Alcohol And Bipolar

Diagnosing bipolar alcoholic disorder is a complex process that requires a thorough evaluation of a person’s symptoms, medical history, and alcohol use patterns. The condition can be challenging to diagnose because both bipolar disorder and alcohol use disorder have overlapping symptoms. Here, we will discuss the diagnostic methods and clinical criteria used to diagnose bipolar alcoholic disorder.

Diagnosis of the bipolar alcoholic disorder typically involves a comprehensive evaluation by a mental health professional, such as a psychiatrist or psychologist. The evaluation may involve several diagnostic tools, including a physical exam, laboratory tests, and psychological assessments, such as questionnaires, interviews, and mood tracking.

Clinical criteria for the bipolar alcoholic disorder can be found in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) [8]. To be diagnosed with bipolar disorder, a person must have experienced at least one manic or hypomanic episode, which is characterized by an elevated, expansive, or irritable mood, increased energy, and other symptoms such as racing thoughts, decreased need for sleep, and risky behavior. Additionally, a person must have experienced at least one major depressive episode, which is characterized by feelings of sadness, hopelessness, and loss of interest or pleasure in activities they once enjoyed.

To be diagnosed with alcohol use disorder, a person must meet two or more of the following criteria within 12 months [9]:

• Drinking more alcohol or for a longer period than intended
• Difficulty controlling or stopping alcohol use
• Spending a lot of time drinking or recovering from its effects
• Craving alcohol
• Continued alcohol use despite physical, psychological, or social problems
• Giving up important activities or hobbies to drink
• Continuing to drink even though it causes relationship problems
• Using alcohol in dangerous situations
• Developing tolerance, meaning that they need to drink more to get the desired effect
• Experiencing withdrawal symptoms when attempting to stop drinking

If a person meets both the criteria for bipolar disorder and alcohol use disorder, they may be diagnosed with bipolar alcoholic disorder.

The assessment process also involves taking a detailed history of the individual’s symptoms, family history of mental health problems, and alcohol use patterns. This information can be obtained through interviews with the person, family members, or close friends. It is essential to obtain this information from multiple sources to obtain a complete picture of the individual’s symptoms and functioning.

In addition to these diagnostic tools, clinicians may use rating scales to assess the severity of symptoms, such as the Young Mania Rating Scale and the Hamilton Depression Rating Scale. These scales help clinicians monitor the individual’s symptoms over time and evaluate the effectiveness of treatment.

It is important to note that bipolar alcoholic disorder is not always easy to diagnose. In some cases, people may be hesitant to disclose their alcohol use or may not realize the severity of their symptoms. Additionally, some people may be misdiagnosed with another mental health disorder, such as depression or anxiety. Therefore, it is essential to seek help from a qualified mental health professional if you suspect you or a loved one may be struggling with bipolar alcoholic disorder.