Many of the bipolar disorder symptoms, spectrum of disorders can occur with other diseases, including disturbing disorder, psychotic disorders, personality disorders, etc.
Cyclothymia, first was described by K. Kahlbaum (1882), in its clinical manifestations in many ways similar to the path and the BTS over the bipolar disorder symptoms. According to modern view, it is defined as chronic affective disorder, characterized by blurring pronounced fluctuations in mood from hypomania to depression, never reaches the detailed criteria for BIPOLAR DISORDER SYMPTOMS-I and BIPOLAR DISORDER SYMPTOMS-II. There is a tendency to underestimate the disease because if developing depression and subjectively assessed as discomfort, illness or disease, hypomania usually perceived as desirable periods Well-Being.
For those patients is observed experiencing chronic cycle of disease during the many periods hypo maniacally or depressive symptoms, which never quite pronounced in order to meet the diagnostic criteria hypomania or depression. The minimum period of affective disorders needed for diagnosis in accordance with the criteria for DSM-IV, defines two years.
Up to date, there are no clear criteria to distinguish cyclothymiacs and hypomania. Most also can not distinguish between cyclothymiacs and normal condition. At the same time, even subsidy normal forms of bipolar disorder symptoms bear the risk disadaptation, forming comorbids disorders, drug addiction, alcoholism, drug addiction, which are the cause of seeking care at the remote stages of the main disease.
As you know, hypomaniacal condition, typical for BIPOLAR DISORDER SYMPTOMS-II, is not an accompanied by social dysadaptation patient and very rarely are the cause of a doctor. In doing so, patients subjectively evaluate such conditions as the feeling of full health, good tone, a normal working and do not talk about them as a painful period. For retrospective detection hypo maniacally states require targeted qualified ascertain anamnestic data in the inspection of the patient to seek medical assistance in connection with the current depressed state. In the absence of such a thorough diagnostic approach hipomaniya can be detected by chance during a planned inspection of many years after the start of the disease.
Its clinical manifestations of hipomaniya different from deployed manic states, only less expressivity symptoms. In accordance with current diagnostic guidelines for diagnosis requires that the duration of symptoms is at least 4 days, if that would not offer significant violations of the daily activities of the patient and does not lead to hospitalization. However, in practice, such cases are often seen as hipertimiya and did not get into the field of psychiatry.
Despite the fact that according to diagnostic criteria hipomaniya never matter of social dysadaptation, its timely diagnosis is crucial, as well as developing later in the BIPOLAR DISORDER SYMPTOMS high depressive episodes led to a significant decline in functioning, disability and higher suicidal risk. Late detection of hypo maniacally states led to a mistaken diagnosis of recurrent depression and inadequate treatment with antidepressants, which leads to weighting current BIPOLAR DISORDER SYMPTOMS and of itself, can cause the formation of FC(fast cycling).
Current diagnostic systems DSM-IV and ICD-10 are trying to divide schizophrenia and BIPOLAR DISORDER SYMPTOMS in categorical terms, bringing to the fore the presence or absence of symptoms to diagnosis. In fact, among the many patients with schizophrenia symptoms of depression and mania, but patients with BIPOLAR DISORDER SYMPTOMS are show shnaiderovschy symptoms of first rank such as delirium and hallucinations with depression. Some compromise on the issue of separation of BIPOLAR DISORDER SYMPTOMS and schizophrenia was the introduction of modern system of classification of disease schizophrenia disorder as a separate diagnostic category. According to ICD-10 main differential diagnostic feature schizophrenia disorder and a bipolar disorder symptoms with affective scenes in the structure which has noncompetitive passion psychotic symptoms, is the content of nonsense that should not meet the criteria listed for schizophrenia, as well as, with BIPOLAR DISORDER SYMPTOMS ravings should not is absolutely incredible content or culture inadequate, and hallucinations should not be commenting nature.
Availability comorobids troubling disorder or alcohol abuse may mask the presence of affective phases. Also in the FC during the BIPOLAR DISORDER SYMPTOMS without the development of heavy affective phases can be mistaken diagnosis of personality disorders, for example, emotionally labile or hysterical type. In all these cases require thorough diagnosis to identify circular affective phases.