The first episode in males tends to be a manic episode, while the first episode in Manicfemales tends to be a depressive episode. First degree relatives have higher rates of mood disorder. Classification Classification of involves describing the current or most recent mood episode - Manic, Hypomanic, Mixed or Depressive. Without psychotic features With psychotic features With catatonic features With postpartum onset Rapid Cycling Diagnosis requires the presence of at least 4 mood episodes within 1 year. Rapid cycling mood episodes may include The patient must be symptom-free for at least 2 months between episodes or the patient must switch to an opposite episode.
Mood episodes never meet criteria for full manic episode or full major depressive episode.
The clinical presentation of a patient at the height of a manic episode may be indistinguishable from an acute exacerbation of paranoid schizophrenia, making accurate diagnosis difficult unless clear history is available. If history is unavailable or the patient is having an initial episode, it may be necessary to observe the patient over time to make an Family history of mood disorder or psychotic disorder may be suggestive of diagnosis. Rule out the effects of medication or drugs of abuse. Treatment Assessment of suicidality is essential, ask about suicidal ideation as well as intent. Hospitalization may be necessary for either Manic or Depressive mood episodes.