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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 ...
[29] [30] [31] To fit the definition of a manic episode, these behaviors must impair the individual's ability to socialize or work. [29] [31] If untreated, a manic episode usually lasts three to six months. [32] In severe manic episodes, a person can experience psychotic symptoms, where thought content is affected along with mood. [31]
Bipolar II – bipolar disorder categorized by depressive episodes and at least one hypomanic episode, no manic episode experienced; Cyclothymia – a milder form of bipolar disorder with predominantly depressive symptoms and some symptoms of hypomania, does not meet diagnostic severity of bipolar I or II
Otherwise, one manic episode meets the criteria for bipolar I disorder (BP-I). [ 2 ] Hypomania is a sustained state of elevated or irritable mood that is less severe than mania yet may still significantly affect the quality of life and result in permanent consequences including reckless spending, damaged relationships and poor judgment.
Mood swings in bipolar I: Episodic, [42] manic episodes (severe degree) occur continuously for 7 days, [30] depressive episodes for weeks, [45] [46] and sometimes erratic episodes at moderate degree in between episodes. [30] Alterations in bipolar I and II can be rapid cyclic, which means changes of mood happen 4 times or more within a year. [47]
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]