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BD-NOS is a mood disorder and one of four subtypes on the bipolar spectrum, which also includes bipolar I disorder, bipolar II disorder, and cyclothymia. [1] BD-NOS was a classification in the DSM-IV and has since been changed to Bipolar "Other Specified" and "Unspecified" in the 2013 released DSM-5 (American Psychiatric Association, 2013).
Unspecified or other types of bipolar disorder are when a patient doesn’t meet the criteria specified above but still sees the periods of abnormal mood elevation characteristic of bipolar disorders.
An additional limitation is that the scale cannot confirm if an individual has bipolar disorder as it does not include all the signs of bipolar spectrum disorder listed by the DSM-5. A further limitation research studies are often conducted on small samples of outpatients, leading to varying scores of the accuracy and reliability of the BSDS. [2]
Bipolar disorder not otherwise specified (BD-NOS), sometimes called "sub-threshold" bipolar, indicates that the patient has some symptoms in the bipolar spectrum (e.g., manic and depressive symptoms) but does not fully qualify for any of the three formal bipolar DSM-IV diagnoses mentioned above.
.7 Bipolar I disorder, most recent episode unspecified.0x Bipolar I disorder, single manic episode .06 In full remission.05 In partial remission.01 Mild.02 Moderate.03 Severe without psychotic features.04 Severe with psychotic features.00 Unspecified; 296.89 Bipolar II disorder; 301.13 Cyclothymic disorder; 296.80 Bipolar disorder NOS
Individuals who have subthreshold symptoms that cause clinically significant distress or impairment, but do not meet full criteria for one of the three subtypes may be diagnosed with other specified or unspecified bipolar disorder. Other specified bipolar disorder is used when a clinician chooses to explain why the full criteria were not met (e ...