Clinical Features of Bipolar II Disorder

A. Hypomanic episodes tend to occur in close proximity to depressive episodes, and episodes tend to occur more frequently with age.

B. The social and occupational consequences of bipolar II can include job loss and divorce. These patients have a suicide rate of 10-15%.

C. Common comorbid diagnoses include substance-related disorders, eating disorders, attention deficit hyperactivity disorder, and borderline personality disorder.

D. The rapid cycling pattern carries a poor prognosis.

III. Epidemiology. The lifetime prevalence of bipolar II is 0.5%. It is more common in women than in men.

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