Summary Bipolar 2

Bipolar  Disorder
Diagnostic Criteria
For a diagnosis of bipolar II disorder, it is necessary to meet the following criteria for a current or past
hypomanic episode and the following criteria for a current or past major depressive episode:

Bipolar II Disorder

A. Criteria have been met for at least one hypomanic episode (Criteria A–F under “Hypomanic
Episode” above) and at least one major depressive episode (Criteria A–C under “Major
Depressive Episode” above).
B. There has never been a manic episode.
C. The occurrence of the hypomanic episode(s) and major depressive episode(s) is not better
explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional
disorder, or other specified or unspecified schizophrenia spectrum and other psychotic
disorder.
D. The symptoms of depression or the unpredictability caused by frequent alternation between
periods of depression and hypomania causes clinically significant distress or impairment in
social, occupational, or other important areas of functioning

Coding and Recording Procedures

Bipolar II disorder has one diagnostic code: 296.89 (F31.81). Its status with respect to current severity,
presence of psychotic features, course, and other specifiers cannot be coded but should be indicated
in writing (e.g., 296.89 [F31.81] bipolar II disorder, current episode depressed, moderate severity, with
mixed features; 296.89 [F31.81] bipolar II disorder, most recent episode depressed, in partial
remission).

Specify current or most recent episode:

Hypomanic

Depressed

Specify if:

With anxious distress

With mixed features

With rapid cycling

With melancholic features

With atypical features

With mood-congruent psychotic features

With mood-incongruent psychotic features

With catatonia

With peripartum onset


Palane Mohlala