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Table 1 Defining old age bipolar disorder [113]

From: Treatment of bipolar disorders in older adults: a review

Early-onset bipolar disorders

"Old" bipolar patients with early onset of the disease

"Real" late-onset bipolar disorders

In some patients, bipolar disorder actually manifests itself for the first time after the age of 50

Late-onset bipolar disorder with earlier pseudo-unipolar course

A manic, hypomanic or mixed episode develops for the first time after the age of 50, although depressive episodes had already occurred before the age of 50

Secondary manias

As a result of a somatic disease or medication- or drug side effects lead to the development of a manic syndrome