Comments on: Whats the difference between bipolar 1/2 and Severe bipolar depression with psychotic features? http://www.multidisorder.com/whats-the-difference-between-bipolar-12-and-severe-bipolar-depression-with-psychotic-features/ Disorder : Disruption of standard functioning. Thu, 19 Aug 2010 06:55:23 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: luvacat3 http://www.multidisorder.com/whats-the-difference-between-bipolar-12-and-severe-bipolar-depression-with-psychotic-features/comment-page-1/#comment-80 luvacat3 Wed, 22 Jul 2009 09:43:25 +0000 http://www.multidisorder.com/whats-the-difference-between-bipolar-12-and-severe-bipolar-depression-with-psychotic-features/#comment-80 I thought bipolar I meant you got full mania, and Bipolar II meant you only got hypomania, and in either one, you could get severe depression with psychotic features. It doesn't matter that much anyway, Bipolar I & II don't really define bipolar very well anyhow - the picture is much more complicated than that. Apparently there are a great number of combinations of different genes that can cause bipolar disorder, and the combination of genes you get determines what symptoms you will get. I think when they say you have severe bipolar depression with psychotic features, they are just documenting your current symptoms like when you are going inpatient, rather than commenting on the course of your illness, which Bipolar I, II or NOS would do that. I thought bipolar I meant you got full mania, and Bipolar II meant you only got hypomania, and in either one, you could get severe depression with psychotic features. It doesn’t matter that much anyway, Bipolar I & II don’t really define bipolar very well anyhow – the picture is much more complicated than that. Apparently there are a great number of combinations of different genes that can cause bipolar disorder, and the combination of genes you get determines what symptoms you will get.

I think when they say you have severe bipolar depression with psychotic features, they are just documenting your current symptoms like when you are going inpatient, rather than commenting on the course of your illness, which Bipolar I, II or NOS would do that.

]]> By: Drew_Maryland http://www.multidisorder.com/whats-the-difference-between-bipolar-12-and-severe-bipolar-depression-with-psychotic-features/comment-page-1/#comment-81 Drew_Maryland Wed, 22 Jul 2009 09:43:25 +0000 http://www.multidisorder.com/whats-the-difference-between-bipolar-12-and-severe-bipolar-depression-with-psychotic-features/#comment-81 Based on the DSM-IV, "severe bipolar depression with psychotic features" is not an accurate diagnosis. Bipolar is categorized based on the most recent episode (i.e. manic, depressive, or mixed). The diagnosis is further specified using features (i.e. w/ or w/o psychotic features, catatonic, atypical, etc.). The severity also affects the diagnosis; it can be mild, moderate or severe. Essentially this is the way the diagnosis should look: 296.54 bipolar I, most recent episode depressed, severe with psychotic features. The psychotic features specifies whether or not the person is experiencing (or has experienced) hallucinations or delusions or both. Either they do or they don't. Based on the DSM-IV, "severe bipolar depression with psychotic features" is not an accurate diagnosis. Bipolar is categorized based on the most recent episode (i.e. manic, depressive, or mixed). The diagnosis is further specified using features (i.e. w/ or w/o psychotic features, catatonic, atypical, etc.). The severity also affects the diagnosis; it can be mild, moderate or severe.

Essentially this is the way the diagnosis should look: 296.54 bipolar I, most recent episode depressed, severe with psychotic features.

The psychotic features specifies whether or not the person is experiencing (or has experienced) hallucinations or delusions or both. Either they do or they don’t.

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