Living with depression, anxiety and bipolar disorder

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Bipolar II and bipolar spectrum disorder
Table 2. A proposed definition of bipolar spectrum disorder
Return to Bipolar II article


 

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Educational materials
for providers and
group facilitators.

 

 

 

A. At least one major depressive episode

B. No spontaneous hypomanic or manic episodes

C. Either of the following, plus at least 2 items from criterion D, or both of the following plus 1 item from criterion D:
1. A family history of bipolar disorder in a first-degree relative
2. Antidepressant-induced mania or hypomania

D. If no items from criterion C are present, 6 of the following 9 criteria are needed:
1. Hyperthymic personality (at baseline, nondepressed state)
2. Recurrent major depressive episodes (> 3)
3. Brief major depressive episodes (on average, < 3 months)
4. Atypical depressive symptoms (DSM-IV criteria)
5. Psychotic major depressive episodes
6. Early age of onset of major depressive episode (< age 25)
7. Postpartum depression
8. Antidepressant "wear-off" (acute but not prophylactic response)
9. Lack of response to 3 antidepressant treatment trials

The relation of these clues to bipolarity is well documented in the literature.

 

Bipolar II and the Bipolar Spectrum
What is hypomania?

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Page updated March 1, 2011