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Mood episodes never meet criteria for full manic episode or full major depressive episode.
Unless a clear history is available, an acurate diagnosis can be difficult. Rule out the effects of medication or drugs of abuse. Episodes occur more frequently and severely with age. The patient must usually exhibit at least four mood episodes within 1 year, before being diagnosed as BiPolar. Treatment o Assessment of suicide risk is essential, as suicidal ideation , as well as intent, are real and reoccurring issues with BiPolar patients.