A member asked:

How can someone be diagnosed with bipolar affective disorder without having any manic/hypomanic episode ever?(just having depressive episodes)

5 doctors weighed in across 3 answers

Bipolar disease: Diagnoses depends. Mood disorder. Check with your dr. Are you getting treatment? There are many atypical presentations.

Answered 3/17/2014

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Dr. Lynne Weixel answered

Specializes in Clinical Psychology

A work in progress: Diagnoses are constantly being researched and revised. The + view is that it is self correcting and gets better - the - view is that the pharma folk use it to make $ - the truth is probably a mix and much more too. I'm old enough to still think of manic depression. Seems bipolar includes that and has more too. A link that may help: http://www.Psycheducation.Org/depression/02_diagnosis.Html.

Answered 3/19/2014

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Technically....: No. However some have proposed sub typing bipolar to include patients with depression and family histories of bipolar the initial episodes of bipolar disorder are often depression. 90% of patients will experience their first manic episode by age 50.

Answered 1/7/2015

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