BIPOLAR I

'Bipolar I' is a sub-diagnosis of bipolar disorder. Diagnosis of Bipolar I requires at least one Manic or Mixed episode, but there may be episodes of Hypomania or Major Depression as well. (This diagnosis conforms to the classic concept of manic depressive illness.)

Contents

Bipolar I Disorder

Bipolar Controversy

See also

Resources

External Links

References

Bipolar I Disorder

Diagnostic Features (DSM-IV, p. 350)
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 individuals have also had one or more major depressive episodes. Episodes of Substance-Induced mood disorder (due to the direct effects of a medication, or other somatic treatments for depression, a drug of abuse, or toxin exposure) or of mood disorder due to a General Medical Condition do not count toward a diagnosis of Bipolar I Disorder. In addition, the episodes are not better accounted for by schizoaffective disorder and are not superimposed on schizophrenia, schizophreniform disorder, delusional disorder, or Psychotic Disorder Not Otherwise Specified.
==Complete List of DSM-IV Diagnosis Codes==

★ Detailed listing of Bipolar Disorder Code Details
==General Diagnosis Codes DSM-IV-TR==

Dx Code #	Disorder	Description
296.0x	Bipolar I Disorder	Single Manic Episode
296.40	Bipolar I Disorder	Most Recent Episode Hypomanic
296.4x	Bipolar I Disorder	Most Recent Episode Manic
296.6x	Bipolar I Disorder	Most Recent Episode Mixed
296.5x	Bipolar I Disorder	Most Recent Episode Depressed
296.7	Bipolar I Disorder	Most Recent Episode Unspecified

Bipolar Controversy

A debate rages in the medical community on the prevalence of bipolar disorders.[1]Concerns have arisen about the potential for overdiagnosis of BD.[2]One controversy has been the validity of the construct of a mental disorder across different cultural perspectives (Lopez & Guarnaccia 2000, Sher & Trull 1996).[3] Culture-bound syndromes represent recurrent patterns of maladaptive behaviors and/or troubling experiences specifically associated with different cultures or localities (APA, 1994b).[4] It can be difficult to distinguish between age-appropriate restlessness, the fidgeting of children with ADHD, and the purposeful busy activity of mania (Harrington & Myatt, 2003).[5] Further complicating the diagnosis: Abused or traumatized children can seem to have bipolar disorder when they are actually reacting to horrors in their lives.[6] Assumptions regarding behavior, particularly in regard to diagnosing bipolar disorder, ADHD, and mania in children and adolescents, have raised considerable questions regarding unnecessary treatment. Antipsychotic drugs prescribed for the treatment of BD may increase risk to health including heart problems, diabetes, liver failure, and death.[7] "Consequences of overdiagnosis...include exposure to a greater medication
burden (in some cases requiring additional
monitoring) as well as lesser likelihood of
clinical improvement."[8] When checking for a misdiagnosis of Bipolar disorder or confirming a diagnosis of Bipolar disorder, it is useful to consider what other medical conditions might be possible misdiagnoses or other alternative conditions relevant to diagnosis.[9]

See also

★ Bipolar Disorder

★ Bipolar II

★ Borderline Personality Disorder

★ Mood (psychology)

★ Emotion

★ List of people believed to have been affected by bipolar disorder

★ Bipolar spectrum

★ Seasonal affective disorder

★ Oppositional Defiance Disorder

★ Emotional dysregulation

★ Creativity and bipolar disorder

★ Bipolar disorders research

Resources

International Society for Bipolar Disorders

External Links

★ Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, 1994 (DSM-IV).

References

★ American Psychiatric Association, 1400 K Street NW, Suite 1101, Washington, DC 20005-2403 USA.

★ BipolarSupportAlliance.org

★ United Nations Principles of Medical Ethics