Bipolar I disorder
At least one manic episode; may have had depressive episodes.
How it presents
manic episode: elevated/irritable mood, grandiosity, decreased need for sleep, pressured speech, flight of ideas, increased goal-directed activity, reckless behavior; lasting ≥1 week
Tell it apart from
- Bipolar II disorder
- Cyclothymic disorder
- Schizoaffective disorder
- Stimulant intoxication
Treatment reasoning
Mood stabilizers (lithium first-line for mania), atypical antipsychotics; adjunctive psychotherapy; discontinue antidepressants in acute mania.