标题: 双向情感障碍的三种类型 [打印本页] 作者: 精灵娃娃 时间: 04-4-16 13:03 标题: 双向情感障碍的三种类型 ● In Bipolar I Disorder, a person has manic or mixed episodes and
almost always has depressions as well. If someone becomes ill for
the first time with a manic episode, the illness is still considered
bipolar even though depressions have not yet occurred. It is
highly likely that future episodes will involve depression as well
as mania unless effective treatment is received.
● In Bipolar II Disorder, a person has only hypomanic and
depressive episodes, not full manic or mixed episodes. This type
is often hard to recognize because hypomania may seem normal
if the person is very productive and avoids getting into serious
trouble. Individuals with bipolar II disorder frequently overlook
episodes of hypomania and seek treatment only for depression.
Unfortunately, if a mood stabilizer is not prescribed with an
antidepressant for unrecognized bipolar II disorder, the antide-pressant
may trigger a “high” or set off more frequent cycles.
● In Rapid-Cycling Bipolar Disorder, a person has at least 4
episodes per year, in any combination of manic, hypomanic,
mixed, or depressive episodes. This course pattern is seen in
approximately 5% to 15% of patients with bipolar disorder. It is
sometimes associated with use of antidepressants without mood
stabilizers, which may increase cycling. For unknown reasons,
the rapid-cycling subtype of bipolar disorder is more common in
women.