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Bipolar II Disorder

Wendy K. Marsh, MSc, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

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 elevation. 
Geriatric Con...

DIAGNOSIS

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

TREATMENT

GENERAL MEASURES

  • Ensure safety.

  • Psychotherapy for depression (e.g., CBT, social rhythm, interpersonal, family focused) in conjunction with medications

  • Regular circadian rhythm/daily sleep and a...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Regularly scheduled visits support adherence with treatment. 

Patient Monitoring

Mood charts are helpful to monitor symptoms. 

PATIENT EDUCATION

  • National Alliance on ...

REFERENCES

1
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders . 5th ed. Arlington, VA: Amer...

ADDITIONAL READING

Salcedo S, Gold AK, Sheikh S, et al. Empirically supported psychosocial interventions for bipolar disorder: current state of the research. JAffect Disord....

SEE ALSO

Algorithm: Depressive Episode, Major 

CODES

ICD10

F31.81 Bipolar II disorder 

SNOMED

  • 83225003 Bipolar II disorder

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

  • 16295005 bipolar II disorder, most recent episode major de...

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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