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Topic: Bipolar spectrum


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In the News (Fri 10 Jul 09)

  
  Bipolar Spectrum Screening Quiz: The Goldberg Bipolar Screening Questionnaire
This 12-question self-test may help you become aware of some signs and symptoms of bipolar spectrum disorders.
It is designed to screen for the possibility of a disorder in the bipolar spectrum in individuals, 18 or older, who have had at least one depression severe enough to have caused them distress and/or interfered with their functioning at home, work, school or in their interpersonal relationships.
Roughly speaking, the higher the score, the higher probability of a bipolar spectrum disorder, as opposed to major (unipolar) depression.
counsellingresource.com /quizzes/goldberg-bipolar/index.html   (523 words)

  
  Bipolar spectrum - Wikipedia, the free encyclopedia
The complete bipolar spectrum includes the a range of mood disorders, ranging from recurrent unipolar depression all the way to bipolar disorder with psychotic features (or schizobipolar disorder).
Diagnostic information about soft bipolar disorder, a part of the bipolar spectrum, is available by clicking[here].
BPD has a lot of similarities to rapid-cycling bipolar type II and other depressive disorders, and many patients show a positive response to the same types of medication.
en.wikipedia.org /wiki/Bipolar_spectrum   (468 words)

  
 Bipolar disorder - Wikipedia, the free encyclopedia
Bipolar disorder (which used to be called, and is still colloquially referred to as manic depression) is a diagnostic category describing a class of mood disorders where the person experiences recurring states or episodes of depression and/or hypomania, and/or mixed states and/or mania.
The term "bipolar disorder" is interchangeable with the term bipolar disorder, unless a particular subtype of bipolar disorder is being referred to.
Bipolar disorder is found in disproportionate numbers in people with creative talent such as artists, musicians, authors, poets, and scientists Exuberance book by Jamison, and it has been speculated that the mechanisms which cause the disorder may spur creativity in these persons.
en.wikipedia.org /wiki/Bipolar_disorder   (9505 words)

  
 Journal of Family Practice: Bipolar disorder in primary care: the bipolar spectrum is larger than was once believed, ...
As awareness of a prevalent bipolar spectrum has grown, psychiatrists are changing their approach to patients with depressed and/or anxious mood and are emphasizing the exclusion of bipolar disorder prior to prescribing antidepressants or other medications.
Bipolar disorder is characterized by periods of expansive or irritable mood known as mania or hypomania.
Bipolar disorder is diagnosed with interviews that examine phenomenology (symptoms), family history (pedigree), longitudinal course of illness, and treatment response.
www.findarticles.com /p/articles/mi_m0689/is_3_52/ai_99254319   (1334 words)

  
 The Bipolar Spectrum in Migraine Patients
Bipolar illness is relatively common in the migraine population (8.6% in the current study).
Bipolar I disorder was defined according to the DSM-IV criteria; there had to be at least one episode, currently or in the past, of true mania.
Bipolar illness was seen with increased frequency in the migraine population.
www.headachedrugs.com /archives/bipolar_spectrum.html   (1564 words)

  
 Christchurch School of Medicine & Health Sciences, New Zealand
Bipolar II disorder requires that the episode of hypomania lasts for at least four days, whereas for some people the episode of hypomania may only last for one or two days.
If the proband (ie index patient with bipolar disorder) had bipolar II disorder, then it was more likely that their relatives with bipolar disorders would also have a bipolar spectrum disorder (rather than bipolar I disorder).
For bipolar I disorder it would be usual to recommend that patients should be prescribed a mood stabiliser drug such as lithium carbonate or sodium valproate as a primary medication, and then to use additional antidepressant and/or antipsychotic medication as indicated.
www.chmeds.ac.nz /departments/psychmed/bipweight.htm   (696 words)

  
 Bipolar Spectrum
People in the bipolar spectrum are frequently seen in mental health practices.
Bipolar Disorder commonly co-occurs with anxiety disorders, Attention Deficit Disorder, substance abuse, and other conditions addressed by mental health clinicians.
List medications currently in use for the treatment of bipolar spectrum conditions, and their applications in the acute and maintenance phases of treatment.
www.ibh.com /html/bipolar_spectrum.html   (383 words)

  
 Bipolar spectrum disorders
Bipolar disorder (formerly called manic-depressive illness) manifests as episodes of mania or hypomania in association with depressive episodes.
Patients with bipolar II and other bipolar spectrum disorders might also be at higher risk of developing rapid cycling bipolar disorder.
Psychosocial interventions as an adjunct to pharmacotherapy in bipolar disorder.
www.cfpc.ca /cfp/2002/May/vol48-may-cme-1.asp   (5478 words)

  
 Truehope
However, the prevalence of bipolar spectrum disorder is substantially higher.
Bipolar spectrum disorder is a longitudinal diagnosis characterized by abnormal mood swings comprising some of the following cross-sectional clinical states: mania, hypomania, mixed states, hyperthymic temperament, major depressive episode, and depressive mixed state.
Most bipolar spectrum patients present for treatment during a depressive episode, and therefore clinicians often miss the diagnosis of bipolar spectrum disorder.
www.truehope.com /research/bipolar/bipolar_1_08.asp   (167 words)

  
 CJP - December 2004 - Bipolar II Disorder: An Overview of Recent Developments   (Site not responding. Last check: 2007-11-03)
Following the DSM-IV categories, the bipolar spectrum could be described as ranging from bipolar type I (BD I), that is, manic or mixed episodes usually in association with depressive episodes, at one end to cyclothymia, that is, numerous periods shifting from hypomanic to depressive symptoms, at the other.
Despite efforts to systematically probe for bipolarity, one reason BD II patents who initially present with episodes of depression may not be diagnosed with bipolar illness is that they have yet to experience a hypomanic episode, that is, a switch from unipolar to bipolar illness.
Olanzapine in diverse syndromal and subsyndromal exacerbations of bipolar disorders.
www.cpa-apc.org /Publications/Archives/CJP/2004/december/yatham.asp   (8539 words)

  
 Bipolar Spectrum Disorder
In the 1970's Fieve and Dunner discriminated bipolar I from bipolar II disorder, a seminal event in the evolution of the soft bipolar spectrum.
Bipolar I and II disorders are not difficult to diagnose, given an acquaintance with DSM-IV diagnostic criteria and the clinical presence of clear cut mania or hypomania.
When bipolar disorder presents initially with depression, the diagnosis is often not made unless and until a later episode of mania or hypomania appears.
www.psycom.net /depression.central.lieber.html   (3630 words)

  
 Bipolar-spectrum disorders: an epidemic unseen, invisible or unreal? -- Bhagwagar and Goodwin 10 (1): 1 -- Advances in ...
He is involved in projects on the neurobiology and genetics of vulnerability to mood disorder, the neuropsychology of bipolar disorder and the psychological mechanisms of psychotropic medicines.
Angst, J. (1998) The emerging epidemiology of hypomania and bipolar II disorder.
Benazzi, F. (1998) Bipolar II depressed outpatients are frequent: a 423-case study.
apt.rcpsych.org /cgi/content/full/10/1/1   (1539 words)

  
 Bipolar Depression - Bipolar Disorder More Widespread Than Thought
Previous studies had estimated that 1 percent of adults suffer from bipolar disorder, also known as manic-depressive illness, which is characterized by unusual shifts in a person's mood, energy and ability to function.
The cost to the nation of bipolar disorder is close to $26 billion annually, a figure not calculated until this study, he added.
In bipolar I, "the basic definition is having an episode of euphoria or irritability that lasts at least seven days and is accompanied by at least four other symptoms, such as getting into fights, not needing to sleep, thinking you have supernatural powers."
www.bipolardepressioninfo.com /ms/news/526387/main.html   (886 words)

  
 McMAN’S Vol7-5   (Site not responding. Last check: 2007-11-03)
Depression and bipolar disorder are classified as separate illnesses, but psychiatry is increasingly viewing them as part of an overlapping spectrum that also includes anxiety and psychosis.
The Spectrum Project is an international consortium of academic researchers led by Giovani Cassano MD of the University of Pisa.
To fully appreciate the dynamic of the mood spectrum we need to cast our minds back to the 1970s when David Dunner MD of the University of Washington proposed that the definition of bipolar be expanded to include patients with hypomanic episodes.
www.namiscc.org /News/2005/Newsletters/Winter/McManVol7-5.htm   (2584 words)

  
 Diagnosis and the Bipolar Spectrum
Bipolar I disorder encompasses the classic definition of manic-depressive disorder and requires that the patient has had a manic episode to confirm the diagnosis.
Differentiating bipolar disease from other psychiatric illnesses may be facilitated by use of the Mood Disorder Questionnaire.
SEROQUEL is indicated for the treatment of depressive episodes in bipolar disorder; acute manic episodes in bipolar I disorder, as either monotherapy or adjunct therapy to lithium or divalproex; and schizophrenia.
www.seroquel.com /prof_asp/bipolar/diagnosis.asp?flash=0   (1216 words)

  
 The Mood Spectrum
The Spectrum Project (see article) is an international consortium of academic researchers led by Giovanni Cassano MD of the University of Pisa.
To fully appreciate the dynamic of the mood spectrum we need to cast our minds back to the 1970s when David Dunner MD of the University of Washington proposed that the definition of bipolar disorder be expanded to include patients with hypomanic episodes.
But the catch is the doors marked bipolar I or bipolar II are the ones most of us recall being dragged kicking and screaming though.
www.mcmanweb.com /mood_spectrum.htm   (2536 words)

  
 MDF > Bipolar > Introduction > Bipolar Spectrum
A question that is often asked is 'what's the difference between bipolar I and bipolar II?' The answer is not always clear, and it is known that many doctors do not make a distinction between the two.
The notion of a 'bipolar spectrum' (which includes less severe symptoms of manic depression) is able to address this issue.
Most people with bipolar disorder go to see their GP during a depressive episode, which means that milder periods of expansive mood may not be recognized unless the doctor asks more detailed questions to uncover this information.
www.mdf.org.uk /?o=1619   (856 words)

  
 The Bipolar Spectrum in Cluster Headache Patients
The participant should be able to recognize cluster headache, and be aware of the increased incidence of bipolar illness among both migraine and cluster patients.
Objective and Introduction: The purpose of this study was to determine the incidence of the bipolar spectrum in a large number of cluster headache patients.
Conclusion: This study indicates that, as with migraine, bipolar is seen with an increased frequency among cluster patients.
www.headachedrugs.com /archives2/bipolar.html   (296 words)

  
 G. PERUGI, G. TUSIN, A. NASSIMBEN, I. MAREMMA, H.S. AKIS - Vol. 9, September 2003, Issue 3 - bibliography   (Site not responding. Last check: 2007-11-03)
Bipolar disorders in a community sample of older adolescents: prevalence, phenomenology, comorbidity, and course.
Bipolar II affective disorder in eating disorder inpatients.
Te soft bipolar spectrum redefined: focus on the cyclothymic-anxious-sensitive, impulse-dyscontrol, and binge-eating connection in bipolar II and related conditions.
sopsi.archicoop.it /rivista/2003/vol9-3/per_bib.htm   (2485 words)

  
 Bridgeway Center, Inc. - Bipolar Disorder - Bipolar Spectrum Disorder Under-Recognized
Bipolar I. This is considered the classic form of the illness, in which patients experience recurrent episodes of mania and depression.
Bipolar I and bipolar II each occur in about one percent of the U.S. population, while BD-NOS occurs in about 2.4 percent of the population, the study said.
Many of the patients were receiving treatments considered inappropriate for bipolar disorder, such as taking an antidepressant or other psychotropic medication in the absence of a mood-stabilizing medication such as lithium, valproate, or carbamazepine, the study authors said.
bridgewaycenter.org /poc/view_doc.php?type=news&id=101871&cn=4   (472 words)

  
 Bipolar Diagnosis
Beyond Antidepressants: Bipolar Spectrum Illness Presenting as Complicated or Refractory Mood Disorders in Primary Care medscape Aug 2002 CME Many clinicians associate irritability with a diagnosis of major depression, but when irritable (especially energetic and irritable) mood becomes the theme of the mood disturbance, bipolar illness must be suspected and systematically ruled out.
Clinical Validation of The Bipolar Spectrum: Focus on Hypomania, Cyclothymia, and Hyperthymia Hagop S. Akiskal MD Phenomenology of Mania: Evidence for Distinct Depressed, Dysphoric, and Euphoric Presentations Steven C. Dilsaver, M.D., Y. Richard Chen, Ph.D., Arif M. Shoaib, M.D. and Alan C.
Mixed Bipolar States An Agitated Depressive Subtype medscape May 2002 Some patients with bipolar disorder suffer mixed states, defined in DSM as manic episodes with depressive or dysphoric features.
noetic.oathill.com /Bipolar/diag.html   (723 words)

  
 Arch Fam Med -- The Bipolar Spectrum: A Review of Current Concepts and Implications for the Management of Depression in ...
Bipolar disorders are identified with increasing frequency in
that the prevalence of bipolar illness is underestimated in
Bipolar II Disorder (Table 2) is characterized by recurrent
archfami.ama-assn.org /cgi/content/full/7/1/63?maxtoshow=&HITS=10&...   (3230 words)

  
 Bipolar Disorders
Many of these mixed depressive states arise within the setting of an attenuated bipolar spectrum characterized by major depressive episodes and soft signs of bipolarity.
DSM-IV conventions are most explicit for the bipolar II subtype with major depressive and clear-cut spontaneous hypomanic episodes; temperamental cyclothymia and hyperthymia receive insufficient recognition as potential factors that could lead to switching from depression to bipolar I disorder and, in vulnerable subjects, to predominantly depressive cycling.
The clinical stakes, however, are such that a narrow concept of bipolar disorder would deprive many patients with lifelong temperamental dysregulation and depressive episodes of the benefits of mood-regulating agents.
www.biopsychiatry.com /mandep.htm   (398 words)

  
 Economic Grand Rounds: The Economic Burden of Bipolar Disorder -- Stimmel 55 (2): 117 -- Psychiatric Services
bipolar disorder may be far greater than envisaged in the past.
Increased precision in diagnosing bipolar disorder is needed,
Hirschfeld RM: Bipolar spectrum disorder: improving its recognition and diagnosis.
psychservices.psychiatryonline.org /cgi/content/full/55/2/117   (1446 words)

  
 Bipolar Spectrum
Trying again (and there's more history on this on my website if you start the section on bipolar II from the beginning, patient's full story version): the whole bipolar thing used to be called manic-depressive disorder.
The umbrella is sometime referred to has "bipolar spectrum conditions".
So, the "spectrum" part is meant to indicate that there are a lot of versions of this condition, some of which overlap with anxiety conditions like OCD.
www.bipolarworld.net /Phelps/ph_2002/ph767.htm   (309 words)

  
 Bipolar Spectrum Diagnostic Scale (BSDS)
Before you start this test, you should know that it will not give you a "yes or no" answer as to whether you have bipolar disorder.
There is another test, called the MDQ (Mood Disorders Questionnaire), that gives a "yes or no" answer, but is thus capable of giving a "wrong" answer also (there's an essay about that too).
If you are having some doubts about these tests, in my opinion the best approach includes becoming well-educated about the nature of bipolar II, and deciding on that basis whether you think there might be something like this going on for you.
www.psycheducation.org /depression/BSDS.htm   (620 words)

  
 Soft Bipolar
That is bipolar symptoms that fall short of the classical Bipolar I and II and yet, in his view are still well with the spectrum of bipolar disorders.
Although considerable evidence supports such extensions of bipolarity encroaching upon the territory of major depressive disorder, further research is needed in this area.
From a practice standpoint, the compelling reason for broadening the bipolar spectrum lies in the utility of mood stabilizers as augmentation or monotherapy in the treatment of major depressive disorders with soft bipolar features falling short of the current strict standards for the diagnosis of bipolar II and hypomania in DSM-IV and ICD-10.
www.bipolarworld.net /Bipolar%20Disorder/Articles/art31.htm   (749 words)

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