Bipolar Disorder - MCAT Psychological and Social Foundations

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Question

A patient goes to her primary care doctor complaining of mood swings affecting her in such a way that she often feels either very "high" or very "low." She denies any thoughts of worthlessness or of hurting herself, doesn't have trouble concentrating on tasks, and has no psychotic episodes when she is "low." When feeling "high," she has increased energy and happiness. Her symptoms are indicative of which of the following mood disorders?

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Answer

Cyclothymic disorder is a mild form of bipolar disorder where a person mood swings over a period of years that go from mild depression to elevated mood and excitement.

Individuals with any form of bipolar disorder will most likely experience some psychotic episodes. During manic episodes, they will have delusions of grandeur, racing ideas and speech, distractibility and high-risk behaviors. They generally sleep and eat less often during these episodes as well. A patient with cyclothymic disorder lacks the vegetative symptoms associated with major depressive disorders. They can concentrate normally and lack both suicidal ideations and feelings of worthlessness when "low."

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