Bipolar 1 Disorder

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Bipolar 1 disorder is a mood condition that includes extreme shifts in emotional state and behaviours. This complex disorder is problematic because there are variations in the extreme changes in mood. The Diagnostic and Statistical Manual of Mental Disorders IV makes a distinction between the episodes of bipolar disorder type 1.

Single Manic Episodes

Bipolar 1 disorder can include conditions in which the patient experiences a single episode of mania. This is only the case if the manic episode occurs without the presence of schizophrenia, schizoaffective disorder or delusional disorder.


Some individuals experience hypomania through the manic depression. Hypomania involves elevated moods that are not quite as severe as those experienced by many other manic patients. However, the condition does interfere with the person’s ability to function.

Manic Episode

The individual experiences at least one single manic episode, mixed episode or depression. The combination of mania and depression is apparent in some individuals. Others may have mixed depressive and manic states.

Major Depression

The individual in bipolar 1 disorder can have at least one episode of major depression. However, the patient also has to have experienced mania at least once in order for a bipolar 1 diagnosis.


As with many other conditions, bipolar 1 has a catchall category to consider. The individual may have experienced mixed states, hypomania, manic states or depression. It is important to note that at least one experience with mania is necessary for a diagnosis. The individual experiences the emotional states without the influence of substances or medical condition.

Bipolar 1 and Bipolar 2

Bipolar 1 disorder differs from bipolar 2 in that the individual does not experience mania or mixed emotional states in bipolar 2. Those falling into the second category experience depression and hypomania. The hypomania is not as severe as a manic episode but it does have a negative impact on the individual. Paired with major depressive states, they hypomania is an indicator of bipolar type 2.

Treating Bipolar Disorders Type 1 and 2

Treatment should be catered to the individual’s needs. A physician evaluates the patient’s symptoms in order to determine which medication and therapy interventions would work best. Medications include mood stabilisers and antidepressants. Certain prescriptions are appropriate for bipolar 1 and others are more suitable for bipolar 2.

Manic depression is more manageable when the specific symptoms of the condition are explored in depth. Part of the exploration is to determine which bipolar 1 episodes are apparent in the patient.

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