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Bipolar Subtypes

Bipolar disorder is a mental health condition that involves periods of elevated mood and periods of depressed mood. There are various subtypes of bipolar disorder.

Bipolar disorderis a psychiatric condition that requires lifelong treatment. As many as4.4 %of U.S. adults experience this condition that can dramatically alter their mood, energy levels and thought processes. Contrary to popular belief, there isn’t just one type of bipolar disorder; there are several subtypes of bipolar disorder that different in symptoms presented and treatment methods used.

Bipolar I Disorder

Bipolar I disorderis characterized bymanic episodes, which are distinct periods of elevated mood, increased goal-directed activity and heightened energy that persist for at least a week and are present for most of the day. Bipolar I disorder is also identified by a group of other symptoms, including:

  • Inflated self-esteem
  • Decreased need for sleep
  • Being more talkative than usual, also known as “pressured speech”
  • Racing thoughts
  • Distractibility
  • Increased risk-taking behaviors

Bipolar II Disorder

Whilebipolar II disordershares many symptoms with bipolar I disorder, it is a more mild form of the condition that has less significant impacts on daily functioning. Instead of experiencing mania, individuals with bipolar II disorder have periodic episodes ofhypomania. As a patient, it can be difficult to differentiate between the two disorders, but a psychiatrist can make the correct diagnosis when an accurate medical history is provided.

Cyclothymia

Individuals with thecyclothymiasubtype of bipolar disorder cycle between hypomanic and depressive episodes. For a diagnosis to be made, mood cycling must occur for at least two years, with at least one year occurring during childhood. During the two-year period, hypomanic and depressive episodes must be present for at least half the time, and the individual must not have been without symptoms for more than two months. Between30–50%of patients with depressive, impulsive, borderline or anxious personality disorders may suffer from cyclothymia later on in life.

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Not Otherwise Specified

Bipolar disorder not otherwise specifiedis diagnosed when an individual experiences some symptoms of bipolar disorder but does not meet the full criteria for any specific subtype of bipolar disorder.

Mixed Episodes

Mixed episodesoccur when a person with bipolar l or bipolar ll disorder experiencesmanicanddepressive symptomsat the same time. About40%of people with bipolar disorder have mixed episodes. Individuals who experience mixed episodes of bipolar disorder tend to have a more severe form of the condition.

Rapid Cycling

Rapid cyclingbipolar disorder involves at least four episodes of mood changes within a 12-month period. The episodes must meet both the duration and symptom number criteria for amajor depressive,manicorhypomanic episodeand cannot be caused by substance use, medications or other medical conditions for a diagnosis to be made.

Because most forms of bipolar disorder impact many aspects of an individual’s personal and professional life, it’s important that anyone showing signs of bipolar disorder seek treatment as soon as possible.Treatment for bipolaris particularly important when co-occurring mental health conditions, like addiction, are present.

If you or a loved one live with co-occurringbipolar and substance use disorders, contact The Recovery Village to learn about our comprehensive treatment plans.Reach outtoday for more information.

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Sources

International Bipolar Disorder. “About Bipolar Disorder.” Accessed May 22, 2019.

National Alliance on Mental Illness. “Bipolar Disorder.” August 2017. Accessed May 8, 2019

Perugi G, Hantouchie E, Vannucci G. “Diagnosis and Treatment of Cyclothymia: The “Primacy” of Temperament.” April 2017. Accessed May 8, 2019

Fagiolini A, Coluccia A, Maina G, Forgione RN, Goracci A, Cuomo A, Young AH. “Diagnosis, Epidemiology and Management of Mixed States in Bipolar Disorder.” CNS Drugs, September 2015. Accessed May 22, 2019.

Khouzam HR, Singh F. “Bipolar disorder: historic perspective, current pharmacologic treatment options and a review of quetiapine.” Expert Review of Neurotherapeutics, February 2006. Accessed May 22, 2019.

Medical Disclaimer

The Recovery Village aims to improve the quality of life for people struggling with substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.

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