Talk:Bipolar I disorder

Wiki Education Foundation-supported course assignment
This article was the subject of a Wiki Education Foundation-supported course assignment, between 15 January 2021 and 14 April 2021. Further details are available on the course page. Student editor(s): MeaganP11.

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Wiki Education Foundation-supported course assignment
This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Erinhufft.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 15:49, 16 January 2022 (UTC)

Terminology
anyone else dislike the term 'bipolar disorder'?

i'm a sufferer (of manic depression thank you very much)

bipolar disorder makes me sound like an untidy and sexually ambivalent penguin.

ffs why change a term that is well known by all and sundry into something nobody's heard of?

i have lost count of the amount of times people have asked me about the difference between MD and BPD.

just when we should be creating and consolidating community awareness we are muddying the waters again.

203.220.168.8 (talk) 14:49, 7 April 2008 (UTC)
 * rolls eyes*

Terms to discuss
Bipolar Disorder can be discussed a couple of ways:

bpage (talk) 02:40, 5 January 2010 (UTC)
 * As a person with the disorder or
 * The disorder


 * I can make myself avaialble for the disscussion. First we need to streamline the mediacation part by clearly bifurcating approved ones and experimental ones. RPSkokie (talk) 04:28, 11 September 2021 (UTC)

Copyright problems with diagnostic criteria
The American Psychiatric Association has not released its Diagnostic and Statistical Manual of Mental Disorders into public domain, but claims copyright. The Wikimedia Foundation has received a letter of complaint (2010030910040817, for those with access) about the use of their diagnostic criteria in this and a number of other articles. Currently, this content is blanked pending investigation, which will last approximately one week. Please feel free to provide input at the copyright problems board listing during that time. Individuals with access to the books would be particularly welcome in helping to conduct the investigation. Assistance developing a plan to prevent misuse of the APA's material on Wikipedia projects would also be welcome. Thank you. Moonriddengirl (talk) 14:46, 11 March 2010 (UTC)

References required
The intro states "Bipolar I disorder is a mood disorder that is characterized by at least one manic or mixed episode. There may be episodes of hypomania or major depression as well. It is a sub-diagnosis of bipolar disorder, and conforms to the classic concept of manic-depressive illness".

Since editing is blocked, I am asking here for references for the above, because it implies that a sequence of manic episodes qualifies as Bipolar I but there "may be" depression episodes as well. One definition I read says Bipolar I *usually* includes depressive episodes, so the article intro may be too weak or plain wrong. Also, if Bipolar I can be just a sequence of manic episodes then that sequence is hardly a "manic-depressive illness" since there is no depression, equally it is hardly "Bipolar" since there is only a Unipolar manic component. The intro is confusing on these points too. —Preceding unsigned comment added by 83.55.136.53 (talk) 22:50, 11 March 2011 (UTC)

16.3% of Bipolar I cases were Unipolar Manic in this study http://www.ncbi.nlm.nih.gov/pubmed/12167505. So it appears that DSM-IV 296.4x ("Bipolar I disorder, Most recent episode manic") is wrong since it includes Unipolar Manic people. Bipolar is the two poles of mania and depression so should not include unipolar cases. In short the whole definition of Bipolar I is plainly wrong not only in the article but also officially. —Preceding unsigned comment added by 83.55.136.53 (talk) 01:34, 12 March 2011 (UTC)

DSM 5
DSM 5 is out. I don't know what, if anything was changed for Bipolar but the page needs to updated to reflect the release. I'd do it myself but I'd have no idea what I'm doing.

Pronunciation vs. reading
The first sentence of this article begins with "Bipolar I disorder (BP-I; pronounced "type one bipolar disorder")," but that is not a pronunciation, it is a reading. Propose "Bipolar I disorder (BP-I; read as "type one bipolar disorder")." Thoughts? Hikikomoridesuyo (talk) 08:11, 1 May 2016 (UTC)

External links modified
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Queen’s University Student Editing Initiative
Hello, we are a group of medical student’s from Queen’s University. We are working to improve this article over the next month and will posting our planned changes on this talk page. We look forward to working with the existing Wikipedia medical editing community to improve this article and share evidence. We welcome feedback and suggestions as we learn to edit. Thank you. NicoleHajjar (talk) 20:16, 11 November 2019 (UTC)

Bipolar I Disorder Comorbidities
Hi there. I am one of the student's from Queen's University and have been considering proposing a change to the 'Diagnosis' section of the page. I feel it would be beneficial to include some of the common clinical comorbidities in this section to give a more complete context of the clinical presentation of bipolar I disorder. Here are the two sentences I am suggesting we add:

Bipolar I disorder (and bipolar II disorder) is often comorbid with other disorders including PTSD, substance use disorders and a variety of mood disorders. Up to 40% of people with bipolar disorder also present with PTSD, with higher rates occurring in women and individuals with bipolar I disorder.

Please let me know what your thoughts are on this proposed amendment!

Thank you.

DSM-5
Good day, Another Queens student here. Just proposing a change to make the article more in line with the DSM. In the current DSM-5 update diagnosis are based on "parts A & B". The DSM 5 breaks it down into criterion. Therefore, I propose changing the word "part" top "criterion" and adding the sentence: A criterion is a standard by which something is judged and is how the DSM-5 specifies the groupings of signs/symptoms of a disorder. This is to aid the lay reader.

Thank you. Bobbymacbobface (talk • contribs) 19:48, 18 November 2019 (UTC)
 * Thanks for sharing this adjustment to the wording. JenOttawa (talk) 00:59, 21 November 2019 (UTC)

Medical Assessment
Hello, another Queen's here! I would like to propose a change to the Medical Assessment section. There are currently no sources cited, so I would like to adjust the tests mentioned to ones recommended in a recent clinical practice update for Bipolar Disorder. This is my exact proposed revision: "Routine medical assessments are performed to rule-out secondary causes of mania and depression. These tests include complete blood count, glucose, serum chemistry/electrolyte panel, thyroid function test, liver function test, renal function test, urinalysis, vitamin B12 and folate levels, HIV screening, syphilis screening, and pregnancy test, and when clinically indicated, electrocardiogram (ECG), electroencephalogram (EEG), computed tomography (CT scan), and magnetic resonance imagining (MRI). " NicoleHajjar (talk) 20:26, 18 November 2019 (UTC)
 * Thanks for sharing this . Please be sure to add your citation using the citation tool that we practiced in class when you are editing the Wikipedia article. I adjusted it here for you by pasting in the PMID that you shared. JenOttawa (talk) 00:59, 21 November 2019 (UTC)

Bipolar Misclassification
Hi, another addition we are looking to propose is the addition of the following two sentences to add to the Diagnosis section. There is an observed overlap in diagnosis of Bipolar I disorder and Borderline Personality disorder. Some clinicians believe that BPD leads to over-diagnosis of Bipolar disorder. There are also numerous documented cases where individuals are diagnosed with both disorders. Studies show that as many as 10% of Borderline Personality Disorder are diagnosed with Bipolar I Disorder and as many as 40% of BPD cases are mis-diagnoses with Bipolar disorder. My source outlines many examples where individuals with either disorder are grouped together or misdiagnosed. I chose to add this information to the article because members from the public who may be viewing this page could benefit from know that elements of these diseases overlap (mood disregulation versus large swings in mood for a variable amount of time).

Evidence also shows that people often receive overlapping diagnoses of Bipolar I disorder and Borderline Personality Disorder due to overlapping criteria in diagnosing the two diseases[2]. Trends in false-positive diagnosis of Bipolar 1 disorder show as high as 40% of patients with BPD have been misdiagnosed with Bipolar disorder due to the ambiguity in evaluating emotional dysregulation of BPD versus the shifting emotional states of Bipolar Disorder.

Vmccann47 (talk • contribs) 21:20, 18 November 2019 (UTC)
 * Thanks for sharing this . Please be sure to add your citation using the citation tool that we practiced in class when you are editing the Wikipedia article. I adjusted it here for you by pasting in the DOI that you shared. JenOttawa (talk) 00:59, 21 November 2019 (UTC)

Patient Education Section
Hi all, another Queen's student looking to propose a change to the Patient Education section. Under the Patient education section, below the subtitle, I propose adding the following additional sentences:

“Psychosocial interventions can also be used for managing acute depressive episodes and for maintenance treatment to aid in relapse prevention. This includes psycho education, cognitive behavioural therapy (CBT), family-focused therapy (FFT), interpersonal and social-rhythm therapy (IPSRT), and peer support. ”

The main treatment for people with bipolar disorders is pharmacological treatments, which is highlighted in the page thus far. However, little attention is paid to additional or adjuvant treatments that are proven to be effective for treatment of acute depressive episodes and maintenance of treatment for relapse prevention, both of which are important for quality of life to the individual and family. The positive evidence for the adjuvant treatments in my proposed change is highlighted in the Canadian Network for Mood and Anxiety Treatments (CANMAT) guidelines (referenced above) for bipolar disorder. Additionally, the section on the Wikipedia page only includes information on patient education. However, the CANMAT guidelines highlight that patient education is just one of many psychosocial interventions that can be beneficial in treating patients with bipolar disorder. Therefore, by including this information, it is creating a fuller picture for the audience on all possible treatment avenues for bipolar I disorder Med2019 (talk •

contribs) 04:08, 19 November 2019 (UTC)
 * Thanks for adding this. Please see above comments about using the citation tool. We can practice this again in class on the 25th before editing the article live.JenOttawa (talk) 00:59, 21 November 2019 (UTC)

Bipolar I vs Bipolar II
Hello everyone, another Queen's student here. I believe that it is important to accurately distinguish the diagnostic differences between Bipolar I and Bipolar II disorder. The short comparison that is currently present in the first paragraph of the Wiki article isn't comprehensive and is using a source from nearly 15 years ago. As a result, I propose the following inclusion within the "Diagnosis" section, which are adapted from the DSM-5 :

"As previously mentioned, bipolar I disorder requires confirmation of only 1 full manic episode for diagnosis, but may be associated with hypomanic and depressive episodes as well. Diagnosis for bipolar II disorder however does not include a full manic episode; instead it requires the occurrence of both a hypomanic episode and a major depressive episode. "

I would really appreciate any feedback on the sentences, thank you! Kazaam13 (talk • contribs) 04:53, 19 November 2019 (UTC)


 * Thank you for this suggestion. I added your book using the DOI. Please, when editing the Wikipedia article use the citation tool that we learned together in our sandboxes on Nov 11th. Do you mind sharing the page #s of where you found this info in the text book? This can be added into the citation and is usually expected. Thank you! Your class is doing very well! JenOttawa (talk) 00:59, 21 November 2019 (UTC)

Proposed edits to DSM-5 section
Hello, I am one student of a group of seven from Queen's University and we have been assigned to help edit this page in one of our courses! I am proposing a few changes to the article to make it a bit more readable.

Currently, the article reads:

"For Bipolar I Disorder 296.40 Most Recent Episode Hypomanic and 296.4x Most Recent Episode Manic, the proposed revision includes the following specifiers: with Psychotic Features, with Mixed Features, with Catatonic Features, with Rapid Cycling, with Anxiety (mild to severe), with Suicide Risk Severity, with Seasonal Pattern, and with Postpartum Onset. Bipolar I Disorder 296.5x Most Recent Episode Depressed will include all of the above specifiers plus the following: with Melancholic Features and with Atypical Features. The categories for specifiers will be removed in DSM-5 and part A will add “or there are at least 3 symptoms of Major Depression of which one of the symptoms is depressed mood or anhedonia. For Bipolar I Disorder 296.7 Most Recent Episode Unspecified, the listed specifiers will be removed."

My proposed change:

"For Bipolar I Disorder 296.40 (most recent episode hypomanic) and 296.4x (most recent episode manic), the proposed revision includes the following specifiers: with psychotic features, with mixed features, with catatonic features, with rapid cycling, with anxiety (mild to severe), with suicide risk severity, with seasonal pattern, and with postpartum onset. Bipolar I Disorder 296.5x (most recent episode depressed) will include all of the above specifiers plus the following: with melancholic features and with atypical features. The categories for specifiers will be removed in DSM-5 and criterion A will add “or there are at least 3 symptoms of major depression of which one of the symptoms is depressed mood or anhedonia. For Bipolar I Disorder 296.7 (most recent episode unspecified), the listed specifiers will be removed."

Cheers! Jenguyen (talk • contribs) 18:13, 18 November 2019 (UTC)
 * Hi, does this section already have a citation? Please let us know and if you are adding anything be sure it is supported by a MEDRS citation. Thanks! JenOttawa (talk) 01:01, 21 November 2019 (UTC)

Tried editing to add about comorbidity's
Tried editing to add that Bipolar disorder has comorbidity's & it's lifelong & it's genetic & more risk factors than just suicide & relationship difficulties, I was also going to add a section about Ashkenazi Jews & Bipolar disorder when I explain that in relation to when in the middle ages lots of Ashkenazi Jews died it made the gene pool smaller leading to more conditions including Bipolar & Schizophrenia There is evidence of the genetic comorbidity's the comorbidity's Remote123457 (talk) 01:04, 26 October 2023 (UTC)