Differentiate between bipolar I, bipolar II, and major depressive disorder. In your post, discuss the similarities and differences between these disorders and how you, as a provider, would determine which diagnosis a patient has. Also, include medications that would be prescribed for each of these disorders and alternative treatment options. Be sure to include age considerations for the medications that you choose.
Sample Answer
Differentiating between bipolar I, bipolar II, and major depressive disorder (MDD) is crucial for accurate diagnosis and effective treatment. While they all involve mood disturbances, their key features, severity, and treatment approaches vary significantly. As a provider, a detailed patient history and a clear understanding of the diagnostic criteria are essential to distinguish between them.
Key Differences and Similarities
Major Depressive Disorder (MDD) is characterized by one or more major depressive episodes without any history of manic, hypomanic, or mixed episodes. The symptoms must be present for at least two weeks and include a depressed mood or a loss of interest or pleasure (anhedonia), along with other symptoms like changes in weight, sleep, or psychomotor activity, fatigue, feelings of worthlessness, or recurrent thoughts of death.