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Bipolar I disorder
Classification and external resources
ICD-9 296.7

Bipolar I disorder is a mood disorder that is characterized by at least one manic or mixed episode. There may be episodes of hypomania or major depression as well. It is a sub-diagnosis of bipolar disorder, and conforms to the classic concept of manic-depressive illness.[citation needed]

Contents

DSM-IV-TR diagnostic criteria

The essential feature of bipolar I disorder is a clinical course that is characterized by the occurrence of one or more manic episodes or mixed episodes. Often individuals have also had one or more major depressive episodes. Episodes of substance-induced mood disorder (due to the direct effects of a medication, or other somatic treatments for depression, a drug of abuse, or toxin exposure) or of mood disorder due to a general medical condition need to be excluded before a diagnosis of bipolar I disorder. In addition, the episodes are not better accounted for by schizoaffective disorder and are not superimposed on schizophrenia, schizophreniform disorder, delusional disorder, or psychotic disorder not otherwise specified.

General diagnosis codes DSM-IV-TR

Dx Code # Disorder Description
296.0x Bipolar I disorder Single manic episode
296.40 Bipolar I disorder Most recent episode hypomanic
296.4x Bipolar I disorder Most recent episode manic
296.6x Bipolar I disorder Most recent episode mixed
296.5x Bipolar I disorder Most recent episode depressed
296.7 Bipolar I disorder Most recent episode unspecified

Treatment

Medical Assessments

Routine medical assessments are often prescribed to rule-out/identify a somatic cause for Bipolar I symptoms. These tests can include Ultra-sounds of the head, CAT scans, Electroencephalogram, HIV test, full blood count, thyroid function tests, liver function test, Urea and Creatinine and if patient on Lithium, Lithium level are taken. Drug screening including included Cannaboids, street drugs and exposure to toxins..

Bio-Psycho-Social

Biological

Mood Stabilizers

  1. Lithium Carbonate - mainstay in the management of Bipolar, but it has a narrow therapeutic range. It typically requires monitoring.
  2. Anticonvulsants such as Sodium Valproate, Carbamazepine or Lamotrigine.
  3. Antipsychotics such as Quetiapine, Risperidone, Olanzapine or Aripiprazole
  4. Electro-convulsive therapy as a controversial option.

Some Anti-depressants have been found to precipitate a Manic episode.

Patient Education

Information on the condition, importance of regular sleep patterns, routines and eating habits & the importance of compliance with medication as prescribed.

Behavior modification - Counselling can have positive influence to help reduce the effects of risky behavior during the manic phase.

ICD-10 diagnostic criteria

F31 Bipolar Affective Disorder

F31.6 Bipolar Affective Disorder, Current Episode Mixed

F30 Manic Episode

F30.0 Hypomania

F30.1 Mania Without Psychotic Symptoms

F30.2 Mania With Psychotic Symptoms

F32 Depressive Episode

F32.0 Mild Depressive Episode

F32.1 Moderate Depressive Episode

F32.2 Severe Depressive Episode Without Psychotic Symptoms

F32.3 Severe Depressive Episode With Psychotic Symptoms

See also

Resources

International Society for Bipolar Disorders
National Bipolar Foundation [1]

External links

References

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