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Differences between Bipolar 1 and Bipolar 2. They share a lot of similarities, especially since both can cause episodes of hypomania and depression. But there’s one key difference: People with bipolar 1 can also have mania, but people with bipolar 2 do not. This matters because manic episodes can be much more disruptive to your life, and can even result in hospitalization. Bipolar type 1 is a mental health condition that causes mood episodes. These episodes typically come and go over time. Mood episodes in bipolar 1 include: Manic episodes * A persistent and extreme mood that lasts at least one week for most of the day, almost every day. The mood in mania may be abnormal: * Elevated * Expansive * Irritable * Energetic * With increased goal-oriented activity * While the mood described above is going on, you have three or more of the following symptoms. But if the mood is irritable, the diagnosis requires four of these symptoms. * Inflated self-esteem * Little need for sleep * Overly talkative; pressured speech * Flight of ideas or racing thoughts * Easily distracted * Increased goal-directed activity * Engaging in risky behaviors * The elevated or irritable mood is so severe that you have trouble functioning in social situations or work. Or it's so disruptive that you need to be hospitalized to prevent harm to yourself or others or because there are psychotic features to the episode. * The episode is not caused by the effects of drug use, medications, treatments, or medical conditions. Depressive episodesd Hypomanic episodes To be diagnosed with bipolar 1 disorder: You must have had at least one manic episode in your lifetime. You may or may not have had depressive or hypomanic episodes. Bipolar type 2 is also a mental health condition that causes mood episodes. Just like with bipolar type 1, when you have bipolar 2 your mood episodes can come and go. Mood episodes in bipolar 2 include: Depressive episodes Depressive episodes can happen in both bipolar I and bipolar II. Depression is a part of bipolar II disorder, but it doesn't always happen in bipolar I. Your doctor or therapist will check to ensure you meet each of the following criteria before giving you a bipolar diagnosis. * You have at least five of the following symptoms within a two-week period. * Your mood is depressed most of the day, nearly every day. * Loss of interest in most or all activities, most of the day, nearly every day. * Unexplained weight loss or weight gain. * Sleeping too much or too little most days. * Noticeably physically agitated or slowed down. * Loss of energy almost every day. * Feelings of worthlessness or unearned guilt nearly every day. * Trouble concentrating or being indecisive almost every day. * Thoughts of death or suicide, suicide attempts, or suicide plans. * The symptoms cause you enough distress that you can't function and usual in social situations, the workplace, or other areas. * The symptoms aren't due to a medical condition or drugs or alcohol abuse. Hypomanic episodes Whether you have bipolar 1 or DSM-5 bipolar 2 disorder descriptions, include the hypomanic phase. A hypomanic phase is similar to a manic phase, but it's a bit milder. It also tends to be less destructive. A diagnosis involves checking off each of the following criteria. * A period of elevated, expansive, or irritable mood, with increased activity and energy, similar to in mania. But in hypomania, it lasts four or more days in a row, most of the day, every day. * While this mood is going on, you have three of the following symptoms, or five if the mood is irritable. * Grandiosity and inflated self-esteem * Less need for sleep * Increased talkativeness and pressured speech * Flights of ideas and racing thoughts * Being easily distracted * Increased goal-directed activity * Engaging in risky behaviors * During the episode, your functioning changes so that it's different from your usual functioning. * Others can notice the changes. * The episode is not related to drug or alcohol use, medications, treatments, or medical conditions. To be diagnosed with bipolar 2 disorder: You need to have experienced at least one depressive episode. You’ve never had a manic episode.