Bipolar II disorder diagnostic criteria
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]
Overview
Bipolar II Disorder is a bipolar spectrum disorder that is characterized by at least one hypomanic episode and at least one major depressive episode; with this disorder, depressive episodes are more frequent and more intense than manic episodes. It is believed to be underdiagnosed because hypomanic behavior often presents as high-functioning.[citation needed]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Bipolar II Disorder[1]
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For a diagnosis of bipolar II disorder, it is necessary to meet the following criteria for a current or past hypomanie episode and the following criteria for a current or past major depressive episode: Hypomanie Episode
AND
AND
AND
AND
episode is, by definition, manic. AND
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Note:A full hypomanie episode that emerges during antidepressant treatment (e.g.,medication, electroconvulsive therapy) but persists at a fully syndromal level beyond the physiological effect of that treatment is sufficient evidence for a hypomanie episode diagnosis. However, caution is indicated so that one or two symptoms (particularly increased irritability, edginess, or agitation following antidepressant use) are not taken as sufficient for diagnosis of a hypomanie episode, nor necessarily indicative of a bipolar diathesis. .
DSM-V Diagnostic Criteria for Intellectual Disability[1]
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Major Depressive Episode
is either (1 ) depressed mood or (2) loss of interest or pleasure. Note: Do not include symptoms that are clearly attributable to a medical condition.
appears tearful). (Note: In children and adolescents, can be irritable mood.)
day. (Note: In children, consider failure to make expected weight gain.)
AND B. The symptoms cause clinically significant distress or impairment in social, occupational,or other important areas of functioning. AND C. The episode is not attributable to the physiological effects of a substance or another medical condition. |
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Note:Criteria A-C above constitute a major depressive episode.
Note:Responses to a significant loss (e.g., bereavement, financial ruin, losses from a natural disaster, a serious medical illness or disability) may include the feelings of intense sadness, rumination about the loss, insomnia, poor appetite, and weight loss noted in Criterion A, which may resemble a depressive episode. Although such symptoms may be understandable or considered appropriate to the loss, the presence of a major depressive episode in addition to the normal response to a significant loss should be carefully considered. This decision inevitably requires the exercise of clinical judgment based on the individual’s history and the cultural norms for the expression of distress in the context of loss.
Specifiers
- Chronic
- With Catatonic features
- With Melancholic features
- With atypical features
- With Postpartum onset
- Longitudinal course specifiers (with and without interepisode recovery)
- With seasonal pattern (applies only to the pattern of Major Depressive Episodes)
- With Rapid Cycling
See also
- Bipolar Disorder
- Bipolar I
- Detailed listing of DSM-IV-TR Bipolar Disorder diagnostics codes
- Bipolar spectrum
- Emotional dysregulation
- Creativity and bipolar disorder
- Bipolar disorders research
- Temporal Lobe Epilepsy
References
- ↑ 1.0 1.1 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.