grandiose beliefs Three subtypes based on whether youngsters displays a manic mized or hippomaniac disorder Youngsters with mania may present with atypical symptoms changes in mood psychomotor agitation mental excitation volatile and erratic irritability belligerence and mixed manic depressive features Classic symptoms for children with mania include pressured speech racing thoughts flight of ideas How o distinguish from ADHD Look for grandiosity Eg An ADHD child may jump off a shed rood without thinking of consequences a manic child may jump off because they honestly thought they had figured out the trick to flyingPrevalence Lifetime estimates range from 0429 although its difficult to make an accurate diagnosis In youngsters milder bipolar II and cyclothymic disorder are more likely than bipolar I rapid cycling also more common Extremely rare in young children but increases after puberty Affects males and females equally but boys may show more manic mood and girls more depressedOnset course and outcome About 60of patients with BP have first episode prior to age 19 With onset before age 10 being extremely rare Peak age of onset between 1519 years of age Risk factors for mania Major depressive episoderapid onset psychomotor retardation and psychotic features and a family history of mood disorders especially BP Adolescents with mania typically experience psychotic symptoms unstable moods with mixed manic and depressive features and severe deterioration Early onset and course is chronic and resistant to treatment with poorer long term prognosisCauses Few students have looked at a cause of BP in children and adolescents Research with adults suggests that BP is the result of a genetic vulnerability in combination with environmental factors Multiple genes
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