In contrast to bipolar II disorder, a history of major depressive episodes is not required for the diagnosis of bipolar I disorder. Bipolar II disorder: at least one episode of hypomania and one major depressive episode no previous episodes of man ia (distinguishing feature from bipolar I).Major depressive or hypomanic episodes usually occur but are not required for diagnosis. Bipolar I disorder : at least one episode of mania.SIGECAPSfor features of depression: Sleep ( insomnia or hypersomnia), Interest loss ( anhedonia), Guilt (low self-esteem), Energy (low energy or fatigue), Concentration (poor concentration or difficulty making decisions), Appetite (decreased appetite or overeating), Psychomotor agitation or retardation, and Suicidal ideation. Lack of interest in activities that were previously enjoyedĭIGFAST for features of mania : D istractibility, I rresponsibility, G randiosity, F light of ideas, A ctivity increase, S leep deficit, and T alkativeness.Frequent reports of pain, e.g., headache or stomach ache.Overconfidence, risky behavior (e.g., overspending money).Intense prolonged happiness (e.g., for several days).See “ DSM-5 diagnostic criteria for bipolar disorder ” for details. Bipolar disorder is characterized by alternating episodes of mania (often also hypomania ) and major depression, in between which individuals may be asymptomatic.
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