Bipolar Disorder Diagnosis: An Overview
Like other mental illnesses,
bipolar disorder cannot yet be diagnosed by standard tests, like blood work, x-rays, or a brain scan. Therefore, a
bipolar disorder diagnosis is made on the basis of:
- Symptoms
- The course of the illness
- Family history (when available).
A depressive episode is diagnosed if five or more of
symptoms of depression last most of the day, nearly every day, for a period of two weeks or longer.
A manic episode of bipolar disorder is diagnosed if an elevated mood occurs, with three or more of the other symptoms on the mania symptoms list, most of the day, nearly every day, for one week or longer. If the mood is irritable, four additional symptoms must be present.
Bipolar Disorder Diagnosis: A Patient's Perspective
Descriptions offered by people with bipolar disorder give valuable insights into the various mood states associated with the illness:
Depression: "I doubt completely my ability to do anything well. It seems as though my mind has slowed down and burned out to the point of being virtually useless…. [I am] haunt[ed] … with the total, the desperate hopelessness of it all…. Others say, 'It's only temporary, it will pass, you will get over it,' but of course they haven't any idea of how I feel, although they are certain they do. If I can't feel, move, think or care, then what on earth is the point?"
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