Bipolar Disorder Practice Test

In SIGECAPS, what does the letter 'S' denote?

Social withdrawal Sad mood Self-esteem changes Sleep changes

Correct Answer:

Sleep changes

Explanation:

Sleep changes. In SIGECAPS, the S stands for disturbances in sleep, including insomnia (difficulty falling or staying asleep) or hypersomnia (sleeping too long). Sleep problems are common in depressive episodes and can worsen energy, concentration, and mood, making them a key symptom to track. The other aspects of SIGECAPS cover different areas—loss of interest, feelings of guilt, low energy, trouble concentrating, changes in appetite, psychomotor changes, and suicidal thoughts—so Sleep changes specifically identifies the sleep-related distress that often accompanies depression.

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