EARLY ONSET BIPOLAR DISORDER:. Epidemiology, Educational Implications, and Interventions. Shelley Hart [email protected] DIAGNOSIS . DSM-IV-TR . Five types of episodes Four subtypes Four severity levels Three course specifiers.
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American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition-Text Revision. Washington, DC: Author.
Both Manic and Major Depressive Episode criteria are met nearly every day for a least a one week period.
Bipolar Disorder I = more classic form; clear episodes of depression & mania
Bipolar Disorder II = presents with less intense and often unrecognized manic phases
Cyclothymia = chronic moods of hypomania & depression, often evolves into a more serious type
Bipolar Disorder Not Otherwise Specified (NOS) = largest group of individuals
More talkative than usual, or pressure to keep talking
Increase in goal directed activity or psychomotor agitation
Often talks excessively
Is often easily distracted by extraneous stimuli
Is often “on the go” or often acts as if “driven by a motor”Criteria Comparison
Differentiation= elated mood, grandiosity, decreased need for sleep, hypersexuality, and irritable mood.
Lithium, Depakote, Depacon, Tegretol
Zyprexa, Seroquel, Risperdal, Geodon, Abilify