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General Medicine

Bipolar II Disorder

Wendy K. Marsh, MSc, MD Reviewed 05/2023
 


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

  • Regular circadian rhythm...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Regularly scheduled visits support adherence with treatment. 

Patient Monitoring

Mood charts are helpful to monitor symptoms. 

DIET

May be benefit from omega 3 fatty ...

REFERENCES

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

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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Antidepressant drugs and the biochemical life cycles of norepinephrine and serotonin. MAO inhibitors, tricyclics, and SSRIs are used as antidepressants. MAO inhibitors enhance the actions of NE and 5-HT by preventing their enzymatic destruction. Tricyclics enhance NE and 5-HT action by blocking uptake. SSRIs act the same way but are selective for serotonin.

 

Antidepressant drugs and the biochemical life cycles of norepinephrine and serotonin. MAO inhibitors, tricyclics, and SSRIs are used as ant...

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