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Mood swings in major depressive disorder (MDD): Various mood patterns, [69] and mood changes erratically. [37] Mood swings occur episodically and fluctuate in moderate high mood and severe low mood. [ 70 ] [ 71 ] Characterized by having high negative affect (bad mood) most of the time, particularly in melancholic subtype. [ 72 ]
A mixed affective state, formerly known as a mixed-manic or mixed episode, has been defined as a state wherein features and symptoms unique to both depression and (hypo)mania, including episodes of anguish, despair, self doubt, rage, excessive impulsivity and suicidal ideation, sensory overload, racing thoughts, heightened irritability, decreased "need" for sleep and other symptoms of ...
Bipolar disorder can also involve depressive episodes, which have the same symptoms that people with major depressive disorder experience. Symptoms of a depressive episode can include : Feeling ...
[1] [2] [9] BP-II is more common than BP-I, while BP-II and major depressive disorder have about the same rate of diagnosis. [11] Substance use disorders (which have high co-morbidity with BP-II) and periods of mixed depression may also make it more difficult to accurately identify BP-II. [ 2 ]
Cyclothymia is a form of bipolar disorder, consisting of recurrent hypomanic and dysthymic episodes, but no full manic episodes or full major depressive episodes. 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 ...
The concept of the bipolar spectrum is similar to that of Emil Kraepelin's original concept of manic depressive illness. [109] Bipolar II disorder was established as a diagnosis in 1994 within DSM IV; though debate continues over whether it is a distinct entity, part of a spectrum, or exists at all. [110]