PSY 351 Lecture 6: Bipolar Disorder and Cyclothymia
Western Washington University
PSY - Psychology
Bipolar Disorder and
A. DSM 5 change= give separate chapter in between depressive disorders and
- Acknowledgement of genetic relatedness
- Bipolar I and II, Cyclothymia.
B. DIGFAST symptoms
- Distractibility- poorly focused, multitasking
- Insomnia- decreased need for sleep
- Grandiosity- inflated self esteem
- Flight of ideas- complaints of racing thoughts
- Activities- increased goal-directed activities
- Speech- pressure or more talkative
- Thoughtlessness- “risk taking”- behaviors (sexual, financial, travel, driving etc.)
C. Can be positives to mania- ex: increase in goal related activities—but mostly very
D. Inflated sense of self leads to riskiness. All symptoms interplay with each other/ interact
with each other.
E. Bipolar I
- Person must meet requirement of a manic episode
- 3 or more symptoms in a week or more
- If irritability is present, must have 4 symptoms for diagnosis.
- Depression does not have to be present but it typically is.
- 90% of people with bipolar I will experience depression. - Historically more severe but current understanding is that one should consider them
- Experience of bipolar I and II feel depressed over course of time. This can lead to
misdiagnosis/ problems with diagnosis.
- Prevalence= .06%
F. Bipolar II
- Depression has to be present
- Hypomanic –must have some symptoms of mania
G. Similar number of symptoms for bipolar I but must be 4 days at least.
- Less symptoms than hypomania
- Not enough symptoms to meet requirements for depression
- Must have a little for each.
- 50% who could qualify for bipolar disorders never seek help.
I. Being an adolescent has experiences that are very similar to symptoms
- If typical of age and context/ not cause disability to function then leads towards
typical adolescent behavior
- Something to consider when diagnosing
- Disagreement on accuracy of diagnosis.
- Continuum of normal
J. More normal/ asymptomatic behavior than depressive/ manic episodes.
K. Different expression of symptoms across