You are supporting the intake of a 28-year-old man with substance abuse issues. He is listed as Bipolar II on a previous evaluation. The main differentiating factor between Bipolar I and Bipolar II Disorder is characterized by:

  1. Hypomanic episodes
  2. Manic episodes
  3. No impairment in daily functioning
  4. Early onset
  5. Bipolar II is more severe
Explanation

Answer - B - Bipolar II never moves into full-blown manic episodes, where clients can become seriously dangerous and threaten others or themselves.  Bipolar II disorder is a milder form of mood elevation involving milder episodes of hypomania that alternate with periods of severe depression. Bipolar I, on the other hand, begins with manic and depressive episode mood swings. While there may not be an impairment that shows, one likely exists. And both Bipolar I and II could be classified with an early or late onset specifier.

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