Which of the following statements are true with regards to Lithium?
You have answered 4 out of 4 correctly.
1. "The diagnosis of mania requires a patient to have symptoms of grandiose delusions"
Statement 1 is true
2. "Elated mood, increased irritability for 2 days could be categorised as hypomania"
Statement 2 is false
3. "Hypomania is a lesser degree of mania without hallucinatory experience or delusional beliefs"
Statement 3 is true
4. "There are marked differences between the delusions usually found in schizophrenia compared to mania"
Statement 4 is true
F30.0 Hypomania is a lesser degree of mania without hallucinatory experience or delusional beliefs. Symptoms of mood elation is milder though other symptoms of overfamiliarity / increased sexual drive / decreased need to sleep can be similar though milder than that found in mania
F30.1 Mania without psychotic symptoms includes more elated mood, overactivity and pressured speech. Note that patients with this remain not psychotic
F30.2 Mania with psychosis includes inflated self esteem which can become grandiose delusions and delusions of control. Examples of these could include beliefs about ability to change weather / national politics, grandiose delusions could include being related to famous individuals or new discoveries / breakthroughs
