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Bipolar I Disorder

 

The essential feature of Bipolar I Disorder is a clinical course that is characterized by the occurrence of one or more Manic Episodes or Mixed Episodes. Often the individuals have also had one or more Depressive Episodes. 

DSM-IV Criteria for Bipolar I Disorder 

 

296.0x Bipolar I Disorder Single Manic Episode

A. Presence of only one Manic Episode and no past Major Depressive Episodes. 
Note: Recurrence is defined as either a change in polarity from depression or an interval of at least 2 months without manic symptoms. 

 

B. The Manic Episode is not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified. 

 

Specify if: 

 

Mixed: if symptoms meet criteria for a Mixed Episode

 

Specify (for current or most recent episode): 

 

Severity/Psychotic/Remission Specifiers 
With Catatonic Features 
With Postpartum Onset 

296.40x Bipolar I Disorder Most Recent Episode

Hypomanic 

A. Currently (or most recently) in a Hypomanic Episode. 

 

B. There has previously been at least one Manic Episode or Mixed Episode. 

 

C. The mood symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. 

 

D. The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified. 

 

Specify: 

 

Longitudinal Course Specifiers (With and Without Interepisode Recovery)
With Seasonal Pattern (applies only to the pattern of Major Depressive Episodes) 
With Rapid Cycling

 

296.4x Bipolar I Disorder Most Recent Episode Manic

A. Currently (or most recently) in a Manic Episode. 

 

B. There has previously been at least one Major Depressive Episode, Manic Episode, or Mixed Episode. 

 

C. The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified. 

 

Specify (for current or most recent episode): 

 

Severity/Psychotic/Remission Specifiers  
With Catatonic Features  
With Postpartum Onset 

 

Specify: 

 

Longitudinal Course Specifiers (With and Without Interepisode Recovery)  
With Seasonal Pattern (applies only to the pattern of Major Depressive Episodes)  
With Rapid Cycling

296.6x Bipolar I Disorder Most Recent Episode Mixed

A. Currently (or most recently) in a Mixed Episode. 

 

B. There has previously been at least one Major Depressive Episode, Manic Episode, or Mixed Episode. 

 

C. The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified. 

 

Specify (for current or most recent episode): 

 

Severity/Psychotic/Remission Specifiers 
With Catatonic Features 
With Postpartum Onset 

 

Specify: 

 

Longitudinal Course Specifiers (With and Without Interepisode Recovery)
With Seasonal Pattern (applies only to the pattern of Major Depressive Episodes) 
With Rapid Cycling

296.6x Bipolar I Disorder Most Recent Episode Depressed

A. Currently (or most recently) in a Major Depressive Episode. 

 

B. There has previously been at least one Manic Episode or Mixed Episode. 

 

C. The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder,

     Delusional Disorder, or Psychotic Disorder Not Otherwise Specified. 

 

Specify (for current or most recent episode):

 

Severity/Psychotic/Remission Specifiers 
Chronic 
With Catatonic Features 
With Melancholic Features
With Atypical Features 
With Postpartum Onset 

 

Specify: 

Longitudinal Course Specifiers (With and Without Interepisode Recovery)
With Seasonal Pattern (applies only to the pattern of Major Depressive Episodes)

Bipolar Disorder treatment:

 

 

Cognitive-behavioral therapy (CBT) 

 

Interpersonal and Social Rhythm Therapy

 

Psychoeducation: Individual, Family and group

  Medications

Mood-stabilizers Antipsychotic
Lithobid, Eskalith (Lithium) Zyprexa (olanzapine)
Depakote (divalproex sodium) Symbyax (Olanzapine & Fluoxetine)
Carbatrol, Tegretol (carbamazepine) RISPERDAL® (risperidone)  
Lamictal  (lamotrigine)  Invega (paliperidone)

Seroquel (quetiapine) 

Geodon (ziprasidone)  
Calan, Isoptin (verapamil)
Abilify (aripiprazole)
Trileptal (oxcarbazepine)