Meeting the trend

Using the DSM-5, review criterion B for both manic and hypomanic episodes. Where do you see evidence of those symptoms in the cases of Anne (Wealthy Widow) and Ellen (Still a Student)? Do Anne and Ellen meet the criteria for a manic episode or hypomanic episode (at least 3 of the symptoms in the B criterion)? Do they meet duration requirements for these episodes? What is the impact of their mood episode and how does that dictate their diagnosis (bipolar I or bipolar II)?

Do Anne or Ellen exhibit evidence of major depressive disorder or persistent depressive disorder? If so, should those disorders also be diagnosed? What risks should we consider if recommending treatment for depressive symptoms with tricyclic antidepressants?