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The Difference between Bipolar I and II

Psychotic features can include hallucinations and paranoia during manic episodes.

Many people are increasingly familiar with Bipolar Disorder.

However, understanding the difference between Bipolar I and II can be confusing. Both Bipolar I and II are characterised by episodes of extreme depression (sad, low mood) and mania (irritable and elevated mood).

In both cases, the symptoms and experience of depression are the same. However, the major difference lies in the way that mania presents. Bipolar I patients typically present with mania, where Bipolar II patients present with hypomania.

Although these types of mania share some common features, the major difference rests in their duration, presentation and threatening consequences. Mania is a more extreme form, which typically lasts longer, and can contain elements of psychosis, which can pose a greater threat to a person’s life. Hypomania does not last as long, and has the potential for less life threatening consequences because there are no psychotic features.

Psychotic features can include hallucinations and paranoia during manic episodes. Diagnosing these disorders correctly is important in the treatment of patients.

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