Bipolar disorders: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Bipolar disorders: clinical features. Bipolar I: at least one episode of mania. Fully referenced neurology checklist.

Classification

  • Bipolar I: at least one episode of mania
  • Bipolar II: at least one episode of hypomania and depression
  • Cyclothymic disorder: episodes of hypomania and depressive symptoms
  • Bipolar disorder not otherwise specified:
  • Schizoaffective disorder bipolar type (SAB)

Epidemiology

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Core features

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Features of mania

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Features of hypomania

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Features of major depression

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Types of mania

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Outcome

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References

  1. Hilty DM, Leamon MH, Lim RF, Kelly RH, Hales RE. A review of bipolar disorder in adults. Psychiatry (Edgmont) 2006; 3:43-55.
  2. McIntyre RS, Calabrese JR. Bipolar depression: the clinical characteristics and unmet needs of a complex disorder. Curr Med Res Opin 2019; 35:1993-2005.
  3. Phillips ML, Kupfer DJ. Bipolar disorder diagnosis: challenges and future directions. Lancet 2013; 381:1663-1671. 
  4. Charney AW, Mullins N, Park YJ, Xu J. On the diagnostic and neurobiological origins of bipolar disorder. Transl Psychiatry 2020; 10:118. 
  5. McCormick U, Murray B, McNew B. Diagnosis and treatment of patients with bipolar disorder: A review for advanced practice nurses. J Am Assoc Nurse Pract 2015; 27:530-542.
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