Mental health · UKMLA & AKT
Bipolar affective disorder
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Elevated/expansive mood - euphoria or uncharacteristic irritability
- Grandiosity - inflated self-esteem, extravagant plans, spending sprees
- Decreased need for sleep - feels rested after 2-3 hours (differs from insomnia)
- Pressured speech - rapid, loud, difficult to interrupt
- Flight of ideas - rapid topic changes WITH discernible links; listener can follow the thread
- Distractibility - attention easily drawn to irrelevant stimuli
- Increased goal-directed activity - multiple simultaneous projects
- Risky behaviour - gambling, sexual disinhibition, reckless driving
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