How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Elliott, LPCC, NCC Your Own Question
Elliott, LPCC, NCC
Elliott, LPCC, NCC, Psychotherapist
Category: Mental Health
Satisfied Customers: 7664
Experience:  35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
40019946
Type Your Mental Health Question Here...
Elliott, LPCC, NCC is online now
A new question is answered every 9 seconds

My son had a manic episode with psychosis and was then diagnosed

This answer was rated:

My son had a manic episode with psychosis and was then diagnosed with bipolar disorder. The psychiatrist told him he was a little bit bipolar. However doesn't the manic episode that he had mean that he is bipolar 1 , the more difficult type to treat?

Elliott, LPCC, NCC :

Seeking expert counseling is a sign of strength. A personal relationship with a caring professional is proven clinically effective.

Elliott, LPCC, NCC :

Dear friend,

Elliott, LPCC, NCC :

I believe that I can help you once again.

Elliott, LPCC, NCC :

If your son has the criteria for mania (and I shall list them below if you don't already have them) from the DSM-IV psychiatric manual, then he is diagnosable as bipolar.

Elliott, LPCC, NCC :

A little bit bipolar reminds me of someone claiming that a woman is a little bit pregnant.

Elliott, LPCC, NCC :

Diagnoses are made by meeting criteria, and if he has manic symptoms and they are not caused by a disease or by a medical condition, which apparently they are not, then he has bipolar disorder. 1.

Elliott, LPCC, NCC :

Here are the official DSM-IV criteria for mania:

Elliott, LPCC, NCC :

 


Mania DSM-IV


A) A distinct period of abnormally and persistently elevated, expansive or irritable mood, lasting at least 1 week (or any duration if hospitalization is necessary)


B) During the period of mood disturbance, three (or more) of the following symptoms have persisted (four if the mood is only irritable) and have been present to a significant degree:


1) inflated self-esteem or grandiosity


2) decreased need for sleep (e.g., feels rested after only 3 hours of sleep)


3) more talkative than usual or pressure to keep talking


4) flight of ideas or subjective experience that thoughts are racing


5) distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli)


6) increase in goal-directed activity (at work, at school, or sexually) or psychomotor agitation


7) excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments)


C) The symptoms do not meet criteria for a Mixed Episode


D) The mood disturbance is sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relationships with others, or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.


E) The symptoms are not due to the direct physiological effects of a substance or a general medical condition.


Elliott, LPCC, NCC :



I hope that this clears this up for you.

Elliott, LPCC, NCC :

Warm regards,

Elliott, LPCC, NCC :

Elliott

Elliott, LPCC, NCC and other Mental Health Specialists are ready to help you

Related Mental Health Questions