Psychiatric Evaluation and Diagnosis of Virginia Woolf

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 II: one or more major depressive episodes and at least one episode of hypomania, with possible periods of level mood between episodes. Also the highs in bipolar II, called hypomania’s, and are not as high as those in bipolar I.

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)

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,

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.

People with bipolar disorder type 2 have never had full mania. Instead they experience periods of high energy levels and impulsiveness that are not as extreme as mania (called hypomania) . These periods alternate with episodes of depression.

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 I, which is considered to be the more severe form of bipolar disorder can be defined as mania or mixed episodes. About sixty seven percent of the time Bipolar I people are depressed or have depressive depression. With this strain of the disorder a person has at least one episode or mixed episodes and they are more prone to committing suicide. People living with bipolar disorder can be symptomatic for half of their lives. A person with Bipolar II disorder don’t experience full blown episodes of mania, however, they are more prone to severe depression and what is considered hypomania. The last form is called cyclothymia. Cyclothymia is cyclical mood swings. Cyclothymia is the least severe of the three.

Bipolar disorder is characterised by episodes of mania or hypomania (overactivity, insomnia, inability to concentrate, irritability, excitement, euphoria and delusions) and depression

Prior to pursuing treatment for these symptoms however, the type of bipolar disorder a person has should be clarified. People who have a history of manic episodes are diagnosed as bipolar I depressives, while bipolar II depression is characterized by a history of hypomania, which can go undetected. The main difference between hypomania and mania is that the former induces rapid thoughts which lead to feelings of euphoric elation and omnipotence, whereas rapid thoughts in the latter induce feelings of anger, fear, confusion, and uncontrollability. It is important to remember that people suffering from bipolar disorder often have periods of normal behavior in between their mania and depression. It is the abnormal behaviors that lithium aims to modify, and several primary behavior changes occur once a patient is on lithium treatment.

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,

Audience: Psychiatrists Thesis Statement: Psychiatrists should use a bipolar spectrum in order to thoroughly probe patients for evidence of bipolar II disorder, given the high rate of misdiagnosis. Topic sentence #1: The bipolar spectrum should be used in order to thoroughly probe patients for possible hypomanic symptoms, which frequently go unrecognized with traditional diagnostic techniques. Explanation #1: Some psychiatrists believe that a “black and white” approach is more effective in diagnosing patients, opposed to a spectrum where “softer” forms of bipolar disorder are recognized.

Bipolar disorder is a mental disorder characterized by an alternating or shift in moods of elevation and depression. It is also known as manic depression. This mental illness is that brings severe high and low moods, it can cause changes in sleep, energy, thinking, and behavior. “Bi” which means two or alternating between two, explains the two common episodic moods that occur in individuals with this disorder; mania and depression. According to the DSM there are multiple forms of bipolar disorder, coming in four major forms; bipolar I, bipolar II, bipolar disorder and Cyclothymia. Bipolar II which is a “major depressive episodes alternate with hypomanic episodes rather than full manic episodes.”(Barlow et al., 2014). Individual with bipolar I are similar, “except the individual experiences a full manic episode.” (Barlow et al., 2014). Lastly Cyclothymia is just a mild form of bipolar disorder. Mania episodes take into account the high elevated moods; where an individual’s is extremely energetic, excited, may partake in usually activities, for example excessive spending, promiscuity or dangerous behavior. On the other hand, there are depressive episodes, which are mark by similar symptoms as the common disorder of depression, such as extreme sadness, lack of motivation, constant fatigue and irritable. More prevalent in women, although it can occur in children and older adults, this disorder is seen to suddenly develop in ages ranging from 18 to 24. Although similar men and

There are also several types of bipolar disorders, depending on the nature of the illness. The main types are Bipolar I disorder, Bipolar II disorder, and cyclothymic disorder. Bipolar I disorder includes individuals who have had at least one full manic or mixed mood episode, and may or may not suffer from episodes of depression. Bipolar II disorder includes persons who have had at least one depressive episode and at least one hypomanic episode, but never experience a full manic or mixed mood episode. Bipolar II may go unrecognized because the hypomanic symptoms may not appear that unusual. Cyclothymic disorder includes individuals who have suffered numerous hypomanic and depressive symptoms over at least 2 years that are not severe or not long enough in duration to meet the criteria for a mood episode. The subtypes of bipolar disorder include: rapid cycling, seasonal pattern, and post-partum onset. Individuals who experience more frequent mood episodes (4 or more per year) are called rapid cyclers. Some persons have predictable seasonal