Carl began showing irritability and difficulty thinking, symptoms of his later diagnosed bipolar disorder, about 14 months before he was first diagnosed. Then, gradually, the number and intensity of symptoms increased. Which of the following best describes Carl?

a. Fourteen months before his diagnosis, he was in the prodromal phase, and he had insidious symptom onset.
b. He cannot be diagnosed with bipolar I disorder because his symptom onset was gradual.
c. The prodromal symptoms Carl displayed were unusual for those with bipolar disorders.
d. Carl should have been diagnosed 14 months ago when the first symptom appeared.


a. Fourteen months before his diagnosis, he was in the prodromal phase, and he had insidious symptom onset.

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