Clarke University Psychology Department PSYC 221 Abnormal Psychology Spring 2013 Assessment Three Learning Objectives Chapters 8, 13 Mood Disorders Personality Disorders 11. Understand the features of a manic episode Manic Episode A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week (or any duration if hospitalization is necessary). Manic Episode During the period of mood disturbance, three (or more) of the following symptoms have persisted (four if the mood is only irritable) and have been present to a significant degree: Manic Episode Inflated self esteem or grandiosity Decreased need for sleep (e.g. feels rested after only 3 hours of sleep) More talkative than usual or pressure to keep talking Flight of ideas or subjective experience that thoughts are racing Manic Episode Distractibility (i.e, attention too easily drawn to unimportant or irrelevant external stimuli) Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation Excessive involvement in pleasurable activities that have a high potential for painful consequences (i.e., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments) Bipolar Disorder Quotes “I wish I didn’t have to keep my girlfriend with sex.” (pause) “You know, there are some benefits to being manic depressive.” (longer pause) “I wish I could say, ‘Oh, lets have sex next year.’ Bipolar Disorder Misc. Bipolar Disorder Approximately 10% - 15% of adolescents with recurrent Major Depressive Episodes will go on to develop Bipolar I Disorder. http://www.mental-health-today. com/bp/bi1.htm Bipolar Disorder Recent epidemiological studies in the United States indicate that Bipolar I Disorder is approximately equally common in men and women (unlike Major Depressive Disorder, which is more common in women). http://www.mental-health-today. com/bp/bi1.htm Bipolar Disorder The first episode in males is more likely to be a Manic Episode. The first episode in females is more likely to be a Major Depressive Episode. http://www.mental-health-today.com/bp/bi1.htm Bipolar Disorder Studies of the course of Bipolar I Disorder prior to lithium maintenance treatment suggest that, on average, four episodes occur in 10 years. The interval between episodes tends to decrease as the individual ages. There is some evidenced that changes in sleep-wake schedule such as occur during time zone changes or sleep deprivation may precipitate or exacerbate a Manic, Mixed, or Hypomanic Episode. http://www.mental-health-today.com/bp/bi1.htm Bipolar Disorder Approximately 5% - 15% of individuals with Bipolar I Disorder have multiple (four or more) mood episodes (Major Depressive, Manic, Mixed, or Hypomanic) that occur within a given year. if this pattern is present, it is noted by the specifier With Rapid Cycling...A rapid-cycling pattern is associated with a poorer prognosis. http://www.mental-health-today.com/bp/bi1.htm What is the difference between Bipolar I Disorder and Bipolar II disorder? Bipolar II Disorder A) Presence (or history) of one or more Major Depressive Episodes B) Presence (or history) or at least one Hypomanic Episode C) There has never been a Manic Episode or a Mixed Episode Mood Spectrum Graphic Mood Spectrum from Time 08 19 02 © 2002 Time Inc. pe03513_