Reddy M S, Vijay Starlin M, Reddy Swetha
Asha Bipolar Clinic, Asha Hospital, Hyderabad, Telangana, India.
Indian J Psychol Med. 2017 Sep-Oct;39(5):698-702. doi: 10.4103/IJPSYM.IJPSYM_419_17.
Bipolar disorder (BD) is an established diagnostic entity used by clinicians for over a century. It is distinguished by the distinct manic and depressive episodes with interepisode euthymia. It has an illness course where both recovery and recurrences are a rule and has a good long-term prognosis, as reported earlier by Emil Kraeplin. There is an opinion in the current literature that BD is often underdiagnosed as unipolar depression, and based on that opinion, spectrum concept was introduced. Here, we present 5 cases to highlight that overdiagnosis of BD is also not infrequent and we discuss its reasons and therapeutic implications.
双相情感障碍（BD）是临床医生使用了一个多世纪的既定诊断实体。它的特点是有明显的躁狂和抑郁发作，发作间期心境正常。正如埃米尔·克雷佩林（Emil Kraeplin）早期所报告的那样，其病程中康复和复发都很常见，并且长期预后良好。当前文献中有观点认为，双相情感障碍常被误诊为单相抑郁症，基于这一观点引入了谱系概念。在此，我们展示5个病例以强调双相情感障碍的过度诊断也并不罕见，并讨论其原因及治疗意义。
