Bipolar II disorder
Classification and external resources
ICD-10	F31.8

Bipolar II Disorder is a bipolar spectrum disorder characterized by at least one hypomanic episode and at least one major depressive episode; with this disorder, depressive episodes are more frequent and more intense than manic episodes. It is believed to be underdiagnosed because hypomanic behavior often presents as incredibly high-functioning behavior.

Contents 1 DSM-IV-TR Diagnostic Criteria[1] 2 Treatments 3 Specifiers 4 See also 5 References

[edit] DSM-IV-TR Diagnostic Criteria^[1]

A. Presence (or history) of one or more Major Depressive Episodes.

B. Presence (or history) of at least one Hypomanic Episode.

C. There has never been a Manic Episode or a Mixed Episode.

D. The mood symptoms in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, delusional disorder, or Psychotic Disorder Not Otherwise Specified.

E. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

[edit] Treatments

The most effective treatment for reducing Bipolar II disorder symptoms is medication, usually in the form of mood stabilizers. Concurrent use of SSRI anti-depressants may help some with Bipolar II disorder, though they should be used with caution because they exacerbate symptoms in some people.^{[citation needed]}

Non-medication therapies can also help those with the illness. These include social rhythm therapy, interpersonal therapy, behavioral therapy, cognitive therapy, psycho-education, light therapy, and family-focused therapy. Relapses can occur even with continued medication and therapy.

[edit] Specifiers

• Chronic
• With Catatonic features
• With Melancholic features
• With Psychotic features
• With atypical features
• With Postpartum onset
• Longitudinal course specifiers (with and without interepisode recovery)
• With seasonal pattern (applies only to the pattern of Major Depressive Episodes)
• With Rapid Cycling

[edit] See also

• Bipolar Disorder
• Bipolar I
• Detailed listing of DSM-IV-TR Bipolar Disorder diagnostics codes
• Bipolar spectrum
• Emotional dysregulation
• Creativity and bipolar disorder
• Bipolar disorders research
• Temporal Lobe Epilepsy

[edit] References

http://www.psycheducation.org/depression/frameset.html

v • d • e Mood disorder: Bipolar disorder History Emil Kraepelin · Karl Leonhard · John Cade · Mogens Schou · Frederick K. Goodwin · Kay Redfield Jamison Symptoms Hallucination · Delusion · Emotional dysregulation (Anhedonia, Dysphoria, Suicidal ideation) · sleep disorder (Hypersomnia, Insomnia) · Psychosis · Racing thoughts Spectrum Bipolar I · Bipolar II · Cyclothymia · Dysthymia · Major depressive disorder · Schizoaffective disorder Mania · Mixed state · Hypomania · Major depressive episode · Rapid cycling Treatment Anticonvulsants Carbamazepine · Gabapentin · Lamotrigine · Oxcarbazepine · Topiramate · Valproic acid (Sodium valproate, Valproate semisodium) Other mood stabilizers Lithium pharmacology (Lithium carbonate, Lithium citrate, Lithium sulfate) · Antipsychotics Non-pharmaceutical Clinical psychology · Electroconvulsive therapy · Involuntary commitment · Light therapy · Psychotherapy · Transcranial magnetic stimulation Related Affective spectrum · List of people affected by bipolar disorder · Bipolar disorder in children

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