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Bipolar I disorder requires confirmation of only 1 full manic episode for diagnosis, but may be associated with hypomanic and depressive episodes as well. [7] Diagnosis for bipolar II disorder does not include a full manic episode; instead, it requires the occurrence of both a hypomanic episode and a major depressive episode. [7]
For most people with bipolar types 1 and 2, the depressive episodes are much longer than the manic or hypomanic episodes. [22] Since a diagnosis of bipolar disorder requires a manic or hypomanic episode, many affected individuals are initially misdiagnosed as having major depression and treated with prescribed antidepressants. [46]
Onset of Bipolar Disorder. Signs of bipolar disorder generally emerge in young adulthood. Research suggests that 70 percent of people with bipolar disorder experience their first manic episode ...
Mixed affective state – a state with traits of both mania and depression (e.g. irritability, low mood, suicidality, and racing thoughts at the same time) Hypomania – an episode of elevated mood, similar to mania with milder symptomatic severity; Major depressive episode – a mood episode with major depressive symptoms
Manic, hypomanic or depressive episodes will typically last several weeks or even months. This is why becoming aware of the more subtle signs and symptoms is key to achieving bipolar wellness ...
Patients with bipolar disorder often have a less stable and more variable circadian activity. [2] Circadian activity disruption can be apparent even if the person concerned is not currently ill. [3] [4] A decreased need for sleep is a symptom of both a manic episode and a hypomanic episode [5] in bipolar disorder.