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Bipolar 2 disorder is a form of mental illness that is similar to bipolar I disorder, with moods cycling between high and low over time. However, in this condition, the up moods never reach full-blown mania. The less-intense elevated moods in this disorder are called hypomanic episodes, or hypomania.
Most people with bipolar 2 disorder have also experienced periods of depression which may include:
Bipolar I disorder requires symptoms to meet the full criteria for what is known as a manic episode. The diagnosis of Bipolar I is not dependent on depression, but many people with the diagnosis experience both types of mood episodes. At least three of the following symptoms can determine the diagnosis:
Mania is more extreme than a sudden burst in energy, motivation, or a happy mood. It often causes problems at work, school, and in relationships, and in some cases it may require hospitalization. A manic episode is also just as frequently characterized by an irritable mood as an elevated one for people with Bipolar I.
For bipolar 2 disorder, on the other hand, a person has to have experienced a depressive episode and a less severe form of mania which is known as hypomania. Mania occurs when an individual displays manic symptoms but is able to carry on with day-to-day responsibilities. In fact, job performance or other goal-directed activities may even improve. To meet the diagnosis of a depressive episode, a person must experience 5 or more of the following symptoms:
Many people with bipolar 2 disorder are diagnosed with depression because they fail to report the elevated mood symptoms of hypomania to their doctor. Furthermore, people with bipolar 2 disorder are more likely to suffer from substance abuse and eating disorders, as well as have a family member suffering from a mental illness.
The types and doses of medications prescribed are based on your particular symptoms of bipolar 2 disorder. Whether you have bipolar I or II, medications may include:
Chlorpromazine. It is used to address symptoms of mania, psychosis, or agitation and not for long-term bipolar 2 disorder management. It works by helping to restore the balance of certain natural substances in the brain. It can reduce aggressive behavior and the desire to hurt yourself or others.