Clinical Features of Bipolar I Disorder

A. Ninety percent of patients who have a single manic episode will have a recurrence.

B. Mixed episodes are more likely in younger patients.

C. Episodes occur more frequently with age.

D. Manic episodes can result in violence, child abuse, excessive debt, job loss, or divorce.

E. The suicide rate of bipolar patients is 10-15%.

F. Common comorbid diagnoses often include substance-related disorders, eating disorders, and attention deficit hyperactivity disorder.

G. Bipolar I disorder with a rapid cycling pattern carries a poor prognosis and may affect up to 20% of bipolar patients.

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