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The DSM-5 and ICD-11 recognise bipolar disorder as a spectrum with three specific subtypes: bipolar I disorder, bipolar II disorder and cyclothymic disorder. The lifetime prevalence of BD is approximately 1% in the general population, [ 4 ] but rises to 4% when given the broader definition of bipolar spectrum disorder.
It was developed by a group of doctors [1] and is recognized by NCQA [2] as a pre-validated mental health tool for its Patient Centered Medical Home Recognition Program. [ 3 ] The questionnaire can be filled in online or by smartphone using an app called WhatsMyM3 on iTunes [ 4 ] or Android. [ 5 ]
It is estimated that roughly 1% of the adult population has bipolar I, a further 1% has bipolar II or cyclothymia, and somewhere between 2% and 5% percent have "sub-threshold" forms of bipolar disorder. Furthermore, the possibility of getting bipolar disorder when one parent is diagnosed with it is 15–30%.
The Hypomania Checklist (HCL-32) is a questionnaire developed by Dr. Jules Angst to identify hypomanic features in patients with major depressive disorder in order to help recognize bipolar II disorder and other bipolar spectrum disorders [1] when people seek help in primary care and other general medical settings.
Bipolar I disorder requires confirmation of only 1 full manic episode for diagnosis, but may be associated with hypomanic and depressive episodes as well. [7] Diagnosis for bipolar II disorder does not include a full manic episode; instead, it requires the occurrence of both a hypomanic episode and a major depressive episode. [ 7 ]
Bipolar disorder is uncommon in older patients, with a measured lifetime prevalence of 1% in over 60s and a 12-month prevalence of 0.1–0.5% in people over 65. Despite this, it is overrepresented in psychiatric admissions, making up 4–8% of inpatient admission to aged care psychiatry units, and the incidence of mood disorders is increasing ...
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Therapeutic plasma levels of lithium range from 0.5 to 1.5 mEq/L, with levels of 0.8 or higher being desirable in acute mania. [14] Lithium levels should be above 0.6 mEq/L to reduce both manic and depressive episodes in patients. [15]
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