Gene Colman has a history of bipolar I disorder. He currently presents with a new-onset manic episode and it has been successfully treated with an adjustment in his medication. He tells the social worker that he has had chronic depressive symptoms that, looking back, preceded his manic episodes. These symptoms of depression were described as "feeling down," decreased energy, and more often than not having no motivation. While Gene denies other depressive symptoms, he contacted the social worker because his wife has started to complain about his "unpredictable" behavior. "My wife never complained when I was depressed because she knew what to expect," said Gene. What is the most likely diagnosis for Gene?
A)Bipolar I disorder and persistent depressive disorder dysthymia)
B)Bipolar II disorder, current episode hypomanic
C)Other specified bipolar and related disorder
D)Cyclothymic disorder

Question

Quizplus · Accepted Answer

Gene's history of bipolar I disorder and current presentation of a manic episode fits with this diagnosis. Additionally, his chronic depressive symptoms suggest the possibility of co-occurring persistent depressive disorder (dysthymia). The fact that his wife is experiencing difficulty with his behavior suggests that his symptoms are impacting his functioning and relationships. Bipolar II disorder and other specified bipolar and related disorder do not fully capture Gene's history and presentation, and cyclothymic disorder involves milder and more chronic symptoms.

Gene Colman Has a History of Bipolar I Disorder