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Educational Activity

Understanding the Complexity of Bipolar Mixed Episodes

Susan L. McElroy, MD

Published: February 14, 2008

This CME activity is expired. For more CME activities, visit
Find more articles on this and other psychiatry and CNS topics:
The Journal of Clinical Psychiatry
The Primary Care Companion for CNS Disorders

Article Abstract

The current system of diagnosis and classification from sources such as the DSM-IV-TR and the ICD-10 are not adequate to represent the complexities of bipolar illness. As the phenomenology or the presentation of the illness becomes better understood, the bipolar nomenclature may have to be altered. Psychiatry is moving toward the concept that mixed states lay on a bipolar spectrum such that patients can have innumerable combinations and varied degrees of manic and depressive symptoms.

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