i finally got around to making my stamp commission sheet, and thus i’m opening proper commissions! further t&c in replies, feel free to dm me on any listed social for more info :D
@j4i_guru_d3v4 hey what is meant by at least 13 of the most stressful exams because genuinely who is taking 13 gcses 😭 even as an international (extra fm+native lang) i only have 12?? please explain
@love4knives i can see your point, imho then it’s sort of just a terminology issue; i gather people have been using it as synonymous with manic symptoms instead of a manic episode as i thought it was? in which case yes i agree no manic symptoms =/= bipolar
(1st link seems to be broken btw?)
@polybear_ + unless someone can give me a reliable source stating otherwise, i understand mania to be a manic episode under dsm5tr criteria and is. a medical term. symptoms that appear similar to manic episodes would be classified as xyz with manic features i agree with whoever said that
@polybear_ hey so i hate to be that guy but by definition mania isn’t “observed in many disorders”; if you experience at least one true manic episode in your lifetime, you meet diagnostic criteria for bipolar i in dsm-5-tr (as diagnosis does not actually require a depressive episode)
@love4knives like periods of low mood as a result of grief / bereavement being called depression. like sure i guess it’s the symptoms but it’s not that and shouldn’t be called that 💔
@love4knives sorry i’ve only just gotten notified for this somehow!! while i recognise this is a thing that happens, unless someone can point me to some medical literature describing it i don’t think it should be called mania? because afaik mania is referring to a manic episode? it’s sort of+
@dutchfries_nl@polybear_ then you meet the criteria for bipolar i by definition. yes perhaps i went a bit off track in the middle there, which i apologise for, to point out that the exceptions wouldn’t be considered mania in the first place. not sure what more can even be said
@dutchfries_nl@polybear_ you made the original point having had a manic episode once doesn’t make you bipolar. i have been arguing if the “manic episode” fell under exclusion anyways it was not a manic episode and thus actually yes having a qualifying manic episode without any bipolar exclusions +
@dutchfries_nl@polybear_ i’m also a psych student and am basing off the scid-5-cv for making diagnoses based off criteria 💀 if you’d like to say i’m not even substantially responding to what you’re saying by pulling evidence from the book itself what is a response
@dutchfries_nl@polybear_ additionally, if we want to go there, the thing that does classify symptoms as well in a separate category is icd-11. which still doesn’t support what you’re saying rn as the mimicked “mania” would be classified under individual items e.g. elevated mood + increased energy
@dutchfries_nl@polybear_ nowhere am i stating standalone symptoms don’t exist. i am however stating standalone symptoms do not equate to the symptom that has a name (the name is mania) because by definition it’s not what it is.
@dutchfries_nl@polybear_ uh actually someone who suffers from mania alone.. can and will! i have also seen this happen! mania alone literally is the requirement for bipolar i, please actually read the document before making such statements.
@dutchfries_nl@polybear_ ah, my apologies then as i realised later that this doesn’t actually contest. unfortunately what does contradict what you said is the criteria for a manic episode in itself; symptoms that mimic mania by definition is not mania if it is caused by “another medical condition”
@dutchfries_nl@polybear_ while one could argue that “mania” from psychosis (e.g. delusions causing behaviours typical of mania like inflated self-esteem or distractibility) should just be described as a manic episode, criteria for manic episodes also states it can’t be due to another condition as well
@dutchfries_nl@polybear_ please see attached image from dsm5tr - rest of the text on the page defines manic eps, then hypomania eps, and depressive eps (then coding). B is an exclusion rule to identify the episode as “true” mania not caused by e.g. psychosis in order to dx. thus true mania = bipolar i