Bipolar Disorder: Diagnostic Classification, Etiology, and Treatment Interventions

Overview

This paper provides a comprehensive overview of bipolar disorder, including its classification into three major types and their DSM-5 diagnostic codes. It examines the multifactorial causes of bipolar disorder encompassing genetic, biological, and environmental factors, while detailing symptomatology and treatment approaches including medication and psychotherapeutic interventions. The paper also addresses stigma associated with behavioral health disorders in minority communities.

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Borderline Personality Disorder

Bipolar disorder is a mental health condition characterized by extreme mood swings alternating between emotional highs (mania or hypomania) and emotional lows (depression). The three major types of bipolar disorder are: bipolar I, bipolar II, and cyclothymia.

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Bipolar I defined by the occurrence of no less than one neurotic experience that is often heralded or succeeded by hypomanic or affective disorders. Bipolar II is characterized by no less than one psychological occurrence and an affective disorder. Cyclothymic disorder is defined by the occurrence of many periods of hypomania and depressive symptoms for at least two years (Mayo Clinic, 2021).

DSM-5 Coding and Description

The DSM-5 designates different diagnostic codes to the three bipolar disorders. For bipolar I disorder, prevailing or most current neurotic occurrence, mild, is designated as 296.41 (F31.11), moderate 296.42 (F31.12) and critical 296.43 (F31.13), with psychotic features 296.44 (F31.2), in partial remission 296.45 (F31.74), in full remission 296.46 (F31.74) and unspecified 296.40 (F31.9), and prevailing or latest depressive episode 296.51 (F31.31), 296.52 (F31.32), 296.53 (F31.4), 296.54 (F31.5), 296.55 (F31.75), 296.56 (F31.76), and 296.50 (F31.4), respectively. Bipolar disorder II has the 296.89 (F31.81) code while cyclothymic disorder is diagnosed as 301.13 (F34.0) (Lojko, Suwalska, & Rybakowski, 2014). The psychological model that best fits this disorder is the cognitive model.

Causes of Bipolar Disorder

The exact cause of bipolar disorder is yet to be discovered although a combination of genetics, biological, and environmental factors have been shown to play a role.

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