Екіұштылық I ауруы: Мания және депрессияның кезеңдері

Bipolar disorder that is characterized by at least one manic or mixed episode

Bipolar I disorder (BD I; pronounced "type one bipolar disorder") is a type of bipolar spectrum disorder characterized by the occurrence of at least one manic episode, with or without mixed or psychotic features. Most people also, at other times, have one or more depressive episodes. Typically, these manic episodes can last at least 7 days for most of each day to the extent that the individual may need medical attention. Also, the depressive episodes will be approximately 2 weeks long. It is a type of bipolar disorder and conforms to the classic concept of manic depressive illness, which can include psychosis during mood episodes.

The essential feature of bipolar I disorder is a clinical course characterized by the occurrence of one or more manic episodes or mixed episodes. Often, individuals have had one or more major depressive episodes. One episode of mania is sufficient to make the diagnosis of bipolar disorder; the person may or may not have a history of major depressive disorder. 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. Bipolar I disorder often coexists with other disorders including PTSD, substance use disorders, and a variety of mood disorders. Studies suggest that psychiatric comorbidities correlate with further impairment of day to day life. Up to 40% of people with bipolar disorder also present with PTSD, with higher rates occurring in women and individuals with bipolar I disorder.

Regular medical assessments are performed to rule out secondary causes of mania and depression. Drug screening includes recreational drugs, particularly synthetic cannabinoids, and exposure to toxins.

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 296.5x Bipolar I disorder Most recent episode depressed 296.6x Bipolar I disorder Most recent episode mixed 296.7 Bipolar I disorder Most recent episode unspecified

Bipolar I usually has a poor prognosis, which is associated with substance abuse, psychotic features, depressive symptoms, and inter episode depression. A manic episode can be so severe that it requires hospitalization. An estimated 63% of all BP I related mania results in hospitalization. The natural course of BP I, if left untreated, leads to episodes becoming more frequent or severe over time. But with proper treatment, individuals with BP I can lead a healthy lifestyle.

Psychosocial interventions can be used for managing acute depressive episodes and for maintenance treatment to aid in relapse prevention. Information on the condition, importance of regular sleep patterns, routines and eating habits and the importance of compliance with medication as prescribed. Behavior modification through counseling can have positive influence to help reduce the effects of risky behavior during the manic phase. Additionally, the lifetime prevalence for bipolar I disorder is estimated to be 1%.