Bipolar disorders

1. Dinu Irandi Jayasinghe
Group 09a
*

2. *This disorder is characterized by repeated (at least two)
episodes in which the patient's mood and activity levels
are significantly disturbed, this disturbance consisting on
some occasions of an elevation of mood and increased
energy and activity (mania or hypomania), and on others
of a lowering of mood and decreased energy and activity
(depression).

3. *Manic episodes usually begin abruptly and last for between
2 weeks and 4-5 months (median duration about 4 months).
*Depressions tend to last longer (median length about 6
months)
*Characteristically, recovery is usually complete between
episodes, and the incidence in the two sexes is more nearly
equal than in other mood disorders.
*As patients who suffer only from repeated episodes of
mania are comparatively rare, and resemble (in their
family history, premorbid personality, age of onset, and
long-term prognosis) those who also have at least
occasional episodes of depression, such patients are
classified as bipolar.

4. *
F31.0 Bipolar affective disorder,
current episode hypomanic
(a)the current episode must fulfil the
criteria for hypomania (F30.0); and
(b)there must have been at least one
other affective episode (hypomanic,
manic, depressive, or mixed) in the past
6A60.0 Bipolar type I disorder, current
episode manic, without psychotic
symptoms
current episode manic, without psychotic
symptoms diagnosed when the definitional
requirements for Bipolar type I disorder
are met, current episode is manic, and
are no delusions or hallucinations present
during episode
F31.1 Bipolar affective disorder,
current episode manic without psychotic
symptoms
(a)the current episode must fulfil criteria
for mania without psychotic symptoms
(b)there have at least one other affective
episode (hypomanic, manic, depressive, or
mixed) past.
6A60.1 Bipolar type I disorder, current
episode manic, with psychotic symptoms
A manic episode is an extreme mood state
lasting at least one week unless shortened
by a treatment intervention characterized
by euphoria, irritability, or expansiveness,
and by increased or a experience of
increased energy,
F31.2 Bipolar affective disorder, current
episode manic with psychotic symptoms
(a)the current episode must fulfil the
criteria for mania with psychotic
symptoms (F30.2); and
(b)there must have been at least one
other affective episode (hypomanic,
manic, depressive, or mixed) in the past.
6A60.2 Bipolar type I disorder, current
episode hypomanic
current episode hypomanic is diagnosed
when the definitional requirements for
disorder have met and current episode is
hypomanic. A hypomanic episode is a
persistent mood state lasting at least
several days mild elevation of mood

5. F31.3 Bipolar affective disorder, current
episode mild or moderate depression
(a)the current episode must fulfil the
criteria for a depressive episode of either
mild (F32.0) or moderate (F32.1) severity;
and
(b)there must have been at least one
hypomanic, manic, or mixed affective
episode in the past.
6A60.3 Bipolar type I disorder, current
episode depressive, mild
current episode depressive, mild is
diagnosed when the definitional
requirements for Bipolar type I disorder
have been met and the current episode is
depressive at a mild level of severity
F31.4 Bipolar affective disorder, current
episode severe depression without
psychotic symptoms
(a)the current episode must fulfil the criteria for
a severe depressive episode without psychotic
symptoms (b)there must have been at least one
hypomanic, manic, or mixed affective episode in
the past.
6A60.4 Bipolar type I disorder, current
episode depressive, moderate without
psychotic symptoms
moderate, without psychotic symptoms is
diagnosed when the definitional requirements
for have met and the current episode is
depressive at a moderate level of severity and
are no delusions or hallucinations during episode
F31.5 Bipolar affective disorder, current
episode severe depression with
psychotic symptoms
(a)the current episode must fulfil the
criteria for a severe depressive episode
with psychotic symptoms (F32.3); and
(b)there must have been at least one
hypomanic, manic, or mixed affective
episode in the past.
6A60.5 Bipolar type I disorder, current
episode depressive, moderate with
psychotic symptoms
moderate, with psychotic symptoms
diagnosed when the definitional
requirements for Bipolar type I have been
met and current episode is depressive at a
mod level of severity and are delusions or
hallucinations during episode

6. F31.6 Bipolar affective disorder, current
episode mixed
The patient has had at least one manic,
hypomanic, or mixed affective episode in the
past and currently exhibits either a mixture
or a rapid alternation of manic, hypomanic,
and depressive symptoms.
6A60.6 Bipolar type I disorder, current
episode depressive, severe without
psychotic symptoms
is diagnosed when the definitional
requirements for Bipolar type I disorder are
met and the current episode is severe and
there are no delusions or hallucinations
during the episode.
F31.7 Bipolar affective disorder, currently
in remission
The patient has had at least one manic,
hypomanic, or mixed affective episode in the
past and in addition at least one other
affective episode of hypomanic, manic,
depressive, or mixed type, but is not
currently suffering from any significant mood
disturbance, and has not done so for several
months. The patient may, however, be
receiving treatment to reduce the risk of
future episodes.
6A60.7 Bipolar type I disorder, current
episode depressive, severe with psychotic
symptoms
when the definitional requirements for
Bipolar type I disorder are met and the
current episode is severe and there are
delusions or hallucinations during the
episodes lasting at least two weeks
accompanied by other symptoms such as
difficulty concentrating, feelings of
worthlessness or excessive or inappropriate
guilt, hopelessness
F31.8 Other bipolar affective disorders
F31.9 Bipolar affective disorder,
unspecified
A60.8 Bipolar type I disorder, current
episode depressive, unspecified severity
A60.9 Bipolar type I disorder, current
episode mixed, without psychotic
symptoms

7. *
*6A60.A Bipolar type I disorder, current episode
mixed, with psychotic symptoms
*6A60.B Bipolar type I disorder, currently in partial
remission, most recent episode manic or hypomanic
*6A60.C Bipolar type I disorder, currently in partial
remission, most recent episode depressive
*6A60.D Bipolar type I disorder, currently in partial
remission, most recent episode mixed
*6A60.E Bipolar type I disorder, currently in partial
remission, most recent episode unspecified
*6A60.F Bipolar type I disorder, currently in full
remission
*6A60.Y Other specified bipolar type I disorder
*6A60.Z Bipolar type I disorder, unspecified

8. *
*Bipolar type II disorder is an episodic mood
disorder defined by the occurrence of one or more hypomanic episodes
and at least one depressive episode.
*A hypomanic episode is a persistent mood state characterized by
euphoria, irritability, or expansiveness, and excessive psychomotor
activation or increased energy, accompanied by other characteristic
symptoms such as grandiosity, decreased need for sleep, pressured
speech, flight of ideas, distractibility, and impulsive or reckless
behavior lasting for at least several days.
*The symptoms represent a change from the individual’s typical
behavior and are not severe enough to cause marked impairment in
functioning.
*A depressive episode is characterized by a period of almost daily
depressed mood or diminished interest in activities lasting at least 2
weeks accompanied by other symptoms such as changes in appetite or
sleep, psychomotor agitation or retardation, fatigue, feelings of
worthless or excessive or inappropriate guilt, feelings or hopelessness,
difficulty concentrating, and suicidality.
*There is no history of manic or mixed Episodes

9. *6A61.0 Bipolar type II disorder, current episode hypomanic
*6A61.1 Bipolar type II disorder, current episode depressive, mild
*6A61.2 Bipolar type II disorder, current episode depressive,
moderate without psychotic symptoms
*6A61.3 Bipolar type II disorder, current episode depressive,
moderate with psychotic symptoms
*6A61.4 Bipolar type II disorder, current episode depressive, severe
without psychotic symptoms
*6A61.5 Bipolar type II disorder, current episode depressive, severe
with psychotic symptoms
*6A61.6 Bipolar type II disorder, current episode depressive,
unspecified severity
*6A61.7 Bipolar type II disorder, currently in partial remission, most
recent episode hypomanic
*6A61.8 Bipolar type II disorder, currently in partial remission, most
recent episode depressive
*6A61.9 Bipolar type II disorder, currently in partial remission, most
recent episode unspecified