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Bipolar II Disorder

Wendy K. Marsh, MD, MSc Reviewed 06/2019
 


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

GENERAL MEASURES

  • Ensure safety.

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

  • Regular daily schedule, exercise, a healthy diet, and sob...

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
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013. [View Abstract on OvidMedline]
2
Ostac...

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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