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Bipolar vs Major Depressive Disorder


15 years ago 0 910 logo logo logo logo logo logo logo logo logo logo 0
Wow, thanks for all the info WildCat, that is facsinating!
15 years ago 0 1693 logo logo logo logo logo logo logo logo logo logo 0
Very interesting...
Members, what do you think?
 
Breanne, Bilingual Health Educator
15 years ago 0 456 logo logo logo logo logo logo logo logo logo logo 0
hi I found the two articles on the net... concerning the spectrum of Bipolarity that the hospital dr was explaining to me...
 

Klerman's Primary Bipolar Subtypes (1981)

(Psychiatric Annals #17: January 1987)
Bipolar I: Mania and depression
Bipolar II: Hypomania and depression
Bipolar III: Cyclothymic disorder
Bipolar IV: Hypomania or mania precipitated by antidepressant drugs
Bipolar V: Depressed patients with a family history of bipolar illness
Bipolar VI: Mania without depression [unipolar
****
A lesser-known system defining the types of bipolar disorder was developed by Hagop Akiskal and was published in 1999. He identified bipolar ½ as schizobipolar disorder,
bipolar I with full-blown manic-depressive illness,
bipolar I ½ as depression with extended hypomania,
bipolar II defined depression with hypomanic episodes,
bipolar II ½ as depression superimposed on cyclothymic temperament,
bipolar III is hypomania caused by antidepressant drugs,
bipolar III ½ addresses hypomania and/or depression associated with substance abuse and its persistence after substance abuse ends, and
bipolar IV as depression associated with hyperthymic temperament.
Akiskal provided his own definitions for hypomanic episodes and cyclothymic and hyperthymic temperament, The biggest advantage in using this model is that it identifies and addresses the element of substance abuse as a cause for bipolar disorder. The popular and widely accepted reference to substance abuse in bipolar disorder is a dual-diagnosis of the two problems.

The future of bipolar disorder diagnosis types appears to not include any new concepts according to material that has been published about the development of the DSM-V. It seems that an official diagnosis of any type other than the ones already established will not happen in the near future.
***
15 years ago 0 456 logo logo logo logo logo logo logo logo logo logo 0
Bipolar disorder is a spectrum .... 
Well first ... the community needs to expand the criteria based on the DSM IV (i think it is by some 5% to 10%).  It would include the cyclothymic disorder  in the spectrum. THen, it would expand the Bipolar Disorder NOS - not otherwise specified.
 
Bipo I - is usually those who have the Manic and depressive phases of the  ilness.  Right.
Bipo II- is usually those who are depressive and "get better" and get depressed and get better - become  hypomanic. Right (are often misdiagnosed as MDD)...
Cyclothymic - are the a touch depressed and a touch hypomanic and go up and down, never really stable. Often develop BipoI later in life...
Bipo - NOS are those with mood swings but do not fit that nice pattern thanks to life!   BUT!  some patterns are discernable (annunal, monthly, life-stages, Other mental-illnesses ADD & Anxiety, etc) 
15 years ago 0 1693 logo logo logo logo logo logo logo logo logo logo 0
Great question Diva.
Members, does anyone know more about this?
 
Breanne, Bilingual Health Educator
15 years ago 0 910 logo logo logo logo logo logo logo logo logo logo 0
They want to redivide the disorder into 6? How so, can you explain?
15 years ago 0 456 logo logo logo logo logo logo logo logo logo logo 0
Hi Diva,
that is why many are now trying to redivide the disorder into 6 ... to make the diagnosis somewhat more clear.  But the conservatives are afraid that Bipo becomes flavour of the month.
15 years ago 0 910 logo logo logo logo logo logo logo logo logo logo 0
Hmmm,

That seem to happen a lot. This is not the first time I have heard of Bipolar disorder being misdiagnosed for MDD...
15 years ago 0 456 logo logo logo logo logo logo logo logo logo logo 0
hi faryal
my bipoII was mistaken for MDD for years, because the hypomania just looked like a type a person. Work, school, family, acitivities, volunteering ... etc and a few extra stuff on the week-ends
 
and the crashes were all the doc saw.
15 years ago 0 823 logo logo logo logo logo logo logo logo logo logo 0
Members,

Many wonder; what is the difference between bipolar disorder and major depressive disorder? Below is some helpful information that may help clear up the mystery:

Bipolar Disorder is also called manic-depressive illness. Bipolar disorder is much less common than major depression but it's important to understand what it is and what makes it different from major depression. One symptom of bipolar disorder include cycling mood changes that include extreme highs (mania), extreme lows (depression), and periods of normal functioning (wellness). Sometimes the mood changes in bipolar disorder are fast, dramatic and obvious, like there is a "mood switch" that is being turned on and off. Usually, though, the mood changes in bipolar disorder are much more gradual and less obvious.

In a depressed phase, people with bipolar disorder may have some or most of the symptoms of major depression. When in a manic phase, people with bipolar disorder can be extremely energetic, active, talkative, and irritable. The symptoms of mania include problems with thinking, judgment, and social behavior that can cause serious problems and embarrassment for people with bipolar disorder and the people close to them. People in a manic phase often feel so energized and alert that they feel like they have "special" powers or have been "chosen" for a "special mission." People in a manic phase are often talking all the time about big plans for fame or success, but their plans often only get them into trouble. It is also fairly common for people to get into trouble because of their increased interest in sex and sexual activity, and increased spending habits that can lead to financial problems.

Untreated mania can sometimes worsen to a psychotic state that requires hospitalization. Less severe episodes of mania are described as hypomania. Hypomania is also a serious disorder, but it often goes unrecognized because the symptoms are less debilitating and severe than mania. Someone who is in a hypomanic state may have more energy, need less sleep, and be more talkative compared to usual; others may believe that they're just in a "really good mood" or are "hyperactive."

Bipolar disorder is a chronic disorder. After an initial episode, people with bipolar disorder usually experience alternating periods of mania, depression and wellness for the rest of their lives. There is currently no cure for bipolar disorder. However, it is important to understand that recognizing bipolar disorder and sticking with treatment, even during wellness, can help keep the condition under control and reduce the chance that the episodes will worsen over time.

In summary, bipolar disorder is distinguished from MDD and dysthymia by the presence of manic, mixed or hypomanic episodes.

We hope this post has helped give you a better understanding of both illnesses. Please feel free to ask questions!

Faryal - Health Educator


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