I think some of the distinctions are subject to interpretation by individual doctors. One person's BP 2 may be another's BP 1.....some doctors determine the 'flavor' by whether the pt has ever been hospitalized, while others draw the line at frank psychosis.
Technically, if you've ever had a full-blown manic episode or experienced psychosis, your dx is BP 1. I don't know if that helps, but in the end the number doesn't really matter---what does is whether your doc is treating
you or an ICD-9 code.
ETA: I have two very distinct stages of mania---one I'd call hypomania (but my pdoc calls it mania) which is a lot of fun, and another which
I consider to be full-on mania and is NOT fun.
The hypo is when I feel WONDERFUL and everything is possible and I want to clean/organize everything in sight and I love everybody and the world is full of bright colors and beautiful things. But then it turns on me and my thoughts start to race, I get mean and nasty and I pick fights, my outlook is terrible and I'm full of rage. Everything irritates me, I get itchy/scratchy and can't find a place for myself, and it's like all 250 TV channels are on in my head at the same time. I can't channel the energy so I pace around and fidget incessantly, and the last two times I've been manic I had auditory hallucinations.
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DX: Bipolar 1
Anxiety
Tardive dyskinesia
Mild cognitive impairment
RX: Celexa 20 mg
Gabapentin 1200 mg
Geodon 40 mg AM, 60 mg PM
Klonopin 0.5 mg PRN
Lamictal 500 mg
Levothyroxine 125 mcg (rx'd for depression)
Trazodone 150 mg
Zyprexa 7.5 mg
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