Episodes occur more frequently with age. Rapid cycling pattern carries a poor prognosis. The most recent episode can be further classified as follows Episodes without Psychotic Features Episodes with Psychotic Features Episodes with Catatonic Features Episodes with Post partum Onset Bipolar II Disorder with Rapid Cycling Diagnosis requires the presence of at least 4 mood episodes within 1 year. Episodes may include major depressive, manic, mania hypomanic or mixed. The patient must be symptom-free for at least 2 months between episodes or the patient must display a change in mood to an opposite type of episode.
Mood episodes never meet criteria for full manic episode or full major depressive episode.
Rule out the effects of medication, drugs of abuse, toxin exposure. Due to a General Medical Condition.