What is bipolar II disorder rapid cycling?
A patient suffering from bipolar disorder II gets hypomanic episodes but not manic episodes. The distinction between mania and hypomania is a subject of intensity as hypomania normally does not spoil a person’s daily operations or cause the requirement for hospitalization. Patients of bipolar II suffer mainly from episodes of severe depression with sporadic episodes of moderate or mild mania, called hypomania. Hypomania varies from mania in the sense that no illusions are experienced during hypomania.
Bipolar II disorder rapid cycling
The patient who meets the conditions for bipolar disorder suffers a number of episodes, which lasts from three to six months. Bipolar II disorder rapid cycling , however, is a course indicator that may be used for any of the two sub categories. It is defined as having four or more episodes every year and is found in a major portion of patients with bipolar disorder. At least four major depressive, manic, hypo manic or mixed episodes are necessary to have taken place during a 12-month time to meet the criteria of Bipolar II disorder rapid cycling.
Symptoms of Bipolar II disorder rapid cycling
Bipolar II disorders rapid cycling generally is related with bipolar II disorder as the major number of rapid cycling patients have complaints that are principally characterized by symptoms of depression. The numbers of depressed to hypomanic patients are large. The mean duration of depressive episode in bipolar II patients was more as compared to bipolar I patients. Therefore, the larger numbers of Bipolar II disorder rapid cycling patients may have long episodes of depressive symptoms intermittent by short episodes of hypomania and mood volatility.
Diagnosis of Bipolar II disorder rapid cycling
Rapid cycling bipolar disorder is identified after four incidents of depression, mania, or hypomania happening within a year. Rapid cycling bipolar disorder is not easy to diagnose. Rapid cycling makes bipolar disorder more evident, but since the majority patients with rapid cycling bipolar disorder suffers more time with depression than mania or hypomania, they are many a times misdiagnosed with simple depression.
Treatment of Bipolar II disorder rapid cycling
Patients suffering from rapid cycling bipolar disorder II are probably at even greater risk for committing suicide than those patients who suffer with ordinary bipolar disorder. They need to be hospitalized more frequently, and their symptoms are generally harder to control in long term. Treatment of Bipolar II disorder rapid cycling lessens the probability of severe depression and suicide. Patients suffering from bipolar disorder are at a higher possibility for substance abuse and substance abuse is related with more severe or inadequately controlled bipolar disorder.
As the symptoms of bipolar depression dominate in the majority of patients suffering from rapid cycling bipolar disorder, line of treatment is by and large aimed towards relieving symptom of depression. Antidepressants drugs are used to decrease depression in rapid cycling bipolar disorder. However, taking antidepressants drugs only can in fact increase the degree of rapid cycling, and also set off manic episodes. For avoiding this, mood stabilizers must be administered with antidepressants. Mood stabilizers include anti seizure medicines and anti psychotics. Treatment with mood stabilizers is generally given even after a person is symptom free. This helps to avert rapid cycling. Antidepressants are normally lessened as soon as depression is under control. Patient may be required to take two or more medicines on daily basis to control rapid cycling bipolar disorder.