Exam 4: Bipolar and Related Disorders

A client with a history of bipolar disorder tells the social worker that he has experienced 1 week of an elevated and expansive mood. Which of the following would suggest that this client is having a hypomanic rather than a manic episode?

Imagine for a moment that you have an adolescent on your caseload who presents with distractibility. Which of the following symptoms would suggest more of an association with the bipolar II symptom picture rather than attention-deficit/hyperactivity disorder?

Which of the following symptoms differentiates cyclothymic disorder from bipolar I disorder?

The essential feature of cyclothymic disorder is a chronic, fluctuating mood disturbance involving numerous periods of hypomanic symptoms and periods of depressive symptoms that are distinct from each other.

Euphoria, boundless optimism, inflated self-esteem and grandiosity are characteristic symptoms of Bipolar I disorder, current or most recent episode manic.

A family practice physician who has an office in the same building where you have your private practice refers one of his patients to you suspecting medication abuse. You see a 48 year old man, John Clay Edsel, who tells you that his doctor prescribed an antidepressant to help him with his symptoms of a major depressive episode. In a rapid-fire fashion, Mr. Edsel very quickly describes his symptom picture. As soon as he started his antidepressant medication, Mr. Edsel reported that he began to have increased energy, racing thoughts, found it hard to sit still, and it was difficult for him to concentrate. Mr. Edsel also related a decreased need for sleep adding, "Three hours is all I need to wake up refreshed. I'll sleep longer when I'm retired." He adds, "After about 2 or 3 days I quit taking the antidepressants." Mr. Edsel's depression stopped but the new symptoms have continued. What is Mr. Edsel's diagnosis?

Gene Colman has a history of bipolar I disorder. He currently presents with a new-onset manic episode and it has been successfully treated with an adjustment in his medication. He tells the social worker that he has had chronic depressive symptoms that, looking back, preceded his manic episodes. These symptoms of depression were described as "feeling down," decreased energy, and more often than not having no motivation. While Gene denies other depressive symptoms, he contacted the social worker because his wife has started to complain about his "unpredictable" behavior. "My wife never complained when I was depressed because she knew what to expect," said Gene. What is the most likely diagnosis for Gene?

Which of the following features indicates a worse prognosis for someone with bipolar I disorder?

Which of the following statements best apply to a person with "rapid cycling":

Of the bipolar disorders, bipolar I is less serious than bipolar II.

Psychotic features are very rarely noted in the Bipolar I disorder.

The diagnostic features of substance/medication-induced bipolar and related disorder are essentially the same as those for mania, hypomania, or depression.

Attention-deficit/hyperactivity disorder ADHD) may be misdiagnosed as bipolar II disorder, especially in adolescents and children.

The change in the criteria for bipolar and related disorders from the DSM-IV-TR to the DSM-5 is best represented by:

Manic symptoms that can be attributed to the physiological effects of a drug of abuse, the side effects of medications or treatments, or another medical condition do not count toward the diagnosis of bipolar I disorder.

Mason Turner has had "mood swings" for about the past five years. His "high" periods are relatively short-lived and are characterized by an increase in goal-directed activity and an inflated sense of self-esteem. When Mason experiences "low" periods, they, too, are of short duration and characterized by a depressed mood and subsequent fatigue. While Mason does not consider his present problems severe, his wife, Yvonne, feels that he might need some help. Given these symptoms, Mason is most likely suffering from which mood disorder?

Those with a diagnosis of Bipolar II disorder will likely require hospitalization at some point during the course of the illness.

Bipolar I disorder is characterized by severe alterations in mood that are usually episodic and recurrent.

Mason Turner has had "mood swings" for about the past five years. His "high" periods are relatively short-lived and are characterized by an increase in goal-directed activity and an inflated sense of self-esteem. When Mason experiences "low" periods, they, too, are of short duration and characterized by a depressed mood and subsequent fatigue. While Mason does not consider his present problems severe, his wife Evette, feels that he might need some help. Given these symptoms, Mason is most likely suffering from which mood disorder?

What is the difference between the depressive episodes associated with bipolar II disorder from those associated with bipolar I disorder?