Mood Disorders - Bipolar 2 Flashcards
What episodes are required for Bipolar II diagnosis?
At least one hypomanic episode and one major depressive episode. No history of manic episodes.
To diagnose Bipolar II, the person must have:
At least one hypomanic episode
At least one major depressive episode
No history of a manic episode (if they’ve ever had a full manic episode, it becomes Bipolar I)
Duration of Hypomania (Bipolar II)
Must last at least 4 consecutive days
Present most of the day, nearly every day
Not severe enough to cause marked impairment, hospitalization, or include psychotic features
What episodes are required for Bipolar II diagnosis?
At least one hypomanic episode and one major depressive episode, with no history of a manic episode.
How long must a hypomanic episode last for Bipolar II?
At least 4 consecutive days
What is the key difference between Bipolar I and Bipolar II?
Bipolar I requires a manic episode, while Bipolar II requires hypomania + depression, with no mania ever.
Specifiers for Bipolar II (same as Bipolar I)
Bipolar II has the same “extra details” as Bipolar I. These details help explain what kind of mood episode it is (type), how strong it is (severity), or how often it happens (pattern).
They can be used to describe the high-energy (hypomanic) times or the sad (depressive) times in Bipolar II.
What two episodes are required for a Bipolar II diagnosis?
At least one hypomanic episode and one major depressive episode, with no history of a manic episode.
How long must a hypomanic episode last?
At least 4 consecutive days, most of the day, nearly every day.
What’s the difference between mania and hypomania?
Mania is more intense, may require hospitalization, and causes major life problems.
Hypomania is less intense and does not cause serious impairment.
What’s the difference between Bipolar I and Bipolar II?
Bipolar I requires at least one manic episode.
Bipolar II requires hypomania + depression, with no manic episodes ever.
Can someone with Bipolar II have a manic episode?
No — if they ever have a full manic episode, the diagnosis changes to Bipolar I.
What does “with rapid cycling” mean?
The person has 4 or more mood episodes (hypomania or depression) in 12 months.
What does “with mixed features” mean?
The person has some opposite symptoms during an episode, like feeling really sad during hypomania, or energized during depression.
What does “with psychotic features” mean in Bipolar II?
The person may have hallucinations or delusions, but only during depressive episodes.
Psychosis is never part of hypomania.
What is a hypomanic episode?
A period of elevated, expansive, or irritable mood, lasting at least 4 consecutive days, with increased energy or activity and at least 3 (or more) symptoms from the DIG FAST list.
The symptoms are noticeable but not severe enough to cause major problems at work, school, or require hospitalization.
No psychosis is present in hypomania.
What is a major depressive episode?
A period of at least 2 weeks with depressed mood or loss of interest/pleasure in most activities, along with at least 5 total symptoms from the SIGECAPS list (e.g., sleep changes, guilt, energy loss, suicidal thoughts).
The symptoms must cause significant distress or impairment in daily life and cannot be due to substances or a medical condition.
