Nov 20 2008
Bipolar II: What is it and why is it misdiagnosed?
Today, I will discuss Bipolar II.
This type of Bipolar Disorder is characterized by hypomanic episodes and at least one major depressive episode. Persons with Bipolar II have never had manic or mixed episodes, nor have they experienced psychosis. (The presence of these symptoms would dictate a diagnosis of Bipolar I.)
Hypomania mimics mania but does not reach the full severity of a manic episode. This makes Bipolar II more difficult to diagnose because a hypomanic episode may be perceived as a period of increased productivity. It is often not until a major depressive episode appears that any symptoms are reported. This is why so many patients with Bipolar Disorder are initially misdiagnosed with Depression.
How does hypomania differ from mania? A less extreme state, hypomania usually includes fewer symptoms than full-blown mania and typically does not last as long. Persons experiencing hypomania may seem giddy or easily amused. They may also experience a period of greater productivity and creativity in addition to an increase in energy.
What are the symptoms of a hypomanic episode?
- Inflated self-esteem
- Decreased need for sleep
- More talkative than usual
- Racing thoughts
- Easily distracted
- Increased energy
- Excessive destructive behaviors (excessive spending, increased sexual encounters, substance abuse)
Have you been diagnosed with Bipolar II? What has been your experience with this disorder?
