Bipolar II disorder diagnostic criteria: Difference between revisions
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===DSM-V Diagnostic Criteria for Intellectual Disability<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | ===DSM-V Diagnostic Criteria for Intellectual Disability<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | ||
{{cquote| | {{cquote| | ||
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 | |||
*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. | |||
'''''AND''''' | |||
*B. During the period of mood disturbance and increased energy and activity, three (or more)of the following symptoms have persisted (four if the mood is only irritable), represent a noticeable change from usual behavior, and have been present to a significant degree: | |||
:*1. Inflated self-esteem or grandiosity. | |||
:*2. Decreased need for sleep (e.g., feels rested after only 3 hours of sleep). | |||
:*3. More talkative than usual or pressure to keep talking. | |||
:*4. Flight of ideas or subjective experience that thoughts are racing. | |||
:*5. Distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli), as reported or obsen/ed. | |||
:*6. Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation. | |||
:*7. Excessive involvement in activities that have a high potential for painful consequences(e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments). | |||
'''''AND''''' | |||
*C. The episode is associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic. | |||
'''''AND''''' | |||
*D. The disturbance in mood and the change in functioning are observable by others. | |||
'''''AND''''' | |||
*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. | |||
'''''AND''''' | |||
*F. The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication or other treatment). | |||
}} | }} | ||
<SMALL>''Note:A full hypomanie episode that emerges during antidepressant treatment (e.g.,medication, electroconvulsive therapy) but persists at a fully syndromal level beyond | |||
<SMALL>''Note: | 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. .''</SMALL> | ||
Revision as of 23:58, 18 October 2014
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 Intellectual Disability[1]
| “ |
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
|
” |
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. .
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
- ↑ Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.