I agree with the spectrum for sure. Most diagnoses are on a spectrum from mild to severe, not just bipolar or psychiatric diagnoses. For example, a person could have mildly impaired fasting blood sugar, or they might have really severe diabetes with unstable blood sugars and complications like blindness. Definitely a spectrum. I don't think bipolar i is necessarily always more severe than bipolar ii though, because BP II can have very severe depressions or even die by suicide, and a person may have a single episode of mania and be diagnosed BP I even if they never have symptoms again. so i think the spectrum is unique to the person, and not just the classification of the illness.

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