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The 12-month prevalence of bipolar II disorder, internationally, is 0.3%.
The prevalence rate of pediatric bipolar II disorder is difficult to establish.
The risk of bipolar II disorder tends to be highest among relatives of individuals with bipolar II disorder, as opposed to individuals with bipolar I disorder or major depressive disorder.
There may be genetic factors influencing the age at onset for bipolar disorders.
Return to previous levels of social function for individuals with bipolar II disorder is more likely for individuals of younger age and with less severe depression, suggesting adverse effects of prolonged illness on recovery.
More education, fewer years of illness, and being married are independently associated with functional recovery in individuals with bipolar disorder, even after diagnostic type (I vs. II), current depressive symptoms, and presence of psychiatric comorbidity are taken into account.
For a diagnosis of bipolar II disorder, it is necessary to meet the following criteria for a current or past hypomanic episode and the following criteria for a current or past major depressive episode:
Criteria have been met for at least one hypomanic episode (See criteria under “Hypomanic Episode” in Bipolar I Disorder) and at least one major depressive episode (See criteria under “Major Depressive Episode” in Bipolar I Disorder).
There has never been a manic episode.
The occurrence of the hypomanic episode(s) and major depressive episode(s) is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.
The symptoms of depression or the unpredictability caused by frequent alternation between periods of depression and hypomania causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.