drinking soda, or on the phone while painting "wild colors" on the walls to re-decorate. The house is unclean as are the children. The oldest child is eight and has been preparing limited meals for the past two weeks.
Bipolar I was found to rank sixth as the leading cause of disability for individuals ages 15 years to 44 years in the last decade. Diagnosis and treatment continue to remain a complex issue. The disorder frequently is undetected or misdiagnosed and it is often times inadequately treated. Lithium remains a valuable pharmacological treatment but other medications are now being used along with adjunctive treatments such as psychosocial interventions.
Bipolar disorders include Bipolar I Disorder, Bipolar II Disorder, Cyclothymia, and Bipolar Disorder Not Otherwise Specified. Bipolar I Disorder has a clinical course that is characterized with one or more Manic Episodes or Mixed Episodes (mania and depression). Thus for a clinician to make a diagnosis of Bipolar I Disorder, there must be the presence of one or more manic episodes currently or in the patient's remote history, or the presence of a mixed episode. For the Bipolar I Disorder, there are six criteria sets used to describe the type of episode occurring and the nature of the episode. Individuals with a manic episode frequently have also had one or more Major Depressive Episodes. Specifiers describe severity, course, and additional features such as psychosis.
Axis I diagnosis for this disorder is as follows: 296 (first three digits) Bipolar I Disorder. The fourth digit reflects the type of episode and the fifth reflects the severity of the most recent episode. Diagnostic criteria for 296.6x Bipolar I Disorder, Most Recent Episode Mixed include: currently or most recently experiencing a Mixed Episode; previous Major Depressive Episode, Manic Episode, or Mixed Episode; mood episodes are not due to Schizoaffective Disorder, Schizophrenia, Schizoph...