SDK
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A 40 yr old women has experienced 12 yr history of feeling great followed by period of feeling lousy..During period of feeling great she experiences inc: sexual derive,euphoric mood & inc: irritablity..while during lousy period she experiences insomnia,fatigue & low self esteern??
What is the diagnosis??
a)major depression
b)Type I Bipolar disorder
c)Type II Bipolar disorder
d)Dysthymic disorder
e)Cyclothymic disorder.
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| KEROCHI
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Now this is clearer.. definitely my answer is Bipolar type 2..
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| SDK
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The answer is E.....Cyclothymic disorder(milder form of type II bipolar D)
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| phuluong2k
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plz show me the difference between type I & II bipolar disorder
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| SDK
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TypeI.....depression + mania.
Type II....depression + Hypomania.
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| Dr.Martini.M.D.
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The answer is C - Type II
I - Manic episode then just "normal" behavior not involving Sx of Depression.
II - Manic episode that alternates with HYPOMANIA with Sx of Depression.
I saw a question like this in which there was some STOCKBROKER who
in her episodes of MANIA , drank a lot, worked 22 hour days and sold
all her client's stocks. They never mentioned her having DEPRESSED
episodes, they said that other times she was just "NORMAL"
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| jvo_md
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C is my answer
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| dr in trouble
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I will go with E, cyclothymia, bcoz there is no history of hospitalization due to disorder.
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| ssrpk
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whtz the criteria to differentiate bipolar disorder from cyclothymia ?
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| KEROCHI
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I think I would now go w/ cyclothymia vs bipolar type 1(depression & mania) bec. of the 12 yr hx. Onset is impt. in dxing these disorders.
This case can't be type 2 bipolar bec. of increase sexual drive & that's a manic sx. Type 2 has HYPOMANIA + DEPRESSION episodes.
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