Bipolar and Related Disorder: Bipolar due to another Medical Condition

Question 1

What is bipolar disorder due to another medical condition?

Answer 1

A variety of medical and neurological conditions can produce manic or hypomanic symptoms; these need not meet criteria for any of the conditions above

Question 2

How many criterias are set for bipolar due to another medical condition?

Answer 2

5 (A-E)

Question 3

What is Criteria A?

Answer 3

• prominent and persistent period of abnormally elevated, expansive, or irritable mood and
• abnormally increased activity or energy that predominates in the clinical picture

Question 4

What is Criteria B?

Answer 4

evidence from

• the history, physical examination, or laboratory findings
• that the disturbance is the direct pathophysiological consequence of another medical condition

Question 5

What is Criteria C?

Answer 5

disturbance is not explained by another mental disorder

Question 6

What is Criteria D?

Answer 6

disturbance does not occur exclusively during the course of a delirium

Question 7

What is Criteria E?

Answer 7

• disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning, or
• necessitates hospitalization to prevent harm to self or others, or
• there are psychotic features

Question 8

Whare are the essential features of bipolar and related disorder due to another medical condition?

Answer 8

• presence of a prominent and persistent period of abnormally elevated, expansive, or irritable mood and
• abnormally increased activity or energy predominating in the clinical picture that is attributable to another medical condition

Question 9

Which sypmtoms are important to differentiate?

Answer 9

• mania from excited or hypervigilant delirious symptoms
• from excited catatonic symptoms, and
• from agitation related to acute anxiety states

Question 10

What are the specifiers?

Answer 10

Specify if:

• With manic features: Full criteria are not met for a manic or hypomanic episode.
• With manic- or hypomanic-like episode: Full criteria are met except Criterion D for a manic episode or except Criterion F for a hypomanic episode.
• With mixed features: Symptoms of depression are also present but do not predominate in the clinical picture.

Question 11

How should the diagnosis be recorded?

Answer 11

Include the name of the other medical condition in the name of the mental disorder

example

• bipolar disorder due to hyperthyroidism, with manic features

other medical condition should also be coded and listed separately immediately before the bipolar and related disorder due to the medical condition

example

• hyperthyroidism; bipolar disorder due to hyperthyroidism, with manic features