Dating someone with clinical depression
Next to him is a monochrome image with just a splash of red—a man who mostly lives with depression but has a one-off manic episode in his past.Over here is a woman photographed in vibrant color, reflecting the exuberant feeling of her hypomanic episodes.The only way that we’re going to recognize that is by playing lifetime mood bingo, asking about all the different types of mood episodes in the past and in the present.” Youngstrom is acting director of the Center of Excellence for Research and Treatment of Bipolar Disorder at the University of North Carolina at Chapel Hill, where he is also a professor of psychology and psychiatry.His clinic has been working on a “roadmap to better assessment” that plugs in a lot of information beyond DSM symptoms to make diagnosis more accurate.What DSM-5 does try to tackle is the tricky job of ferreting out signs that indicate bipolar rather than unipolar depression.
And when your particular portrait of bipolar disorder doesn’t mesh neatly with the DSM descriptions, it can be harder to develop a treatment plan that will really help. Frank was part of a group tasked with updating the section on bipolar disorder in the DSM-IV (or fourth edition), which the American Psychiatric Association put out back in 1994.Facing her is a Cubist image which conveys an uncomfortable mix of twitchy energy, irritability and a kind of wired-up unhappiness.A tiny canvas represents symptoms that pass in days, while a mood that persists for weeks takes up a wall-sized tapestry.That goes double for mania—and the effect seems to linger even after an episode has passed.In general, Frank says, “It’s really hard to pin down changes in mood.
To diagnose a mood episode according to DSM criteria, clinicians go down a checklist of symptoms that are set up in a “one from column A, three to five from column B” format.