The DSM-5-TR separates Bipolar and Related Disorders into the following specific disorders:
- Bipolar I Disorder
- Bipolar II Disorder
- Cyclothymic Disorder
- Substance/Medication-Induced Bipolar and Related Disorder
- Bipolar and Related Disorder Due to Another Medical Condition
- Other Specified Bipolar and Related Disorder
- Unspecified Bipolar and Related Disorder
- Unspecified Mood Disorder


[DSM-5-TR] List of Bipolar and Related Disorders

The DSM-5-TR outlines certain specifiers to help specify the condition of Bipolar and Related Disorders according to the different states and condition of the individual. These specifiers are broken down as followed:

Specify if:
- With Anxious Distress
- With Mixed Features
- With Rapid Cycling
- With Melancholic Features
- With Atypical Features
- With Psychotic Features
- With Catatonia
- With Peripartum Onset
- With Seasonal Patterns

Specify if:
- In Partial Remission
- In Full Remission

Specify current severity of manic episode::
- Mild
- Moderate
- Severe

Specify current severity of major depressive episode:
- Mild
- Moderate
- Severe


[DSM-5-TR] Specifiers for Bipolar and Related Disorders

This list includes disorders or conditions that are related to bipolar and manic/depressive states or features but are not currently directly or officially included in the DSM. These disorders include:
- TBD


List of Other Recognized Bipolar and Related Disorders

This list includes different categories and types of methods for treating and/or managing different bipolar and related disorders. These can be broken down into categories of methods that include:
- Effective Treatment Plans for Bipolar Disorder
- Medication Treatments
- Psychotherapy Treatments
- Medical Interventions
- Beyond Treatment: Things You Can Do


Treatment and Management Methods for Bipolar and Related Disorders

This list includes different theories or concepts that are used to explain, define, or otherwise provide further insight into the workings of bipolar and related disorders. These include:
- Symptoms of Bipolar Disorder
- Difference Between Bipolar I & Bipolar II


Theories and Concepts Relevant to Bipolar and Related Disorders

This includes the intersection of connections and/or research related to bipolar and related disorders as a general category in other fields of study and research. Such fields include:
- Behavioral Neuroscience
- Clinical Psychology
- Disability Studies
- Health Psychology
- Mindfulness

Note: Add subjects as needed


Interdisciplinary Connections & Research Related to Bipolar and Related Disorders, General

The collection of references for nodes pertaining to Bipolar and Related Disorders.

References for Bipolar and Related Disorders

1. Genetics
2. Prenatal and perinatal factors
3. Childhood trauma
4. Psychological stressors
5. Substance misuse
6. Medical comorbidities
7. Demographic factors
8. Others

Most of the research considers genetics as the strongest risk factor for bipolar disorder.

Risk Factor for Bipolar Disorder

References for  Rapid Cycling Bipolar Disorder 

Rapid cycling is a subtype of bipolar disorder characterized by the occurrence of at least four manic episodes, or a combination of at least four manic and major depressive episodes, within a one-year period.

Rapid Cycling Bipolar Disorder

Reference for Comorbidity of Bipolar Disorder and Other Conditions

Bipolar disorder is a mood disorder that causes those impacted to shift back and forth between depression and mania.

Bipolar Disorder

Mood disorders have been proven to have genetic basis. Individuals with relatives who have major depressive disorder are twice likely to develop such disorder. Individuals with twins with major depressive disorder are also prone to develop major depressive disorder themselves.

Individuals with relatives with bipolar disorder will nine times more likely to develop bipolar disorder themselves. Individuals with twins with bipolar disorder are also prone to develop such a disorder themselves.

Genetic Basis for Mood and Bipolar Disorders

Bipolar and Related Disorders are recognized by unusual shifts in mood, energy, activity levels, and concentration, affecting the ability to carry out day-to-day tasks. The presence of mania is a defining trait of bipolar disorder. These shifts range from periods of manic episodes (being extremely “up”, elated, irritable, or energized) and depressive episodes (being very “down”, indifferent, or hopeless).

Syracuse University

New York University

New Mexico Highlands University

Most common types of mood disorders:
- Bipolar Disorder
- Anxiety Disorders
- Major Depressive Disorder
- Persistent Depressive Disorder (Dysthymia)
- Mood disorders related to another health condition 
- Substance-induced mood disorder

Types of Mood Disorders

Section II of the DSM-5-TR covers the bulk of the manual by including the descriptive text and criteria for each diagnosis. This section also references relevant context and research for the diagnoses and other conditions, medication-related adverse effects and -induced disorders, and corresponding ICD-10 codes. This section is broken down into the following chapters: 

-	Neurodevelopmental Disorders
-	Schizophrenia Spectrum and Other Psychotic Disorders
-	Bipolar and Related Disorders
-	Depressive Disorders
-	Anxiety Disorders
-	Obsessive-Compulsive and Related Disorders
-	Trauma- and Stressor-Related Disorders
-	Dissociative Disorders
-	Somatic Symptom and Related Disorders
-	Feeding and Eating Disorders
-	Elimination Disorders
-	Sleep-Wake Disorders
-	Sexual Dysfunctions
-	Gender Dysphoria 
-	Disruptive, Impulse-Control, and Conduct Disorders
-	Substance-Related and Addictive Disorders
-	Neurocognitive Disorders
-	Personality Disorders
-	Paraphilic Disorder
-	Other Mental Disorders and Additional Codes
-	Medication-Induced Movement Disorders and Other Adverse Effects of Medication
-	Other Conditions that May Be a Focus of Clinical Attention


[DSM-5-TR] Section II: Diagnostic Criteria and Codes

National Institute of Mental Health . (n.d.). Bipolar disorder. Bipolar Disorder. Retrieved January 27, 2022, from https://www.nimh.nih.gov/health/topics/bipolar-disorder 

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

DSM-5

Spielman, R. M., Jenkins, W. J., & Lovett, M. D. (2020, April 22). Psychology (2nd ed.). OpenStax. https://openstax.org/books/psychology-2e/pages/1-introduction

OpenStax Psychology (2nd ed.) Textbook

According to the DSM-5, Depressive Disorders constitute a primary category of mood disorders characterized by depression as their central feature. This group of disorders is recognized by the presence of sad, empty, or irritable moods, along with associated somatic and cognitive changes that significantly impair an individual's ability to function. The specific disorders within this category can vary in their duration, timing, and presumed causes.

Depressive Disorders

A mild mood disorder resembling bipolar 2 in fluctuations from elevated to depressed mood, however, these fluctuations are not as intense. These fluctuations vary only from mild depression to hypomania. These symptoms must be present for at least 2 years for a diagnosis. 

Cyclothymia

Symptoms of depression that are due to the effects of medicine, drug abuse, alcoholism, exposure to toxins, or other forms of treatment.

Substance-induced Mood Disorder

Many mental illnesses (including cancer, injuries, infections, and chronic illnesses) can trigger symptoms of depression.

Mood disorder related to another health condition 

Histrionic Personality Disorder is a mental health condition marked by unstable emotions and a distorted self-image. It is a part of cluster B or ‘dramatic’ personality disorders. People with this disorder experience intense, unstable emotions and their self-esteem depends on the approval of others. They have a desire to be the center of attention at all times and are seductive, manipulative, and charming.

Histrionic Personality Disorder

Bipolar and Related Disorders

Anxiety disorder can range from mild feelings of nervousness and anxiousness to excessive fear or anxiety due to anticipation of future events.

Anxiety Disorder

A 30-year-old individual reports experiencing a significant loss of interest in their hobbies, feelings of worthlessness, and persistent fatigue for the past month. However, they also describe a distinct one-week period last year where they felt euphoric, needed only two hours of sleep per night without feeling tired, and impulsively bought a sports car they could not afford. Based on this pattern of symptoms, which of the following is the most likely diagnosis?

Disorder Class: Disruptive, Impulse-Control, and Conduct Disorders

A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of three (or more) of the following criteria in the past 12 months from any of the categories below, with at least one criterion present in the past 6 months:
1. Aggression to people and  animals
2. Destruction of property
3. Deceitfulness or theft
4. Serious violations of rules
 
The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.
 
If the individual is age 18 years or older, criteria are not met for Antisocial Personality Disorder
 
Specify age onset:  Individuals show at least one symptom characteristic of conduct disorder prior to age 10 years

[DSM-5] Conduct Disorder Criteria

Borderline Personality Disorder (BPD) is primarily defined by a pervasive pattern of instability across interpersonal relationships, self-image, and mood, combined with significant impulsivity. Individuals with this disorder often experience intense emotions and may engage in frantic behaviors to manage their profound fear of abandonment.

Borderline Personality Disorder

A personality disorder is defined by a pervasive and inflexible personality style that significantly deviates from cultural norms, causing problems for the individual and for others. This pattern typically emerges during adolescence or early adulthood and leads to significant distress or functional impairment.

Personality Disorders

Neurodevelopmental disorders are a class of conditions typically identified in childhood, characterized by developmental impairments across personal, social, academic, and intellectual domains. Key examples within this category include attention deficit/hyperactivity disorder (ADHD) and autism spectrum disorder.

Neurodevelopmental Disorders

Feeding and Eating Disorders are characterized by persistent changes to eating or eating-related behaviors that result in altered consumption or absorption of food, significantly impairing an individual’s physical health and/or psychosocial functioning. 

Feeding and Eating Disorders

Neurocognitive Disorders are a group of disorders characterized by the primary clinical deficit of the individual being in cognitive functioning that is acquired, not developmental. These disorders have a strongly recognized and researched disease etiology to them making them a unique intersection between psychiatry and pathology. 

Neurocognitive Disorders

Substance-Related and Addictive Disorders are characterized by abusing the activation of the brain reward system through certain behaviors or the use of pharmacological substances. This often results in a sense of increased pleasure, or a “high”, encouraging reinforcement of behaviors and actions that are detrimental to or neglectful of daily activities. Due to insufficient research, repetitive behaviors that have been coined as behavioral addictions (e.g., sex addiction, exercise addiction, or shopping addiction) are excluded from this chapter.

Substance-Related and Addictive Disorders

Sleep-Wake Disorders are defined using a multidimensional approach due to the expectations for co-existing or comorbid diagnosis in both mental and neurological health. They are largely characterized by individual’s interpretation of having dissatisfying sleep quality, timing, or amount of sleep. These complaints are often expressed alongside issues of distress or impairment during expected daytime activities. 

Sleep-Wake Disorders

Sexual Dysfunctions are characterized by clinically significant disturbances related to an individual’s ability to respond sexually or experience sexual pleasure. This requires a multidimensional approach to diagnoses by considering the biological, sociological, and psychological factors that influence the ways in which individuals experience sex. However, these disorders, do not include sexual dysfunctions that are a result of inadequate or a lack of stimulation or knowledge which may still be treated, but are not diagnosed.

Sexual Dysfunctions

Gender Dysphoria is characterized by the subjectively experienced distress that arises from the mismatch between gender identity, or internally felt sense of gender, and assigned sex at birth.

Gender Dysphoria

Obsessive-compulsive and related disorders are a group of conditions listed in the DSM-5 that are characterized by overlapping features, specifically the presence of intrusive thoughts and/or repetitive behaviors. This diagnostic category encompasses several distinct but related conditions, including obsessive-compulsive disorder, body dysmorphic disorder, and hoarding disorder.

Obsessive-Compulsive and Related Disorders

Elimination Disorders are characterized by inappropriate elimination of either urine or feces. These disorders are typically diagnosed in childhood or adolescence but are based on developmental age rather than chronological age.

Elimination Disorders

A node to help create and move other nodes around

TEMP Node for DSM 

Dissociative Disorders are characterized by the disruption and/or discontinuity in the integration of consciousness, memory, motor control, perception, body representation, emotion, identity, and behavior. These symptoms can be applicable to all areas of psychological functioning and are typically experienced as unbidden intrusions into one’s awareness and behavior. This coincides with a loss of continuity in the subjective experience of the individual and/or the inability to access information or to control mental functions. 

Dissociative Disorders

Anxiety disorders are characterized by features of excessive fear and anxiety, as well as related behavioral disturbances. These symptoms are often not temporary and linger beyond typical expectations. Excessiveness of these symptoms is clinician diagnosed with cultural contexts taken into consideration.

Anxiety Disorders

Paraphilic Disorders are characterized by those paraphilias that result in distress or impairment to the individual, or, for the satisfaction of the individual, entail harm, or risk of harm, themselves or to others. Simply having a paraphilia does not meet the requirements for a diagnosis of a paraphilic disorder. 

Paraphilic Disorders

Trauma- and Stressor-Related Disorders are characterized by exposure to a traumatic or stressful event. Symptoms and reactions vary for each case and while they may be understood in an anxiety- or fear-based context, individuals often instead prominently display anhedonic, dysphoric, dissociative, and/or aggressive symptoms. This variability in the display of symptoms imposes a distinction from other similar disorders, which then also requires that for one to be diagnosed with a trauma- and stressor-disorder, they specifically must have had explicit exposure to a traumatic or stressful event.

Trauma- and Stressor-Related Disorders

Disruptive, Impulse-Control, and Conduct Disorders are a group of conditions characterized by problems related to the self-control of emotions and behaviors. These disorders are distinct from other disorders with emotional or behavioral regulation due to the nature that these problems result in violations of the rights of others and/or significant conflict with societal norms or authority figures. These disorders and their presentation can greatly vary within the category, as well as between individuals. 


Disruptive, Impulse-Control, and Conduct Disorders

Schizophrenia Spectrum and Other Psychotic Disorders are recognized through abnormalities occurring within at least one of five domains. These domains include delusions, hallucinations, disorganized thinking (speech), grossly disorganized or abnormal motor behavior (including catatonia), and negative symptoms.

Schizophrenia Spectrum and Other Psychotic Disorders

Somatic Symptom and Related Disorders are characterized by the presence of prominent somatic symptoms as well as the abnormal thoughts, feelings, and/or behaviors in response to the somatic symptoms. These symptoms and the response to them result in significant distress and impairment to the individual. The symptoms themselves may sometimes be less important than the way individuals will present and interpret them.

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