Bipolar affektiv lidelse
Sist revidert:
Sist revidert av:Terje Johannessen
Definisjon:
Manisk depressiv lidelse består av periode(r) med mani (type I) eller hypomani (type II), og periode(r) med depresjon, med gode perioder imellom. Mani er en sykelig heving av stemningsleiet, økt hastighet på tanker og tale, stor selvtillit og aktivitet, med eller uten psykotiske symptomer
Forekomst:
Livstidsprevalens oppgis til ca. 1%
Symptomer:
Kan svinge mellom oppstemthet og nedstemthet og normale perioder
Funn:
En manisk pasient er ofte svært urolig, noen ganger aggressiv, og en normal samtale kan være vanskelig
Diagnostikk:
Strukturerte diagnostiske spørreskjemaer anbefales brukt når diagnosen skal stilles
Behandling:
En kombinasjon av medikamentelle og psykologiske tiltak
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- Terje Johannessen, professor i allmennmedisin, Trondheim
- Randolf Terje Vågen, medisinsk fagsjef, Divisjon psykisk helsevern, St. Olavs hospital
Tidligere fagmedarbeidere
- Gunnar Morken, spesialist i psykiatri, førsteamanuensis, Psykiatrisk Institutt, Norges teknisk-naturvitenskapelige universitet, Trondheim
- Olav Thorsen, spesialist allmennmedisin, Klubbgaten legesenter, Stavanger