By Gordon Parker
Bipolar melancholy is referred to now to exist as a spectrum of problems instead of a unmarried affliction entity. Bipolar II ailment exists in this spectrum as a the place the depressive episodes are as critical as in Bipolar I affliction, yet the place the temper elevation states usually are not as severe. This unforeseen mix can result in a failure to discover a situation suggestion to impact as much as 6% of the inhabitants. This publication stories, for the 1st time, our wisdom of this debilitating ailment, overlaying its heritage, category and neurobiology. In a special part, fourteen the world over famous specialists debate administration ideas, development to a few consensus, and leading to therapy instructions the place no such suggestion at the moment exists. it may be learn via all wellbeing and fitness pros handling temper issues and may be informative to these wishing to benefit extra concerning the .
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Extra info for Bipolar II Disorder: Modelling, Measuring and Managing
Solution 3. Teach patients and families what to look for As clinicians know from experience, teaching patients and families about BP II is a crucial initial step toward acceptance of this diagnosis. At present, the general public’s understanding of bipolar disorder is based on a limited exposure to the idea of manic-depression. In the minds of most, this means mania as well as depression. Thus, on hearing the term ‘bipolar’ invoked, all too often a patient’s reaction is ‘Oh, doc, I know what mania is, and I know I’ve never had that’.
The question is how often this happens. Whereas a meta-analysis by Gisjman et al. (2004) quantified the risk at 2–4%, earlier literature reviews had estimated much higher rates such as 30–40% (Goldberg and Truman, 2003). , 2006). Using the most conservative criteria and the least problematic antidepressant (bupropion, in this Stanley Foundation Bipolar Network study), the rate was 4%. Lacking any placebo group to demonstrate a comparable base rate of switching, which we can presume is not likely to be zero, it is impossible to draw firm conclusions regarding switch rates.
Not all those with agitated depressions are bipolar (think of PTSD with superimposed Major Depression, for example). However, this way of thinking about mixed states has some descriptive advantages over the narrower DSM definition, particularly for BP II, which in the DSM scheme cannot, 22 James Phelps by definition, include a mixed state presentation. Yet mixed state BP II is an extremely common clinical variant (see Benazzi’s commentary in Chapter 17). This mixed state model is a variation of a bipolar spectrum view in which symptoms are continuous dimensions rather than discrete, present-or-absent variables.