Bipolar Terminology: The Difference Between Bipolar I and Bipolar II

Posted by Natasha Tracy | Oct 5, 2011

Sometimes I get so wrapped up in research, I forget some people are looking for some introductory information like the different between the types of bipolar disorder. Thanks to commenter on my GooglePlus feed, I was reminded of this fact and I decided to answer her question here so I could give her more detail.

Bipolar Terminology

Unfortunately, within bipolar terminology resides more bipolar terminology. But don’t be scared, I have information on most terms on my site and I shall try to walk gently into that good encyclopedia.

But let’s try to get rid of the terminology confusion: What is the difference between bipolar type I and bipolar type II?

Bipolar Disorder – When to Get Off Antidepressants

Posted by Natasha Tracy | Aug 31, 2011

I try not to give medical advice here because I am not a doctor. But so many people ask me about this I felt I had to address getting off antidepressants without withdrawal. So many people with bipolar disorder (depression and others) need information about getting off psych meds and they are not getting it from their doctors.

This is the first in a three-part series:

When to Stop Antidepressants in Bipolar Disorder
How to Stop Antidepressants in Bipolar Disorder While Minimizing Withdrawal
How to Stop Taking venlafaxine (Effexor) and Desvenlafaxine (Pristiq) – as they are particularly nasty to get off

Mixed Bipolar Disorder – How to Treat Mixed Mood Episodes

Posted by Natasha Tracy | Aug 23, 2011

In the final installation of my mixed moods series, I talk about how to treat mixed moods in bipolar disorder. If you need a refresher on mixed moods in bipolar 1 or bipolar 2, see the first three articles in this series:

Mixed Moods in Bipolar Disorder and Depression in the DSM-V

Posted by Natasha Tracy | Aug 16, 2011

The Diagnostic and Statistical Manual of Mental Disorders (DSM), the manual that defines all mental illness in the US, is being revised and a new version is due out in 2013. One of the proposed changes to the DSM is to the diagnosis of mixed moods. This change is being proposed by a mood disorders workgroup. It aims to reflect clinical practice where doctors already refer to a “mixed” mood that doesn’t officially meet the DSM criteria. (As I noted, mixed moods are only technically recognized in bipolar type 1.)

Changes to the mixed mood diagnosis will help people with bipolar 1, bipolar 2 and unipolar depression get better treatment.

Mixed Bipolar Disorder – Mixed Mood Episodes in Bipolar 2

Posted by Natasha Tracy | Aug 10, 2011

As I mentioned, mixed moods are technically considered part of the manic phase of bipolar disorder and thus, by definition, are only a part of bipolar disorder type 1. However, those of us with bipolar type 2 can tell you we mix it up with the best of them.

So, in part II of this series on mixed moods in bipolar disorder, I look at mixed moods in bipolar type II.

Mixed Moods in Bipolar Type II

Now that we’ve wandered into Diagnostic and Statistical Manual (DSM)-free territory, definitions on mixed states get a bit looser.

Mixed mood states may be, in fact, the most common way of experiencing bipolar type II. I find most people have a hard time distinctly separating “depression” from “hypomania” from “normal” moods. There is just too much crossover.

Two Types of Mixed Moods in Bipolar Disorder

Additionally, considering mixed moods to be part of the manic phase of bipolar disorder becomes useless when looking at bipolar II. As an article in Psychiatric Times suggests, there are really two types of mixed moods in bipolar disorder:

Mixed mood with depression as the primary mood (meeting the criteria for depression with some hypomania symptoms present)
Mixed mood with hypomania as the primary mood (meeting the criteria for hypomania with some depression symptoms present)

Those two mood types better reflect my own experience and I think the clinical experience of other patients and doctors.

Mixed Bipolar Disorder – Mixed Mood Episodes in Bipolar 1

Posted by Natasha Tracy | Aug 8, 2011

Ask a Bipolar – What is a mixed mood in bipolar disorder?

As one of the Burble’s commenters mentioned, there seems to be a lack of good information on mixed moods available. After some Googling, I would tend to agree. While mixed mood episodes are pretty common for us bipolar folk, few people seem to be discussing it.

This is the beginning of a four-part series on mixed moods in bipolar disorder:

Mixed Mood Episodes in Bipolar Type I
Mixed Mood Episodes in Bipolar Type II
Changes to Mixed Mood Episode Diagnosis in the Revision of the DSM
Treating Mixed Mood Episodes

I’m Less Depressed and Crying More – Mixed Mood

Posted by Natasha Tracy | Dec 3, 2010

I’ve been horrendously depressed. That sort of catatonic depressed where reality shows hum before your eyes one after another because that’s all the stimulation your brain can take. Flashing images of substanceless people performing meaningless tasks on light box that removes you from reality.

A Mood is Never Just a Mood for a Bipolar

But I woke up this morning feeling better. This is always a warning sign of hypomania, or in this case, a mixed-mood. Because a mood is never just a mood to a bipolar. A mood is always a warning sign of a problem. Bipolars have to pay attention to moods because even good moods lead to bad things…