Bipolar I & II Disorder Flashcards
Include manic and hypomanic diagnostic criteria as well as Bipolar 1 and 2.
Bipolar 1
Purely information that might ask during exam so read it.
- It is necessary to meet the criteria for at least one manic episode
- last at least 1 week for most of the day, nearly every day
- The manic episode may be preceded by and may be followed by hypomanic or major depressive episodes
- Hypomanic or MDE before or after the manic episode
- For a diagnosis of bipolar I disorder, it is necessary to meet the following criteria for a manic episode.
- Criteria A–D constitute a manic episode.
- At least one lifetime manic episode is required for the diagnosis of bipolar I disorder.
- it means that the person has experienced a period of time, they exhibited a set of symptoms that meet the diagnostic criteria for a manic episode.
- Hypomanic episodes and MDE are common in bipolar I disorder but are not required for the diagnosis of bipolar I disorder.
Bold are important information
The below following are just explanation of the point above it.
“Hypomanic or MDE before or after the manic episode.”
“it means that the person has experienced a period of time, they exhibited a set of symptoms that meet the diagnostic criteria for a manic episode.”
A
Diagnostic Criteria for Manic Episode
- lasting at least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary).
B
Diagnostic Criteria for Manic Episode
Must have at least 3 or more of the following symptoms
three (or more) of the following symptoms (four if the mood is only irritable)
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 pressured 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 observed.
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).
C
Diagnostic Criteria for Manic Episode
Impairment in social or occupational or need for hospitalization to prevent from harming others, or psychotic features.
Hospitalization is the different between manic and hypomanic
D
Diagnostic Criteria for Manic Episode
The episode is not attributable to the physiological effects of a substance or another medical condition.
A
Diagnostic Criteria for Bipolar 1
Criteria have been met for at least one manic episode.
Manic episode A-D consider as manic episode
B
Diagnostic Criteria for Bipolar 1
It has been confirmed, remember this as well.
At least one manic episode is not better explained by other psychotic disorder.
Bipolar 2
Same as bipolar 1, infomation that is vital.
i’m not gonna include MDE diagnostic criteria, refer to MDD flashcard.
Remember both hypomanic and MDE diagnostic criteria IT A MUST!
- It is necessary to meet the criteria for at least one current or past hypomanic episode and at least one current or past MDE
- Criteria have been met for at least one hypomanic episode Criteria A–F under hypomania and at least one MDE Criteria A-C.
- There has never been a manic episode
MUST HAVE MDE!
A
Diagnostic Criteria for Hypomanic
A-F are all consider hypomanic
Lasting 4 days, present most every day and nearly every day.
B
Diagnostic Criteria for Hypomanic
Three of more symptoms
Both manic and hypomanic diagnostic criteria for B is the same but if there question asking the difference of B just mentioned duration of it.
Three (or more) of the following symptoms (four if the mood is only irritable):
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 pressured 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 observed.
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).
C
Diagnostic Criteria for Hypomanic
- The episode is associated with noticeable and significant changes in their behavior, mood, and level functioning than their usual self.
- Means that during the episode, the person experiences a noticeable and significant change in their behavior, mood, and level of functioning that is different from their typical or usual self when not experiencing symptoms.
the 2nd point is purely for understanding due to the complex DSM sentence structure.
D
Diagnostic Criteria for Hypomanic
The disturbance in mood and the change in functioning are observable by others.
E
Diagnostic Criteria for Hypomanic
The episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization. If there are psychotic features, it is manic episodes.
It emphasize that just mild impairment and does not need hospitalization while manic is the opposite of it.
Remember psychotic features is consider episodes
Psychotic features include delusions of grandiosity or paranoia, as well as auditory or visual hallucinations. (Does not show in the diagnostic criteria of manic episodes)
F
Diagnostic Criteria for Hypomanic
The episodes is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment) or another medical condition.
A
Diagnostic Criteria for Bipolar 2
Criteria have been met for at least one hypomanic episode and at least one MDE.
MUST HAVE 1 HYPOMANIC and MDE
