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Mani och bipolär sjukdom

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Sakkunnig:

Definition:
Perioder med mani (bipolär typ I) eller hypomani (bipolär typ II) och perioder med depression, med bra perioder däremellan. Vid bipolär typ I krävs inte perioder med depression för diagnos.
Förekomst:
Livstidsprevalensen är cirka 1 %.
Symtom:
Vid mani/hypomani ihållande och abnorm förhöjd, expansiv eller irritabel sinnesstämning. Vid depression ihållande sänkt stämningsläge, brist på intresse och glädje samt energiförlust och/eller ökad trötthet.
Kliniska fynd:
En manisk patient är ofta mycket orolig, ibland aggressiv, och det kan vara svårt att föra ett normalt samtal.
Diagnostik:
Strukturerade eller semistrukturerade intervjuformulär bör användas.
Behandling:
Behandlingen är en kombination av läkemedel och psykologisk behandling.
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  • Anna Nager, med dr och specialist i allmänmedicin, Karolinska institutet

Tidigare sakkunniga

  • Hans Ågren, professor emeritus och överläkare, sektionen för psykiatri och neurokemi, Sahlgrenska akademin, Göteborgs universitet
  • Randolf Terje Vågen, medisinsk fagsjef, Divisjon psykisk helsevern, St. Olavs hospital
  • Ingard Løge, spesialist allmennmedisin, redaktør Norsk Elektronisk Legehåndbok