Bipolar Disorders

Bipolar 1

Must have a manic episode and last for at least one week, can be preceded by a Hypermanic episode or a Major Depressive Episode

A: Must have met at least one manic episode

B: manic episode is not related to another schizophrenia spectrum disorder

Manic Episode

-A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary).

-B: DIGFAST -must have 4 or more for one week, nearly every day

Distractability

Impulsivity-risky behaviors

Grandosisity

Flight of Ideas

Activity Increase

Sleep Decrease

Talkativness

- C: Mood Disorder is sufficiently severe to cause marked impairment in social or occupational functioning or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.

- D: Not due to SUD

Hypermanic Episode

-A: A distinct period of abnormally and persistently elevated, expansive, or irritable

mood and abnormally and persistently increased activity or energy, lasting at

least 4 consecutive days and present most of the day, nearly every day.

- B: DIGFAST -must have 4 or more for 4 days

Distractability

Impulsivity

Grandosisity

Flight of Ideas

Activity Increase

Sleep Decrease

Talkativness

-C: The episode is associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic.

-D: The disturbance in mood and the change in functioning are observable by others.

-E: The episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization. If there are psychotic

features, the episode is, by definition, manic.

-F: Not Due to SUD

Major Depressive Episode

-A: 5 or more symptoms that are present for the same two-week period. At least one has been a depressed mood or loss of interest

SIGECAPS

Sleeps disturbances

Intrest (loss)

Guilt/ Worthlessness

Energy (loss)

Concentration

Appetite Changes

Psychomotor agitation/retaradation

Sucide

-B: Cause clinically significant impairment in social, occupational, ect.

-C: Not SUD

Specifiers for Bipolar 1

-With anxious distress

-With mixed features

-With rapid cycling

-With melancholic features

-With atypical features

-With mood-congruent psychotic features

-With mood-incongruent psychotic features

-With catatonia

-With peripartum onset

-With seasonal pattern

Onset of Bipolar 1

Onset is 20-30. Slightly lower for women (21.5) and males (23)

Course of Bipolar 1

Not likely to recover without treatment

Bipolar 2

-A: Must have a Hypermanic Episode and a Major Depressive Episode (current or past)

-B: Never had a manic episode

-C: Hypermanic Episode and major depressive episode are not better explained by a schizoprenia spectrum disorder

-D: The symptoms of depression or the unpredictability caused by frequent alternation between periods of depression and hypomania cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Bipolar 2 Specifiers

Current or most recent episode

-Hypomanic

-Depressed

Specify if

-With anxious distress

-With mixed features

-With rapid cycling

-With peripartum onset

-With seasonal pattern

-With melancholic features

-With atypical features

-With mood-congruent psychotic features

-With mood-incongruent psychotic features

-With catatonia

-With seasonal pattern

Specify course if full criteria for a mood episode are not currently met:

-in partial remission

-in full remission

Specify severity if full criteria for a major depressive episode are currently met:

- mild

-moderate

-severe

Bipolar 2 Course

Not likely to recover without treatment.

Bipolar 2 Onset

Late adolescence into early adulthood. Average is about 20