Bipolar and Related Disorders

Question 1

Abnormal, persistent elevated, expansive or irritable mood and abnormal, persistent increased goal-directed activity or energy most of the day, nearly every day for at least one week (any duration if hospitalized) plus 3 additional symptoms

Answer 1

Manic Episode

Question 2

Abnormal, persistent elevated, expansive or irritable mood and abnormal, persistent increased goal-directed activity or energy most of the day, nearly every day for at least 4 days plus 3 additional symptoms

Answer 2

Hypomanic Episode

Question 3

Depressed mood or loss of interest or pleasure and 4 additional symptoms most of the day, nearly every day for at least 2 weeks

Answer 3

Major depressive episode

Question 4

Presence of at least one lifetime manic episode (hypomanic episode or major depressive episode may occur but not required)

Answer 4

Bipolar I Disorder

Question 5

Presence of at least one hypomanic episode and at least one major depressive episode, never been a manic episode

Answer 5

Bipolar II Disorder

Question 6

Numerous distinct sub-criteria periods with hypomanic symptoms and periods of depressive symptoms present at least half the time for at least 2 years (has not been without symptoms for more than 2 months at a time)

Answer 6

Cyclothymic Disorder

Question 7

Prominent and persistent elevated, expansive or irritable mood and/or depressed mood or anhedonia that developed during or soon after intoxication, withdrawal or exposure to substance/medication which is capable of producing said symptoms

Answer 7

Substance/Medication-Induced Bipolar and Related Disorder

• Known Substances/Medications: Sedative, hypnotic or anxiolytic; Amphetamine (or other stimulant); Cocaine
• Exceptions: Case of hypomania/mania that occurs after and persists beyond physiological effects of antidepressant medication or treatment (such as ECT)

Question 8

Prominent and persistent elevated, expansive or irritable mood and increased activity or energy that are the direct pathophysiological consequences of another medical condition

Answer 8

Bipolar and Related Disorder Due to Another Medical Condition
(e.g. Cushing’s disease, multiple sclerosis, stroke, traumatic brain injury)

Question 9

Bipolar-like symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason

Answer 9

Other Specified Bipolar and Related Disorder
(e.g. short-duration hypomanic episodes (2-3 days) and major depressive episodes, hypomanic episode without prior major depressive episode, short-duration cyclothymia)

Question 10

Bipolar-like symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician does not choose to communicate the reason, possibly due to insufficient information

Answer 10

Unspecified Bipolar and Related Disorder

Question 11

Identify specifiers for Bipolar and Related Disorders

Answer 11

With anxious distress, 
With mixed features, 
With rapid cycling, 
With melancholic features, 
With atypical features, 
With psychotic features, 
With catatonia, 
With peripartum onset, 
With seasonal pattern; 
In partial remission, In full remission; 
Severity: Mild, Moderate, Severe

Question 12

75% of people with bipolar and related disorders are also diagnosed with __ disorders.

Answer 12

Anxiety disorders