Certified Advanced Alcohol and Drug Counselor (CAADC) Practice Exam

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Which condition typically does not present with psychotic features?

  1. Bipolar I Disorder

  2. Bipolar II Disorder

  3. Manic episode

  4. Major depressive episode

The correct answer is: Bipolar II Disorder

Bipolar II Disorder is characterized by episodes of hypomania and major depression, but it typically does not include psychotic features during these episodes. While individuals with Bipolar I Disorder can experience psychotic features during manic or depressive episodes, Bipolar II does not reach the same level of severity as Bipolar I. In a manic episode, symptoms can escalate to the point of including psychotic features, like hallucinations or delusions. Similarly, major depressive episodes can also present psychotic features in more severe cases, particularly if the depression is profound. Therefore, Bipolar II Disorder stands out as it does not exhibit these psychotic characteristics.

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