Discrepancies in the Diagnostic Guidelines Pertaining to Bipolar and Related Disorders
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Bipolar disorder, Diagnostic classifications, ICD 10, ICD 11, DSM 5 TRDimensions Badge
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Copyright (c) 2022 Arghya Pal

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Diagnostic framework has been an evolving field that intends to provide a structure to the relative fluid field of psychiatric disorders. Over the years psychiatric classifications has been reliant on the phenomenological description of disorders. Diagnostic classifications over the years have also been able to unearth the various intricacies in the psychiatric disorders and has been the backbone of conducting research in psychiatry. In 2022, we are potentially at the threshold of an interesting era in psychiatry with the sanction of official use of ICD 11 and also the advent of DSM 5 test revisions. In this juncture the current manuscript reviews the newer changes that has been adopted in the classification for bipolar disorder. The manuscript reviewed the extent to which the changes aligned ICD 11 to DSM 5 and also reviewed the background of where the two systems chose to differ. The manuscript also looks forward to what can be expected in the further revisions.Abstract
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Marneros A. The history of bipolar disorders. Bipolar Depress Mol Neurobiol Clin Diagnosis Pharmacother [Internet]. 2009 [cited 2022 May 21];3–16. Available from: https://link.springer.com/chapter/10.1007/978-3-7643-8567-5_1 Baldessarini RJ, Pérez J, Salvatore P, Trede K, Maggini C. History of Bipolar Manic-Depressive Disorder. Bipolar B. 2015 Aug 28;3–20. Mason BL, Sherwood Brown E, Croarkin PE. Historical Underpinnings of Bipolar Disorder Diagnostic Criteria. Behav Sci (Basel) [Internet]. 2016 Sep 1 [cited 2022 May 21];6(3). Available from: /pmc/articles/PMC5039514/ Gordon-Smith K, Jones LA, Forty L, Craddock N, Jones I. Changes to the Diagnostic Criteria for Bipolar Disorder in DSM-5 Make Little Difference to Lifetime Diagnosis: Findings From the U.K. Bipolar Disorder Research Network (BDRN) Study. Am J Psychiatry [Internet]. 2017 Aug 1 [cited 2022 May 22];174(8):803. Available from: https://pubmed.ncbi.nlm.nih.gov/28760020/ Angst J, Ajdacic-Gross V, Rössler W. Bipolar disorders in ICD-11: current status and strengths. Int J Bipolar Disord [Internet]. 2020 Dec 1 [cited 2022 May 22];8(1). Available from: /pmc/articles/PMC6970089/ Ungermann Fredskild M. Impact of Modification to DSM-5 Criterion A for Hypomania/Mania in Newly Diagnosed/First Episode Bipolar Patients–Findings From the Prospective BIO Study. 2020 [cited 2022 May 22]; Available from: https://www.researchsquare.com/article/rs-99519/latest.pdf Machado-Vieira R, Luckenbaugh DA, Ballard ED, Henter ID, Tohen M, Suppes T, et al. Increased activity or energy as a primary criterion for the diagnosis of bipolar mania in DSM-5: Findings from the STEP-BD study. Am J Psychiatry [Internet]. 2017 Jan 1 [cited 2022 May 22];174(1):70–6. Available from: https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.2016.15091132 Machado-Vieira R, Luckenbaugh DA, Ballard ED, Henter ID, Tohen M, Suppes T, et al. Increased Activity or Energy as a Primary Criterion for the Diagnosis of Bipolar Mania in DSM-5: Findings From the STEP-BD Study. Am J Psychiatry [Internet]. 2017 Jan 1 [cited 2022 May 23];174(1):70. Available from: /pmc/articles/PMC5205570/ Cassano GB, Akiskal HS, Savino M, Musetti L, Perugi G. Proposed subtypes of bipolar II and related disorders: with hypomanic episodes (or cyclothymia) and with hyperthymic temperament. J Affect Disord [Internet]. 1992 [cited 2022 May 23];26(2):127–40. Available from: https://pubmed.ncbi.nlm.nih.gov/1447430/ Pies RW. The Bereavement Exclusion and DSM-5: An Update and Commentary. Innov Clin Neurosci [Internet]. 2014 Jul 1 [cited 2022 May 24];11(7–8):19. Available from: /pmc/articles/PMC4204469/ Maj M. Clinical Presentation: Bipolar Disorder in DSM-5, ICD-11, and Beyond - Oxford Medicine [Internet]. [cited 2022 May 24]. Available from: https://oxfordmedicine.com/view/10.1093/med/9780190908096.001.0001/med-9780190908096-chapter-2
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