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	Bipolar disorder was a Social sciences and society good articles nominee, but did not meet the good article criteria at the time. There may be suggestions below for improving the article. Once these issues have been addressed, the article can be renominated. Editors may also seek a reassessment of the decision if they believe there was a mistake.
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Text and/or other creative content from this version of Bipolar spectrum was copied or moved into Bipolar disorder with this edit on 17:09, 7 May 2013. The former page's history now serves to provide attribution for that content in the latter page, and it must not be deleted as long as the latter page exists.

Text and/or other creative content from this version of Bipolar spectrum was copied or moved into Bipolar disorder with this edit on 17:16, 7 May 2013. The former page's history now serves to provide attribution for that content in the latter page, and it must not be deleted as long as the latter page exists.

This is the talk page for discussing improvements to the Bipolar disorder article. This is not a forum for general discussion of the article's subject.

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Semi-protected edit request on 20 December 2015

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The caption "Bipolar disorder is characterized by transitions between depression and mania" is inaccurate. Bipolar disorder isn't characterized by the transitions, but by the episodes themselves, which do not necessarily immediately follow one another, as stated in the article. I'd say "Bipolar disorder is characterized by episodes of depression and mania interspersed with normal periods." ClaudiaCrowley (talk) 20:11, 20 December 2015 (UTC)

Agree thanks User:ClaudiaCrowley Doc James (talk · contribs · email) 23:33, 20 December 2015 (UTC)

Wording

I do not see this as an improvement

"Bipolar disorder, also known as bipolar affective disorder, or less formally as manic depression, is a mental disorder characterized by periods of disordered mood involving alternating, or co-occurring elevated depressed moods."

The lead is a summary. Thus the addition of "less formally" can go in the body of the text.

I do not know what "co-occurring elevated depressed moods" means Doc James (talk · contribs · email) 06:18, 31 December 2015 (UTC)

I agree. The current wording of the first sentence is more clear. Your comment called my attention to this article though and now I'm noticing that I don't love the simplified explanation of mania in the lead, "During mania an individual feels or acts abnormally happy, energetic, or irritable." To me, that perpetuates the common misconceptions of bipolar d/o. People often confuse it with MDD and this sounds more like a description of a brief period of remission from MDD or irritability that's a symptom of depression and there's nothing there that illustrates how a manic episode is significantly different from MDD or even a normal range of emotions. I know the clinical terms can get stuck in my head, like I can't move on from "expansive" at the moment, so I'm bringing it up here for suggestions of alternate wording that would be simple, but also more more accurate. Permstrump (talk) 10:00, 31 December 2015 (UTC)

Right now we say "During mania an individual feels or acts abnormally happy, energetic, or irritable" The ref says "elevated, expansive, or irritable mood, increased activity that is good directed, reduced need for sleep..." I guess we can changed happy to elevated but not sure what is wrong with "abnormally happy". NIH uses similar language . I agree we should use more complicated terms in the body but IMO we should try to keep the lead easy to understand. Doc James (talk · contribs · email) 06:53, 1 January 2016 (UTC)

@Doc James: I think the original was missing the word "and". In which case, "alternating, or co-occurring elevated and depressed moods" would then cover all three cases of (hypo)manic, depressed, or mixed episodes. -- The Anome (talk) 14:37, 31 January 2016 (UTC)

What does "co-occurring elevated and depressed moods" mean? Doc James (talk · contribs · email) 02:37, 1 February 2016 (UTC)

Presumably they mean a mixed affective state such as dysphoric mania or agitated depression. Please note that I'm not personally defending the wording in question: I'm just trying to elucidate what the original author of those words may have intended them to mean. -- The Anome (talk) 22:57, 1 February 2016 (UTC)

It means a mixed affective state - dysphoria in mania is not uncommon...and is still considered mania. Agitated depression is depression. Cas Liber (talk · contribs) 01:46, 2 February 2016 (UTC)

Image of Margaret Trudeau

This was added as the main image and IMO is inappropriate. Also per WP:MEDMOS we do not typically use the term "surfer" Doc James (talk · contribs · email) 10:04, 2 February 2016 (UTC)

Adding to the History. Melanie Klein on Manic-Depressive States

The Manic-Depressive Psychosis had "splitting" as a defense mechanism, or "cleavage" as Melanie Klein referred to it. She noticed this mechanism as a normal part of the human mental growth. But when "reparation", the next defense mechanism in the mental development, was not achieved, the person could suffer from the most severe mental illnesses such as psychopathy, autism and schizophrenia. M.P.L.P.H. (talk) 14:55, 6 January 2016 (UTC)M.P.L.P.H. 14:55, 6 January 2016 (UTC)

References

1. A Contribution to the Psychogenesis of Manic-Depressive States (1935)
2. Mourning and its Relation to Manic-Depressive States (1940)

Semi-protected edit request on 7 March 2016

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I request that the Teatro.svg image by the title on the right side of the page be REMOVED. It is a horrible connotation to have such imagery applied to a serious mental illness. As a sufferer of bipolar disorder, imagery such as this relating to the disease in a informational setting such as[REDACTED] is harmful, embarrassing, destructive and further stigmatizing.

58.108.249.116 (talk) 06:07, 7 March 2016 (UTC)

Hmmm, worth an RfC to gain broad opinion. Cas Liber (talk · contribs) 10:33, 7 March 2016 (UTC)

I agree that image was inapt. That image has always bugged me, and I just removed it. I searched on the commons for a better image and didn't find one. I also did a google image search (with reuse filter) and searched on NIH websites, and found nothing that seemed reasonable to me. Jytdog (talk) 20:06, 7 March 2016 (UTC)

Note prior discussions:

• 2008 over former Munch/The Scream image - see version with that image here
• 2008-2009 over roller coaster image - see version with that image here - as far as I can tell this was never in the infobox
• June 2012 and July 2010 over van gogh image - see version with that image here
• Oct 2015 over this image. see version with the teatro image here
• the article has gone for long periods with no image in the infobox, btw

- Jytdog (talk) 20:12, 7 March 2016 (UTC)

@Jytdog: vote below then. Cas Liber (talk · contribs) 09:47, 8 March 2016 (UTC)

RfC: Is the happy/sad mask in the infobox section appropriate?

Version with Happy/Sad Mask | Archive 7: Discussion about Happy/Sad Mask image | Archive 6: Discussion about Van Gogh image | Archive 5: Discussion about irresponsible captioning on Van Gogh image | Archive 4: Discussion about roller coaster image | Talk:Schizoaffective disorder#Inclusion of painting

Yes

1. I have bipolar disorder, and I don't find this image offensive in any way. It's a neat way of symbolizing the moods in question. -- The Anome (talk) 10:15, 8 March 2016 (UTC)

No

1. - 58.108.249.116 (talk)

• Comment 58.108.249.116 says in the section above: "I request that the Teatro.svg image by the title on the right side of the page be REMOVED. It is a horrible connotation to have such imagery applied to a serious mental illness. As a sufferer of bipolar disorder, imagery such as this relating to the disease in a informational setting such as[REDACTED] is harmful, embarrassing, destructive and further stigmatizing.--♦IanMacM♦ 09:53, 8 March 2016 (UTC)
• I also have concerns about this image, which is more usually associated with Greek drama. It has problems with WP:PERTINENCE here and could easily be removed without any loss of context for the reader. Images in Misplaced Pages articles are not decorative.--♦IanMacM♦ 09:53, 8 March 2016 (UTC)
• it might have problems w/ WP:PERTINENCE--Ozzie10aaaa (talk) 11:24, 8 March 2016 (UTC)

Discussion

• Discuss away. I am undecided myself....Cas Liber (talk · contribs) 10:33, 7 March 2016 (UTC)

We could have another RfC if people wish. Doc James (talk · contribs · email) 02:45, 8 March 2016 (UTC)

It has problems with WP:PERTINENCE. It is bordering on decorative. I don't think it is necessary or ideal. At best, there is no consensus to include this image, as various people have expressed concerns that it is unsuitable.--♦IanMacM♦ 05:59, 8 March 2016 (UTC)

Can we try again and this time we'll leave the discussion open for longer than a minute? I wanted to respond when I got home from work tonight, but it was already closed by the time I saw it. I thought it was closed by mistake at first, because the RFC had just opened this morning and only one person had commented... Now I'm totally lost. Can we just create a new section or is an RFC essential? Permstrump (talk) 09:09, 8 March 2016 (UTC)

@Permstrump: unarchived then. Cas Liber (talk · contribs) 09:46, 8 March 2016 (UTC)

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