By Gordon Parker
Studies our wisdom of Bipolar II affliction, protecting its background, category, neurobiology and treatment.
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Additional info for Bipolar II disorder : modelling, measuring and managing
G. 1. The ‘Drill Cores’ model of hypomania. D (severe) 2 hours then energetic; or waking/sleeping on and off through night Uninterruptible, hard to understand Fragmented, extremely rapid jumping from idea to idea ‘Motor mouth’, hard to slow down or stop Brilliant or terrible connections, rapid, constant Disorganised, much less No focus, little gets done at all effective Increased pace and range of Constant, driven, dangerous activities, impulsive choices Spending £100s, increased sex Spending sprees (£1000 and drive, mild risk up), unwise sex, drug use, illegalities Frequent and surprising, out Hostile, scary, some risk of of control physical actions Fine on 4 hours; or frequent wakening ‘Life of the party’, charismatic Unshakeable confidence, offending people C (moderate) 34 James Phelps the DSM model, patients and families can become active collaborators in the diagnostic process, exploring their experience broadly, without dismissing potentially important symptoms as ‘sub-threshold’.
But what if the entity in question does not have joints? This is the essence of the bipolar spectrum perspective. Most diagnostic systems – and many clinicians – categorise illnesses as discrete entities. This monograph has a similar orientation. In focusing on Bipolar II Disorder (BP II), it assumes that this is a distinct condition or entity and able to be distinguished from other putatively categorical mood disorders (particularly Bipolar I Disorder (BP I) and unipolar depression). But what if BP II is not an entity but rather a point on a continuous spectrum of mood disorders?
5) Response to treatment. While the optimum weighting of these five dimensions has yet to be determined, using them to structure data gathering (as well as recording) has multiple advantages. Practicality This Bipolarity Index approach is efficient enough to be used in a busy primary care setting. An instrument like the MDQ can be used to assay for a history of hypomania or mania and to gather family history data, while the clinician goes on to see another patient. ) Then the clinician must ask only about course of illness (including age of onset) and response to treatment.
Bipolar II disorder : modelling, measuring and managing by Gordon Parker