The Differences Between Bipolar Type 1 vs Bipolar Type 2

There is a big confusion when distinguishing bipolar 1 vs bipolar 2.  Even though both disorders, show similar signs and symptoms, it is the small details that help us, psychiatrist, tell the difference.
Bipolar disorder is the term used to describe a disorder in which marked mood elevation is a feature. Unfortunately, people with bipolar disorder often feel well (too well) and lack insight, and may be over active and unable to co-operate with others.  While people with mania may be irritable they do not usually represent a danger to others, except for an occasional pub brawls or tussles with family members. They represent a danger to themselves, not so much through attempts on their life, but through unwise sexual encounters and investments. Thus, they are frequently in danger of doing themselves social and financial damage.

Bipolar Type I

Disorder is diagnosed when there has been at least one episode of mania (irrespective of whether a depressed pole has ever been observed). It is assumed that depression has been present but to a mild degree and has passed unnoticed, or that there will be one. Symptoms and characteristics of major depression in Bipolar I Disorder include:
·         Decreased energy
·         Severe withdrawal from normal activities
·         Weight loss or gain
·         Despair
·         Irritability
·         Uncontrollable crying
·         Thoughts of or attempts at suicide

Bipolar Type II Disorder

Often diagnosed when there is a history of at least one episode of hypomania (not mania). Again, it is assumed that there has been or will be an episode of depression. Symptoms and characteristics of hypomania include:
·         Decreased energy
·         Weight loss or gain
·         Despair
·         Irritability
·         Uncontrollable crying

It should be noted that the symptoms of hypomania are the same as for mania, but they are less severe. Therefore, the official diagnostic criteria separating a diagnosis of bipolar II from that of bipolar I disorder, is that hypomania does not cause marked impairment of functioning or require hospitalization.

People, I just want you know the differences between the two disorders, so that you are better able to recognize a loved one’s or your OWN symptoms. As always if you feel like you may be suffering from a mental illness come in and see me!