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  /Title (bipolar-and-related-disorders.pdf)
  /Creator (Cheatography)
  /Author ({[}deleted{]})
  /Subject (Bipolar and Related Disorders Cheat Sheet)
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    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Bipolar and Related Disorders Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{{[}deleted{]}} via \textcolor{DarkBackground}{\uline{cheatography.com/29701/cs/9774/}}}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
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  \uline{cheatography.com/deleted-29701} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 9th November, 2016.\\
   Updated 9th November, 2016.\\
   Page {\thepage} of \pageref{LastPage}.
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  Measure your website readability!\\
  www.readability-score.com
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\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Bipolar Disorder}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Cycles of mania and depression} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Affects 2.6\% of US population} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Affects men and women equally} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Occurs more frequently in people of higher socio-economic status} \tn 
% Row Count 5 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Delusions and hallucinations may occur} \tn 
% Row Count 6 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Psychosis may be present} \tn 
% Row Count 7 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Hypomania}}\{\{nl\}\}Milder degree of symptoms \{\{nl\}\} Not as severe; no hospitalization\{\{nl\}\} No psychotic features} \tn 
% Row Count 10 (+ 3)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Well: 53\% of time\{\{nl\}\} Depressed: 32\% of time \{\{nl\}\} Manic: 9\% of time \{\{nl\}\} Cycling: 6\% of time} \tn 
% Row Count 12 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Etiology of Bipolar Disorders}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Twin Studies}} \{\{nl\}\} 60-80\% monozygotic, 10-20\% dizygotic} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Family Studies}}\{\{nl\}\}1 Parent with BPD, 28\% risk of child developing BPD \{\{nl\}\} both parents with BPD 2-3x greater risk of child} \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Biochemical factors}}\{\{nl\}\} Norepinephrine and dopamine high during mania, low during depression\{\{nl\}\}Serotonin remains low in both states} \tn 
% Row Count 8 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Neuroanatomical Factors}} \{\{nl\}\} MRI reveal large third ventricles and subcortical white matter and periventricular hyperintensities} \tn 
% Row Count 11 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Lithium Carbonate}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Client Teaching}}\{\{nl\}\}Increase fluid intake - up to 2L/day\{\{nl\}\}May be swelling in extremities\{\{nl\}\}Metallic taste in mouth is normal\{\{nl\}\}Monitor blood levels regularly\{\{nl\}\}Signs and symptoms decrease longer client is on drug\{\{nl\}\}Always report side effects\{\{nl\}\}} \tn 
% Row Count 6 (+ 6)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Bipolar I Disorder}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Recurrent disorder where person has 1+ manic episodes with depressive episodes} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{More manic than depressive episodes} \tn 
% Row Count 3 (+ 1)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Mania is usually time-limited} \tn 
% Row Count 4 (+ 1)
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Bipolar II Disorder}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Recurrent major depressive disorders with hypomania} \tn 
% Row Count 2 (+ 2)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{More depressive episodes than hypomanic episodes} \tn 
% Row Count 3 (+ 1)
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\mymulticolumn{1}{x{5.377cm}}{Client never experiences full manic episode} \tn 
% Row Count 4 (+ 1)
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\mymulticolumn{1}{x{5.377cm}}{More common in women than men} \tn 
% Row Count 5 (+ 1)
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\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Cyclothymic Disorder}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Mood disturbance of at least 2 years} \tn 
% Row Count 1 (+ 1)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{Numerous episodes of elevated mood} \tn 
% Row Count 2 (+ 1)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Do not meet criteria of hypomanic episode} \tn 
% Row Count 3 (+ 1)
% Row 3
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\mymulticolumn{1}{x{5.377cm}}{Depressed mood not severe enough to meet MDD} \tn 
% Row Count 4 (+ 1)
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Treatment for Bipolar Disorders}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Medication, education, support} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Antimanic Agents}}\{\{nl\}\} ie. Lithium} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Anticonvulsant Agents}}\{\{nl\}\}Carbamazepine\{\{nl\}\}Clonazepam\{\{nl\}\}Valporic acid\{\{nl\}\}Lamotrigine\{\{nl\}\}{\emph{Effective for clients who are cycling}}\{\{nl\}\}{\emph{Manage mania/hypomania}}} \tn 
% Row Count 6 (+ 4)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Antidepressant augmented with antipsychotics}}\{\{nl\}\}Risperidone\{\{nl\}\}Olanzapine} \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Psychotherapy}}\{\{nl\}\}Individual/group/family therapy\{\{nl\}\}6-8 sessions reduce rate of relapse by 50\%} \tn 
% Row Count 11 (+ 3)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{ECT}}\{\{nl\}\}Used with lithium to treat mania} \tn 
% Row Count 12 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Cycling Bipolar Disorder}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/danielleokanee_1478673135_Screen Shot 2016-11-09 at 1.31.36 AM.png}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Substance-Induced Bipolar Disorder}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Mood disturbance r/t physiological effects of substance} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Elevated, expansive or irritable mood} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Inflated self esteem} \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Decreased need for sleep and distractibility} \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Alcohol, opioids, inhalants, hypnotics, anesthetic, analgesics, anti-convulsants, cardiac medications, anti-parkinsonian agents, anti-ulcer agents, oral contraceptives, muscle relaxants, steroids, sulfonamides} \tn 
% Row Count 10 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.44333 cm} x{3.53367 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Psychopharmacology for Bipolar Disorder}}  \tn
% Row 0
\SetRowColor{LightBackground}
Antimanic agents & {\bf{Lithium Carbonate}}\{\{nl\}\}Affects neurotransmitters\{\{nl\}\}Maintained by serum levels\{\{nl\}\}Must remain between 0.9-1.4mEq/L\{\{nl\}\}Toxic if above therapeutic range \tn 
% Row Count 6 (+ 6)
% Row 1
\SetRowColor{white}
 & {\bf{Side Effects}}\{\{nl\}\}Fluid retention, weight gain, metallic taste, fine tremors, thirst\{\{nl\}\}Slurred speech, abdominal pain, convulsions, incontinence, coma \tn 
% Row Count 12 (+ 6)
% Row 2
\SetRowColor{LightBackground}
 & {\bf{Signs of Toxicity}}\{\{nl\}\}Vomiting, slurred speech, blurred vision, weakness, tinnitus, poor coordination, diarrhea, poor coordination \tn 
% Row Count 17 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Side effects are reversible if drug is stopped and serum levels decrease}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}