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Bipolar II Disorder

Wendy K. Marsh, MD, MSc Reviewed 06/2018
 


BASICS

DESCRIPTION

Bipolar II (BP-II) is a mood disorder characterized by at least one episode of major depression (with or without psychosis) and at least one episode of hypomania, a nonsevere mood el...

DIAGNOSIS

  • DSM-5 criteria: one hypomanic episode and at least one major depressive episode. The symptoms cause unequivocal change in functioning noticed by others but not severe enough to cause marked ...

TREATMENT

  • Ensure safety.

  • Medication management

  • Psychotherapy (e.g., cognitive-behavioral therapy [CBT], social rhythm therapy, educational therapy)

  • Stress reduction

  • Patient and family education

  • Refer to ps...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Regularly scheduled visits support adherence with treatment.

  • Frequent communication among primary care doctor, psychiatrist, and therapist

Patient Monitoring

Mood ch...

REFERENCES

1
1 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.
2
2 Hirshfeld RM. Validation of the ...

ADDITIONAL READING

  • American Psychiatric Association. Practice guideline for the treatment of patients with bipolar disorder (revision). Am J Psychiatry.  2002;159(4 Suppl):1–50. {L-End} {L-End}...

SEE ALSO

Algorithm: Depressive Episode, Major 

CODES

ICD10

F31.81 Bipolar II disorder 

ICD9

296.89 Other bipolar disorders 

SNOMED

  • 83225003 Bipolar II disorder

  • 48937005 bipolar II disorder, most recent episode hypomanic (disorder)

  • 16295005 bipolar II dis...

CLINICAL PEARLS

  • BP-II is characterized by at least one episode of major depression and one episode of hypomania.

  • Patients may not recognize symptoms and or decline treatment during a hypomanic episode;...

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