288 Bipolar II Disorder (296.89)
DSM-IV-TR criteria
- A. Presence (or history) of one or more Major Depressive Episodes.
- B. Presence (or history) of at least one Hypomanic Episode.
- C. There has never been a Manic Episode or a Mixed Episode.
- D. The mood symptoms in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
- E. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
- Specify current or most recent episode:
- Hypomanic: if currently (or most recently) in a Hypomanic Episode
- Depressed: if currently (or most recently) in a Major Depressive Episode
- If the full criteria are currently met for a Major Depressive Episode, specify its current clinical status and/or features:
- Mild, Moderate, Severe Without Psychotic Features/Severe With Psychotic Features
- NOTE: Fifth-digit codes cannot be used here because the code for Bipolar II Disorder already uses the fifth digit.
- Chronic
- With Catatonic Features
- With Melancholic Features
- With Atypical Features
- With Postpartum Onset
- Mild, Moderate, Severe Without Psychotic Features/Severe With Psychotic Features
- If the full criteria are not currently met for a Hypomanic or Major Depressive Episode, specify the clinical status of the Bipolar II Disorder and/or features of the most recent Major Depressive Episode (only if it is the most recent type of mood episode):
- In partial remission, In Full Remission
- NOTE: Fifth-digit codes cannot be used here because the code for Bipolar II Disorder already uses the fifth digit.
- Chronic
- With Catatonic Features
- With Melancholic Features
- With Atypical Features
- With Postpartum Onset
- In partial remission, In Full Remission
- Specify:
- Longitudinal Course Specifiers (With and Without Interepisode Recovery)
- With Seasonal Pattern (applies only to the pattern of Major Depressive Episodes)
- With Rapid Cycling
Associated features
Suicide is also a risk for individuals with bipolar II disorder. Completion rates are somewhere between 10 and 15 percent, although many more may attempt it. Like bipolar I, issues with school and careers are also present. Truancy or failure in school and occupational failure are common. Divorce is also very common in bipolar individuals. Bipolar II is often comorbid with Substance Abuse or Dependence, Anorexia Nervosa, Bulimia Nervosa, Attention Deficit/Hyperactivity Disorder, Panic Disorder, Social Phobia, and Borderline Personality Disorder.
Individuals with bipolar 2 disorders tend to have some creativity. A large number of people with bipolar 2 are well involved in art. Also individuals with bipolar 2 disorders are characterized as outgoing and more daring that people without bipolar 2 disorders.
Child vs. adult presentation
Bipolar 2 disorder is often more severe, more chro