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A 28-year-old female asked:

Does the dsm-v acknowledge mixed episodes in bipolar ii disorder? my mood shifts: depression, hypomania, mixed episodes but no mania is this bpi or ii

2 doctor answers5 doctors weighed in
Dr. Ruth Seaman
A Verified Doctoranswered
A US doctor answeredLearn more
Yes: The DSM-4 did not, but DSM-5 removed that oversight. There is very little real world distinction between the two classifications apart from full mania or hypomania. Might even be the same illness but simply a matter of severity on a spectrum (like Rheumatoid Arthritis for instance). Please visit with a capable psychiatrist for top notch care!
Dr. Amanda Itzkoff
Psychiatry 18 years experience
This distinction may: Be understood & applied to ur case on talking w ur MD. In very basic terms, what distinguishes bipolar I from bipolar II is presence of mania, as opposed to hypomania only. Some sxs are severe enough that they only occur in Bipolar I or mixed episodes including delusions, sxs, necessitating immediate hospitalization, catatonic sxs. Talk with ur md abt ur case specifically for best dx & care! :)
Dr. Ruth Seaman
A Verified Doctor commented
A US doctor answered Learn more
The above answer is inaccurate per the APA, NIMH, and WHO.
Jul 25, 2014
Dr. Amanda Itzkoff
Psychiatry 18 years experience
Provided original answer
To clarify, bipolar I is marked by mood sxs that constitute a manic (not just hypomanic) episode that either 1. Persists for at least 7 days or 2. are so severe they require immediate hospitalization OR a mixed episode that lasts 2 weeks or requires immediate hospitalization. In the above explanation, I listed some sxs that could be severe enough to warrant immediate hospitalization. The list was
Jul 25, 2014
Dr. Amanda Itzkoff
Psychiatry 18 years experience
Provided original answer
Not an exhaustive list of symptoms that could require immediate hospitalization, of course. The best thing to do is consult with ur psychiatrist to collaborate on devising the proper treatment for your specific symptom profile. Good luck!
Jul 25, 2014

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Last updated Oct 15, 2017

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