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Hey everybody, today I'm gonna talk with[br]you about Bipolar II disorder

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and how it differs from Bipolar I.[br]So stay tuned.

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♪ (soft music playing) ♪

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So I've heard from many, many, many, many[br]of you that you needed more information

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about Bipolar disorder. And I heard you![br]Don't worry. That's why I'm here right now

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making this video about Bipolar II.

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And I will talk about Bipolar II and how[br]it differs a little bit from Bipolar I

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but don't worry, I will do another video[br]about Bipolar I so that you can see the

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differences more clearly. But if you've[br]not checked out my kind of Bipolar

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summary video that I created a while ago[br]- remember the whiteboard and I made

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squiggles to kind of show you the[br]differences and tell you how Bipolar

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disorder works? You're gonna wanna click[br]here and watch it first because it gives

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you a good summary before we get kind of[br]more into the nitty-gritty of Bipolar II.

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Without further ado, and as always I have[br]notes and my handy-dandy DSM. So, Bipolar

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II: Now the way that I always think of [br]Bipolar II is that it's the 'depressive'

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side of Bipolar disorder. You never have[br]mania... never. You have hypomania, and

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this can be sometimes tricky for people to[br]feel the differences or understand the

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differences, but that's why you have to[br]see a professional to get a proper

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diagnosis. And so if you're worried that [br]you're struggling with this, before trying

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to diagnose yourself I would please[br]encourage you, I can't encourage you

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enough to see a professional to get a[br]proper diagnosis, put a treatment plan

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together, and figure out what's the best[br]path for you. So, Bipolar II you don't

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have mania, but you have hypomania. I'm[br]gonna read you from the DSM really quick

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about what hypomania may look like. [br]It says that you will have an abnormally

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and persistently elevated expansive or [br]irritable mood, you can feel really an

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inflated sense of self esteem like "I'm[br]the best, I can do anything!" and you also

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feel a decreased need for sleep.[br]And if you remember me talking about mania

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in that other video, and I believe in[br]other FAQs, it sounds a lot like it right?

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It's just a lower grade. And that's why[br]it's important to see a professional,

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because they'll know exactly what you're[br]struggling with. It also says "flight of

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ideas", like "I have so many things[br]flowing through my mind I can't even - I

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just can't settle down! There's so many[br]things I wanna do and so many things I

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feel like I wanna change in the world!"[br]And it can be a really motivated place for

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a lot of people to live in, and I know a[br]lot of artists and people sometimes like

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being hypomanic, because it's not as[br]intense as mania, but we get a lot done.

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We have so many ideas! Also, really[br]distractable - as you can imagine if

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you're thinking about all these different[br]things it's hard for you to stay on topic.

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"Increased goal-directed activity" - like[br]I said you're really productive.

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"Excessive involvement in activities that[br]have a high potential for painful

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consequences" - and this is where we[br]usually end up in trouble, like we end up

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in the hospital, or our family members or[br]friends may call 911 to get us help, is if

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y'know we may be sleeping around, we may[br]be spending obscene amounts of money at

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the mall, we may buy a new car, we may do[br]things that we shouldn't be doing because

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it could have a really horrific[br]consequence on the end. And so that is

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kind of how a hypomanic episode looks. It[br]can be very similar to mania, like I said,

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but it has to last as least at least for[br]four consecutive days present most of the

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day, nearly every day. And you must also [br]have a major depressive episode in order

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to be diagnosed with Bipolar II disorder.[br]Now a major depressive episode has to last

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at least two weeks, and to give you an[br]idea of what that may feel like, you have

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to have five or more of the following [br]symptoms that have been present during the

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same two-week period, just like I was[br]saying. Depressed mood most of the day,

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diminished interests like we've talked[br]about before in the 'Six Signs of

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Depression' anhedonia, not being[br]interested in pleasurable activities or

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activities that used to be pleasurable to[br]you are no longer pleasurable, you may

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lose weight, you may gain weight, you may[br]oversleep, you may not sleep enough, you

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may feel fatigued and have body aches. And[br]a lot of those things will happen when we

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have Bipolar II because we have to have[br]hypomania and a major depressive episode.

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Those both have to occur to get the[br]diagnosis of Bipolar II and you can't have

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mania. If you have mania, that makes you [br]Bipolar I. Okay? So that's what Bipolar II

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disorder is. You can see why it's one of[br]the most misdiagnosed things in the psych

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world - a lot of psychiatrists that I work[br]with and therapists that I work with feel

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that a lot of people that are diagnosed[br]with depression may really have Bipolar II

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or people that are diagnosed with Bipolar[br]II may actually just have Major Depressive

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Disorder. And it can be really difficult[br]for us to properly diagnose. That's why I

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cannot encourage you enough to seek out[br]professional help. Get a proper diagnosis,

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get properly assessed, and then you can [br]look at your options for treatment. There

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are a lot of options out there. Medication[br]as always is an option, therapy and

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different treatment centers. There are a[br]lot of day programs you can go to to

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better understand your illness, there are[br]group therapy things for you and your

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family because a lot of people with[br]Bipolar disorder, if they have a hypomanic

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or manic episode, can do some things that[br]are really detrimental to themselves and

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to their relationships. So there are a lot[br]of group therapy things available in

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hospital settings, in inpatient settings,[br]where you can help rebuild that

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relationship and better understand your[br]own Bipolar disorder so that it can get

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properly treated. And I hope that this[br]helps, if you like videos where I talk a

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little bit more in-depth about a specific[br]diagnosis, give it a thumbs up and let me

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know. And leave your comments below:[br]What has Bipolar II disorder looked like

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for you? What have you done in treatment[br]to help you better overcome it? Because as

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a community we can be so strong, we have[br]so many experiences and so much

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information we can gleam from each other.[br]It's more than just me telling you how we

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diagnose and what your treatment options[br]are, we can share our stories. So share

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your stories, and I'll see you next time.