Deck 4: Bipolar and Related Disorders

Question 1

All of the following are possible symptoms of a manic episode EXCEPT:

A) Increased talkativeness.
B) Dysphoric mood.
C) Decreased need for sleep.
D) Distractibility.

Answer 1

Dysphoric mood.

Question 2

All of the following are possible symptoms of a manic episode EXCEPT:

A) Psychomotor retardation.
B) Increased activity.
C) Grandiosity.
D) Racing thoughts.

Answer 2

Psychomotor retardation.

Question 3

A manic episode can include or lead to:

A) Psychotic symptoms.
B) Hospitalization.
C) Significant impairment in functioning.
D) All of the above.

Answer 3

All of the above.

Question 4

The specifier of "with rapid cycling" that can be used with bipolar disorder requires the occurrence of four or more separate mood episodes in the preceding 12-month period of time.

Question 5

Psychotic symptoms can occur during a _____ or _____:

A) Hypomanic episode; manic episode.
B) Manic episode; major depressive episode.
C) Hypomanic episode; major depressive episode.
D) All of the above.

Question 6

All of the following are possible symptoms of the MDD specifier "atypical depression" EXCEPT:

A) Leaden paralysis (arms and legs feeling heavy, weighed down).
B) Increased appetite and weight.
C) Lack of ability to respond to pleasurable events when depressed.
D) Hypersomnia (increased sleep).

Question 7

Which of the following is true for bipolar I disorder?

A) The majority of individuals are able to return to work at the same level of employment immediately following a manic episode.
B) After someone has had a first manic episode, 90% will have another manic episode in the future.
C) Bipolar I disorder has become more common and is experienced by nearly 20% of the population.
D) Comorbidity with other disorders is rare for those with bipolar disorder.

Question 8

Most people with bipolar disorder take their prescribed medication consistently, thereby stabilizing their mood.

Question 9

The FDA has approved certain mood stabilizing and other medications for use with bipolar disorder. Which of the following statements best describes the role these medications play in treatment?

A) These medications are to be added following a course of 6 months of psychotherapy.
B) These medications are only recommended when 6 months of therapy is ineffective.
C) These medications form the foundation of evidence-based practice for bipolar disorder and are used from the very beginning of treatment.
D) Antidepressant medications have been found to be superior to mood stabilizing medications for bipolar disorder and should be the first medication tried after a 6-month course of psychotherapy.

Question 10

The "interpersonal and social rhythm therapy" approach for bipolar disorder emphasizes:

A) The importance of circadian rhythms and establishing a stable/consistent daily routine and balanced lifestyle to more effectively manage one's moods.
B) The use of the creative arts as the primary pathway for mood management.
C) The use of vitamins and nutrition as the primary pathway for mood management.
D) The combined use of group and music therapy for mood management.

Question 11

All of the following are associated with family-focused therapy (FFT) EXCEPT:

A) Family members learn how to communicate effectively with each other.
B) Those with bipolar disorder and their family members learn to better understand the disorder.
C) Family members learn how to increase their expressed emotion (EE) so they become a high EE family.
D) FFT has been found to decrease relapse and re-hospitalization rates of bipolar disorder.

Question 12

Which of the following statements is true regarding the prognosis for bipolar disorder?

A) Relapse is almost assured even when treatment recommendations are followed.
B) Prognosis is worse when multiple episodes have occurred or when the rapid cycling specifier applies.
C) Prognosis is worse when the person has a co-occurring substance use disorder.
D) All of the above.

Question 13

For the diagnosis of bipolar II disorder, a person must have experienced both a ___ and a ___.

A) Manic episode; hypomanic episode.
B) Hypomanic episode; major depressive episode.
C) Manic episode; major depressive episode.
D) Major depressive episode; psychotic episode.

Question 14

With bipolar II disorder, functional impairment is mainly related to the ____ symptoms.

A) Depression.
B) Manic.
C) Hypomanic.
D) Hypervigilant.

Question 15

Which of the following is true regarding bipolar II disorder?

A) More time is spent in the hypomanic phase of the disorder than the depressed phase.
B) Bipolar II disorder is more common than bipolar I disorder.
C) The symptoms of depression in bipolar II are of the melancholic type, especially insomnia and a reduction in appetite/eating.
D) Unlike bipolar I, bipolar II is a short-term diagnosis that begins in the early 20s and ends by age 30.

Question 16

All of the following are associated with cyclothymic disorder EXCEPT:

A) Mood instability and reactivity in social interactions.
B) The depression symptoms are likely to be the more problematic aspect of the disorder.
C) Symptoms must be limited to less than 6 months.
D) It is often mistaken with borderline personality disorder.

Question 17

The treatment for cyclothymic disorder is generally the same as that for other bipolar and related disorders.