Bipolar Disorder : The Diagnostic And Statistical Manual Of Mental Disorders

To be diagnosed with bipolar disorder under the DSM requirements, a person must have a manic episode that lasts at least seven days or has severe symptoms that can possibly send them to a hospital or have sent them to a hospital, and the person usually experiences about two weeks of a depressive episode (NIMH, 2015). People with bipolar disorder can be misdiagnosed. The depressive episodes are very similar to major depression. In some forms of bipolar disorder, psychotic factors are present like hallucinations or delusions which may lead to a misdiagnosis of schizophrenia (Schacter et al., 2015).

There are four types of mood episodes in bipolar disorder: mania, hypomania, depression, and mixed episodes. Each mood episode comes with a series of symptoms. In the manic phase of bipolar disorder, feelings of increased energy and extreme happiness are the most common. People who are experiencing a manic episode often cannot stop talking, their talking is fast and very hard to understand, they sleep very little, and are very hyperactive. They feel they are invincible and can do anything in the world. Hypomania is a less severe type of mania.

Bipolar Disorder is a brain disorder that is characterized by abnormal changes in mood, energy and activity levels (“National Institute of Mental Health”). Manic-depressive illness is also another name that bipolar disorder is commonly referred to as (“National Institute of Mental Health”). This disorder has four basic types including, bipolar I, bipolar II, cyclothymic, and any other which do not perfectly fit the first three. All four of the types have episodes of extreme highs, manic periods, and extreme lows, depressive periods. Symptoms can range greatly and depend on what type of episode the affected is having. Manic episodes can include, but are not limited to: having extraordinarily high amounts of energy, activity,

The mood disorder of bipolar is a roller coaster of high and low emotions. Bipolar has many different components and can manifest as either Bipolar I or Bipolar ( Oltmanns & Emery, 2015) Bipolar I is described as having one manic episode. ( Oltmanns & Emery ,2015) Mania is a disturbance in mood characterized by symptoms as elation, higher self-esteem, hyperactivity and expedited thought process. (Oltmanns & Emery, 2015) To have Bipolar II, a person must have at least one depressive episode and a mild manic episode. A depressive episode includes hypomania meaning in bipolar II a person will not have a full blown manic episode. (Oltmanns & Emery, 2015) People who have bipolar have a tough time with their emotions, because their emotions are not stable. They oftentimes feel like they are on an emotional roller-coaster because of the erratic ups and downs ( Oltmanns & Emery 2015)

People with bipolar I disorder have full manic and major depressive episodes. Most of them experience an alternation of the episodes; for example, weeks of mania may be followed by a period of wellness, followed, in turn, by an episode of depression. Some, however, have mixed episodes, in which they display both manic and depressive symptoms within the same episode—for example, having racing thoughts amidst feelings of extreme sadness. In bipolar II disorder, hypomanic—that is, mildy manic—episodes alternate with major depressive episodes over the course of time. When a person experiences numerous periods of hypomanic symptoms and mild depressive symptoms, but not full-blown episodes, DSM-5 assigns a diagnosis of cyclothymic disorder. The symptoms of this milder form of bipolar disorder continue for two or more years, interrupted occasionally by normal moods that may last for only days or weeks.

Bipolar disorder also known as manic depression has always been a mystery since the 16th century. History has shown that it can appear in almost everyone. Bipolar disorder causes mood swings in energy, thinking, and other behavior. Having a bipolar disorder can be very disabling (Kapczinski). A study was evaluated and about 1.3% of the U.S population of people suffers from bipolar disorder. Stressors and environmental influences can trigger and cause a person to go through numerous episodes. Bipolar disorder is characterized according to the severity of the stages. According to Kapczinski, there are four different stages that a person with bipolar disorder can experience. The prognosis of a disorder is different in each particular patient

Bipolar disorder is a mental abnormality involving an intense mood change from mania to a depressive mood in a matter of seconds. This used to be called manic-depressive disorder. During the manic phase, your will be very energetic, happy, talkative, have an increased sex drive, and even aggression. You could also end up spending a mass amount of money in which you didn’t intend to do. But during the depressive phase, you are very depressed, hopeless, anxious, sleepy, guilty, and sometimes even suicidal. People with bipolar disorder, often struggle with psychosis as well. Psychosis is the hallucinations and hearing voices.

The terms ‘manic–depressive illness’ and ‘bipolar disorder’ are comparatively recent, and date back from the 1950s and 1980s respectively. The term ‘bipolar disorder’ (or ‘bipolar affective disorder’) is thought to be less stigmatizing than the older term ‘manic–depressive illness’, and so the former has largely superseded the latter. However, some psychiatrists and some people with bipolar disorder still prefer the term ‘manic–depressive illness’ because they feel that it reflects thenature of the disorder more accurately.

The two major types of Bipolar Disorder (BPD) set out in this paper are Bipolar 1 and 2. Bipolar 1 is diagnosed as guide lined by the DSM5. As the occurrence of a least one maniac episode preceding or post an episode of hypomania and/or Major depression. The DSM 5 highlights that Bipolar 2 is diagnosed by one major depressive episode in occurrence with one hypomanic episode with an absence of Mania. (Association:, 2013) Mania as defined by DSM5: “A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and present most of the day, nearly every day.” Hypomania being: “A distinct period of abnormally and

For an episode to be categorized as manic, the patients’ mood has been irritable or abnormally elevated for at least 1 week. A person must also exhibit at least 3 of the following symptoms (4 if the mood is only irritable): extreme feelings of personal greatness; a decreased need for sleep, marked talkativeness; distractibility; extreme focus on a goal-directed activity; reports of ‘racing’ thoughts or a flight of ideas; or excessive involvement in pleasurable activities that have a high potential for painful consequences (i.e. sexual indiscretions or unintelligent business investments). As in the criteria for a depressed episode, the DSM-IV specifies that these symptoms should not be better explained as being a side effect of a drug or illness to qualify as a manic episode. These symptoms must interfere with the person’s normal functioning and must not meet the criteria for a mixed episode. As with adults, childhood-onset bipolar disorder has many faces. Children with Bipolar I Disorder have episodes of mania and episodes of depression, sometimes there are long periods of normal moods between episodes. Adults usually tend to have more depressed episodes than manic episodes. However, some children will have chronic mania (symptoms of mania lasting for long periods of time or marked by frequent recurrence) and seldom experience a depressed episode.

Bipolar Disorder or manic-depressive disorder is a disorder characterized by highs, manias, and lows, depressions, and can therefore be easily distinguished from unipolar depression, a major depressive disorder in DSM-5, by the presence of manic or hypomanic episodes (Miklowitz & Gitlin, 2014). Bipolar disorder is generally an episodic, lifelong illness with a variable course (American Psychiatric Association, 2010). There are two classifications of bipolar disorder; bipolar I disorder and bipolar II disorder. If the episodes are primarily manic but there has been at least one depressive episode, the diagnosis is bipolar I disorder (Early, 2009). If the episodes are primarily depressed but there has been at least one episode of hypomania, increased mood that is more euphoric than normal but not quite manic, the diagnosis is bipolar II disorder (Early, 2009).

The National Institute of Mental Health describes bipolar I disorder as the occurrence of manic episodes that can last up to seven days, or experiencing a state of mania so severe that one must be hospitalized. With manic episodes, it is common to experience depressive symptoms as well, which can last two weeks or more. The NIMH defines bipolar II disorder as a pattern of depressive episodes with the addition of hypomanic episodes, which are not as intense and distressing as the manic episodes in bipolar I disorder. During a manic episode one might be experiencing feelings of having a lot of energy, feeling jumpy or wired, talking fast about a variety of topics, racing thoughts, and wanting to do risky things. During an episode of depression,

Bipolar disorder, or manic depressive disorder, is a disorder characterized by extreme mood changes. People with this disorder undergo unusual shifts in his or her mood, activity levels, energy and the ability to carry out daily activities (National Institute of Mental Health, n.d.). A person can go from being very outgoing and energetic to feeling irritated and worthless over a period of a few days, months, or even years. People with bipolar disorder experience “mood episodes”, represented by a drastic change in a person’s unusual mood or behavior (National Institute of Mental Health, n.d.). A manic episode he or she may experience is overexcited and overly joyful; however, someone in a