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Multiple Choice

Which statement describes Bipolar disorder II?

Bipolar II is defined by having hypomanic episodes along with major depressive episodes, and there has never been a full manic episode. Hypomania is a noticeable, persistent elevation in mood and energy that is milder than mania and does not cause the severe impairment or psychotic features seen in mania. The depressive episodes are typically substantial, meeting criteria for a major depressive episode, and they can be quite disabling. This combination—hypomania plus major depression without a manic episode—sets Bipolar II apart from Bipolar I (which requires at least one manic episode) and from unipolar major depressive disorder (which lacks hypomanic or manic episodes). While rapid mood changes can occur in bipolar spectrum, the hallmark of Bipolar II is the presence of hypomanic episodes with depressive episodes, not mania.

Bipolar II is defined by having hypomanic episodes along with major depressive episodes, and there has never been a full manic episode. Hypomania is a noticeable, persistent elevation in mood and energy that is milder than mania and does not cause the severe impairment or psychotic features seen in mania. The depressive episodes are typically substantial, meeting criteria for a major depressive episode, and they can be quite disabling. This combination—hypomania plus major depression without a manic episode—sets Bipolar II apart from Bipolar I (which requires at least one manic episode) and from unipolar major depressive disorder (which lacks hypomanic or manic episodes). While rapid mood changes can occur in bipolar spectrum, the hallmark of Bipolar II is the presence of hypomanic episodes with depressive episodes, not mania.