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Bipolar II Disorder

Wendy K. Marsh, MD, MS Reviewed 06/2020
 


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

  • Diagnostic and Statistical Manual of Mental Disorders, 5th edition criteria: one hypomanic episode and at least one major depressive episode. The symptoms cause unequivocal change in functio...

TREATMENT

GENERAL MEASURES

  • Ensure safety.

  • Psychotherapy for depression (e.g., cognitive-behavioral therapy, social rhythm, interpersonal, family focused) in conjunction with medications

  • Regular daily sch...

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.
2
Ostacher MJ, Tandon R, Suppes T. Flo...

ADDITIONAL READING

  • Canadian Network for Mood and Anxiety Treatments: https://www.canmat.org/

  • Miller TH. Bipolar disorder. Prim Care.  2016;43(2):269–284.

  • Salcedo S, Gold AK, Sheikh S, et al. Empiri...

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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