[Script Info] Title: [Events] Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text Dialogue: 0,0:00:00.00,0:00:04.05,Default,,0000,0000,0000,,Hey everybody, today I'm gonna talk with\Nyou about Bipolar II disorder Dialogue: 0,0:00:04.05,0:00:08.52,Default,,0000,0000,0000,,and how it differs from Bipolar I.\NSo stay tuned. Dialogue: 0,0:00:08.52,0:00:16.29,Default,,0000,0000,0000,,♪ (soft music playing) ♪ Dialogue: 0,0:00:16.32,0:00:21.13,Default,,0000,0000,0000,,So I've heard from many, many, many, many\Nof you that you needed more information Dialogue: 0,0:00:21.13,0:00:26.03,Default,,0000,0000,0000,,about Bipolar disorder. And I heard you!\NDon't worry. That's why I'm here right now Dialogue: 0,0:00:26.03,0:00:27.88,Default,,0000,0000,0000,,making this video about Bipolar II. Dialogue: 0,0:00:27.88,0:00:32.42,Default,,0000,0000,0000,,And I will talk about Bipolar II and how\Nit differs a little bit from Bipolar I Dialogue: 0,0:00:32.42,0:00:37.17,Default,,0000,0000,0000,,but don't worry, I will do another video\Nabout Bipolar I so that you can see the Dialogue: 0,0:00:37.17,0:00:41.50,Default,,0000,0000,0000,,differences more clearly. But if you've\Nnot checked out my kind of Bipolar Dialogue: 0,0:00:41.50,0:00:45.41,Default,,0000,0000,0000,,summary video that I created a while ago\N- remember the whiteboard and I made Dialogue: 0,0:00:45.41,0:00:49.29,Default,,0000,0000,0000,,squiggles to kind of show you the\Ndifferences and tell you how Bipolar Dialogue: 0,0:00:49.29,0:00:52.44,Default,,0000,0000,0000,,disorder works? You're gonna wanna click\Nhere and watch it first because it gives Dialogue: 0,0:00:52.44,0:00:57.30,Default,,0000,0000,0000,,you a good summary before we get kind of\Nmore into the nitty-gritty of Bipolar II. Dialogue: 0,0:00:57.30,0:01:03.52,Default,,0000,0000,0000,,Without further ado, and as always I have\Nnotes and my handy-dandy DSM. So, Bipolar Dialogue: 0,0:01:03.52,0:01:08.94,Default,,0000,0000,0000,,II: Now the way that I always think of \NBipolar II is that it's the 'depressive' Dialogue: 0,0:01:08.94,0:01:17.98,Default,,0000,0000,0000,,side of Bipolar disorder. You never have\Nmania... never. You have hypomania, and Dialogue: 0,0:01:17.98,0:01:22.38,Default,,0000,0000,0000,,this can be sometimes tricky for people to\Nfeel the differences or understand the Dialogue: 0,0:01:22.38,0:01:25.48,Default,,0000,0000,0000,,differences, but that's why you have to\Nsee a professional to get a proper Dialogue: 0,0:01:25.48,0:01:29.23,Default,,0000,0000,0000,,diagnosis. And so if you're worried that \Nyou're struggling with this, before trying Dialogue: 0,0:01:29.23,0:01:32.88,Default,,0000,0000,0000,,to diagnose yourself I would please\Nencourage you, I can't encourage you Dialogue: 0,0:01:32.88,0:01:36.38,Default,,0000,0000,0000,,enough to see a professional to get a\Nproper diagnosis, put a treatment plan Dialogue: 0,0:01:36.38,0:01:41.10,Default,,0000,0000,0000,,together, and figure out what's the best\Npath for you. So, Bipolar II you don't Dialogue: 0,0:01:41.10,0:01:44.58,Default,,0000,0000,0000,,have mania, but you have hypomania. I'm\Ngonna read you from the DSM really quick Dialogue: 0,0:01:44.58,0:01:50.62,Default,,0000,0000,0000,,about what hypomania may look like. \NIt says that you will have an abnormally Dialogue: 0,0:01:50.62,0:01:56.13,Default,,0000,0000,0000,,and persistently elevated expansive or \Nirritable mood, you can feel really an Dialogue: 0,0:01:56.13,0:01:59.99,Default,,0000,0000,0000,,inflated sense of self esteem like "I'm\Nthe best, I can do anything!" and you also Dialogue: 0,0:01:59.99,0:02:03.52,Default,,0000,0000,0000,,feel a decreased need for sleep.\NAnd if you remember me talking about mania Dialogue: 0,0:02:03.52,0:02:08.53,Default,,0000,0000,0000,,in that other video, and I believe in\Nother FAQs, it sounds a lot like it right? Dialogue: 0,0:02:08.53,0:02:12.26,Default,,0000,0000,0000,,It's just a lower grade. And that's why\Nit's important to see a professional, Dialogue: 0,0:02:12.26,0:02:17.16,Default,,0000,0000,0000,,because they'll know exactly what you're\Nstruggling with. It also says "flight of Dialogue: 0,0:02:17.16,0:02:20.67,Default,,0000,0000,0000,,ideas", like "I have so many things\Nflowing through my mind I can't even - I Dialogue: 0,0:02:20.67,0:02:24.07,Default,,0000,0000,0000,,just can't settle down! There's so many\Nthings I wanna do and so many things I Dialogue: 0,0:02:24.07,0:02:29.06,Default,,0000,0000,0000,,feel like I wanna change in the world!"\NAnd it can be a really motivated place for Dialogue: 0,0:02:29.06,0:02:33.85,Default,,0000,0000,0000,,a lot of people to live in, and I know a\Nlot of artists and people sometimes like Dialogue: 0,0:02:33.85,0:02:39.28,Default,,0000,0000,0000,,being hypomanic, because it's not as\Nintense as mania, but we get a lot done. Dialogue: 0,0:02:39.28,0:02:43.84,Default,,0000,0000,0000,,We have so many ideas! Also, really\Ndistractable - as you can imagine if Dialogue: 0,0:02:43.84,0:02:47.56,Default,,0000,0000,0000,,you're thinking about all these different\Nthings it's hard for you to stay on topic. Dialogue: 0,0:02:47.56,0:02:51.44,Default,,0000,0000,0000,,"Increased goal-directed activity" - like\NI said you're really productive. Dialogue: 0,0:02:51.44,0:02:55.83,Default,,0000,0000,0000,,"Excessive involvement in activities that\Nhave a high potential for painful Dialogue: 0,0:02:55.83,0:02:59.98,Default,,0000,0000,0000,,consequences" - and this is where we\Nusually end up in trouble, like we end up Dialogue: 0,0:02:59.98,0:03:05.85,Default,,0000,0000,0000,,in the hospital, or our family members or\Nfriends may call 911 to get us help, is if Dialogue: 0,0:03:05.85,0:03:10.44,Default,,0000,0000,0000,,y'know we may be sleeping around, we may\Nbe spending obscene amounts of money at Dialogue: 0,0:03:10.44,0:03:15.29,Default,,0000,0000,0000,,the mall, we may buy a new car, we may do\Nthings that we shouldn't be doing because Dialogue: 0,0:03:15.29,0:03:19.75,Default,,0000,0000,0000,,it could have a really horrific\Nconsequence on the end. And so that is Dialogue: 0,0:03:19.75,0:03:24.72,Default,,0000,0000,0000,,kind of how a hypomanic episode looks. It\Ncan be very similar to mania, like I said, Dialogue: 0,0:03:24.72,0:03:29.89,Default,,0000,0000,0000,,but it has to last as least at least for\Nfour consecutive days present most of the Dialogue: 0,0:03:29.89,0:03:39.80,Default,,0000,0000,0000,,day, nearly every day. And you must also \Nhave a major depressive episode in order Dialogue: 0,0:03:39.80,0:03:44.09,Default,,0000,0000,0000,,to be diagnosed with Bipolar II disorder.\NNow a major depressive episode has to last Dialogue: 0,0:03:44.09,0:03:49.11,Default,,0000,0000,0000,,at least two weeks, and to give you an\Nidea of what that may feel like, you have Dialogue: 0,0:03:49.11,0:03:52.07,Default,,0000,0000,0000,,to have five or more of the following \Nsymptoms that have been present during the Dialogue: 0,0:03:52.07,0:03:55.93,Default,,0000,0000,0000,,same two-week period, just like I was\Nsaying. Depressed mood most of the day, Dialogue: 0,0:03:55.93,0:03:59.36,Default,,0000,0000,0000,,diminished interests like we've talked\Nabout before in the 'Six Signs of Dialogue: 0,0:03:59.36,0:04:03.32,Default,,0000,0000,0000,,Depression' anhedonia, not being\Ninterested in pleasurable activities or Dialogue: 0,0:04:03.32,0:04:07.72,Default,,0000,0000,0000,,activities that used to be pleasurable to\Nyou are no longer pleasurable, you may Dialogue: 0,0:04:07.72,0:04:12.20,Default,,0000,0000,0000,,lose weight, you may gain weight, you may\Noversleep, you may not sleep enough, you Dialogue: 0,0:04:12.20,0:04:19.28,Default,,0000,0000,0000,,may feel fatigued and have body aches. And\Na lot of those things will happen when we Dialogue: 0,0:04:19.28,0:04:25.04,Default,,0000,0000,0000,,have Bipolar II because we have to have\Nhypomania and a major depressive episode. Dialogue: 0,0:04:25.04,0:04:28.39,Default,,0000,0000,0000,,Those both have to occur to get the\Ndiagnosis of Bipolar II and you can't have Dialogue: 0,0:04:28.39,0:04:35.74,Default,,0000,0000,0000,,mania. If you have mania, that makes you \NBipolar I. Okay? So that's what Bipolar II Dialogue: 0,0:04:35.74,0:04:41.18,Default,,0000,0000,0000,,disorder is. You can see why it's one of\Nthe most misdiagnosed things in the psych Dialogue: 0,0:04:41.18,0:04:45.31,Default,,0000,0000,0000,,world - a lot of psychiatrists that I work\Nwith and therapists that I work with feel Dialogue: 0,0:04:45.31,0:04:49.43,Default,,0000,0000,0000,,that a lot of people that are diagnosed\Nwith depression may really have Bipolar II Dialogue: 0,0:04:49.43,0:04:52.86,Default,,0000,0000,0000,,or people that are diagnosed with Bipolar\NII may actually just have Major Depressive Dialogue: 0,0:04:52.86,0:04:57.72,Default,,0000,0000,0000,,Disorder. And it can be really difficult\Nfor us to properly diagnose. That's why I Dialogue: 0,0:04:57.72,0:05:02.14,Default,,0000,0000,0000,,cannot encourage you enough to seek out\Nprofessional help. Get a proper diagnosis, Dialogue: 0,0:05:02.14,0:05:06.39,Default,,0000,0000,0000,,get properly assessed, and then you can \Nlook at your options for treatment. There Dialogue: 0,0:05:06.39,0:05:10.84,Default,,0000,0000,0000,,are a lot of options out there. Medication\Nas always is an option, therapy and Dialogue: 0,0:05:10.84,0:05:15.11,Default,,0000,0000,0000,,different treatment centers. There are a\Nlot of day programs you can go to to Dialogue: 0,0:05:15.11,0:05:18.51,Default,,0000,0000,0000,,better understand your illness, there are\Ngroup therapy things for you and your Dialogue: 0,0:05:18.51,0:05:22.73,Default,,0000,0000,0000,,family because a lot of people with\NBipolar disorder, if they have a hypomanic Dialogue: 0,0:05:22.73,0:05:27.25,Default,,0000,0000,0000,,or manic episode, can do some things that\Nare really detrimental to themselves and Dialogue: 0,0:05:27.25,0:05:31.23,Default,,0000,0000,0000,,to their relationships. So there are a lot\Nof group therapy things available in Dialogue: 0,0:05:31.23,0:05:34.66,Default,,0000,0000,0000,,hospital settings, in inpatient settings,\Nwhere you can help rebuild that Dialogue: 0,0:05:34.66,0:05:38.39,Default,,0000,0000,0000,,relationship and better understand your\Nown Bipolar disorder so that it can get Dialogue: 0,0:05:38.39,0:05:42.46,Default,,0000,0000,0000,,properly treated. And I hope that this\Nhelps, if you like videos where I talk a Dialogue: 0,0:05:42.46,0:05:46.48,Default,,0000,0000,0000,,little bit more in-depth about a specific\Ndiagnosis, give it a thumbs up and let me Dialogue: 0,0:05:46.48,0:05:50.04,Default,,0000,0000,0000,,know. And leave your comments below:\NWhat has Bipolar II disorder looked like Dialogue: 0,0:05:50.04,0:05:54.46,Default,,0000,0000,0000,,for you? What have you done in treatment\Nto help you better overcome it? Because as Dialogue: 0,0:05:54.46,0:05:58.35,Default,,0000,0000,0000,,a community we can be so strong, we have\Nso many experiences and so much Dialogue: 0,0:05:58.35,0:06:02.50,Default,,0000,0000,0000,,information we can gleam from each other.\NIt's more than just me telling you how we Dialogue: 0,0:06:02.50,0:06:06.44,Default,,0000,0000,0000,,diagnose and what your treatment options\Nare, we can share our stories. So share Dialogue: 0,0:06:06.44,0:06:09.02,Default,,0000,0000,0000,,your stories, and I'll see you next time.