A distraught woman has sought care from her primary care provider because she is worried about her son's patterns of behavior
She states that he goes through unpredictable cycles of being "down in the dumps" and then "high as a kite." What characteristic of the son's behavior would be suggestive of a diagnosis of bipolar II disorder rather than bipolar I disorder?
A) The son's behavior during his "up" times is not suggestive of psychosis.
B) The son's moods and behavior change rapidly and apparently without warning.
C) The son's changes in behavior are associated with environmental stressors.
D) The son has a history of heavy alcohol use.
Ans: A
Feedback:
Bipolar II disorder is characterized by a major depressive episode (current or past) and at least one hypomanic episode. Differentiating points are that hypomania has no psychotic features and does not impair functioning to a level that necessitates hospitalization. Bipolar disorders are not primarily a response to stressors. Lability and substance use are not restricted to one particular type of bipolar disorder.
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