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As is true with virtually any mental health diagnosis, there is no one test that definitively assesses that someone has bipolar disorder.
Therefore, health care clinicians, like psychiatrists and clinical psychologists, diagnose this disease by gathering comprehensive medical, family, and mental health information. "Rapid-cycling bipolar disorder: cross-national community study." The British Journal of Psychiatry 196 (2010): 217-225.
Despite differences in the symptoms of bipolar disorder in teens and children compared to adults, many who are diagnosed with certain kinds of pediatric bipolar disorder continue to have those symptoms as adults.
Symptoms of bipolar disorder in women tend to include more depression and anxiety and a rapid cycling pattern compared to symptoms in men, and men with bipolar disorder are more at risk for having an alcohol or other substance use disorder compared to women with the mood disorder. "Prejudice, Social Stress, and Mental Health in Lesbian, Gay, and Bisexual Populations: Conceptual Issues and Research Evidence." Psychological Bulletin 129.5 Sept.
The diagnosis of bipolar I disorder requires that the individual has at least one manic episode but does not require a history of major depression.
Bipolar II disorder is diagnosed if the person has experienced at least one episode of major depression and at least one episode of hypomania (a milder form of mania). "Comorbidity in Bipolar Disorder: The Complexity of Diagnosis and Treatment." Psychiatric Times 26.4 Mar.
About two-fifths of people with bipolar disorder have at least one period of rapid cycling over the course of their lifetime. "A Review of Evidence-Based Therapeutic Interventions for Bipolar Disorder." Journal of Mental Health Counseling 31.4 Oct.
For every type and duration of the illness, the sufferer experiences significant problems with his or her functioning at school, at work, socially or otherwise in their community, may need hospitalization, or may have psychotic symptoms (for example, delusions or hallucinations).
Bipolar disorder, also called bipolar I disorder and formerly called manic depression, is a mental illness that is characterized by severe mood swings, at least one episode of mania and may include repeated episodes of depression. Characteristics of mania must last at least a week (unless it is part of mixed features) and include Symptoms of the manic episode of early onset bipolar disorder in childhood or adolescence tend to include outbursts of anger, rage, and aggression, as well as irritability, as opposed to the expansive, excessively elevated mood seen in adults. The adolescent with bipolar disorder is more likely to exhibit depression and mixed episodes with rapid changes in mood. Bipolar disorder has a number of types, including bipolar I and bipolar II disorder. Depending on how rapidly the mood swings occur, the episodes of bipolar disorder can also be described as having mixed (mood disordered episodes that last less than the usual amount of time required for the diagnosis) features or rapid cycling (four or more mood disordered episodes per year) features.
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Bipolar disorder is a mood disorder that afflicts more than 1% of adults in the United States, up to as many as 4 million people. "Early intervention for bipolar disorder: current imperatives, future directions." Revista Brasileira de Psiquiatria 33(suppl II) (2011): S197-S204.