What are red flags in bipolar?

Age of onset (teens, 20s, 30s) Psychotic episodes (more common) Family hx high, temperament cyclothymic, numerous episodes, abrupt onset of episodes, postpartum increase, resistant to AD / poop out of AD treatment is common Clues for bipolar in depressive episodes that are found more in bipolar than depression are total sleep time, hypersomnia, psychomotor retardation, post-partum episodes, while weight loss is more in depressive than bipolar Other clues of bipolar in depressive disorders are seasonal depression, depression with sexual arousal, suicidal crisis