PSY 351 Lecture 6: Bipolar Disorder and Cyclothymia

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Western Washington University
PSY - Psychology
PSY 351
Stephanie Grimm

Psych 351 4/27/17 Abnormal Psych Bipolar Disorder and Cyclothymia A. DSM 5 change= give separate chapter in between depressive disorders and schizophrenia. - Acknowledgement of genetic relatedness - Bipolar I and II, Cyclothymia. B. DIGFAST symptoms - Distractibility- poorly focused, multitasking - Insomnia- decreased need for sleep - Grandiosity- inflated self esteem - Flight of ideas- complaints of racing thoughts - Activities- increased goal-directed activities - Speech- pressure or more talkative - Thoughtlessness- “risk taking”- behaviors (sexual, financial, travel, driving etc.) C. Can be positives to mania- ex: increase in goal related activities—but mostly very harmful. D. Inflated sense of self leads to riskiness. All symptoms interplay with each other/ interact with each other. E. Bipolar I - Person must meet requirement of a manic episode - 3 or more symptoms in a week or more - If irritability is present, must have 4 symptoms for diagnosis. - Depression does not have to be present but it typically is. - 90% of people with bipolar I will experience depression. - Historically more severe but current understanding is that one should consider them equitable. - Experience of bipolar I and II feel depressed over course of time. This can lead to misdiagnosis/ problems with diagnosis. - Prevalence= .06% F. Bipolar II - Depression has to be present - Hypomanic –must have some symptoms of mania G. Similar number of symptoms for bipolar I but must be 4 days at least. H. Cyclothymia - Less symptoms than hypomania - Not enough symptoms to meet requirements for depression - Must have a little for each. - 50% who could qualify for bipolar disorders never seek help. I. Being an adolescent has experiences that are very similar to symptoms - If typical of age and context/ not cause disability to function then leads towards typical adolescent behavior - Something to consider when diagnosing - Disagreement on accuracy of diagnosis. - Continuum of normal J. More normal/ asymptomatic behavior than depressive/ manic episodes. K. Different expression of symptoms across
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