, M.D. Bipolar disorder. At the heart of the "DSM-5" debate has been the fundamental question, "Is the diagnosis of bipolar disorder developmentally appropriate?" Some people may need to try different medications and work with their health care provider to find the medications that work best. and treatment of mental illnesses. Polygenic Polarity in Bipolar Disorder. Even if their symptomatology has long been recognized, diagnostic criteria have changed over time and diagnosis often remains difficult. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. AskMayoExpert. Post RM. hb```9| cc`ax 3Ao Work with a health care provider to develop a treatment plan and stick with it. Accessed Jan. 4, 2016. If we combine this information with your protected Learn about NIMH priority areas for research and funding that have the potential to improve mental health care over the short, medium, and long term. Sansone RA, et al. Accessed Jan. 4, 2017. For example: F31.81 bipolar II disorder, current episode manic, mild severity, with mixed features. Mental health care providers usually diagnose bipolar disorder based on a persons symptoms, lifetime history, experiences, and, in some cases, family history. Stewart CC, et al. http://www.uptodate.com/home. Office of Science Policy, Planning, and Communications Several types of therapy may be helpful. You may opt-out of email communications at any time by clicking on Accessed Dec. 2, 2016. Psychotherapy can help people better recognize the warning signs of a developing relapse before it takes hold, and can also help to ensure that prescribed medicines are being taken properly. Hall-Flavin DK (expert opinion). Your doctor will likely ask you a number of questions. health information, we will treat all of that information as protected health F84.0 Autism Spectrum Disorder . Beyer JL, et al. International Journal of Neuropsychopharmacology. Your doctor may ask: Mayo Clinic does not endorse companies or products. (2013). Pediatric bipolar disorder: Overview of choosing treatment. WebBipolar I and Bipolar II Disorders In the upcoming Diagnostic and Statistical Manual of Mental Disorders, fifth edition, text revision (DSM-5-TR), criterion B in bipolar I disorder Inside Bipolar Podcast: Managing Marriage and Bipolar, keep up to date with changes in clinical practices and medical technology, 296 Bipolar I disorder, single manic episode, unspecified, 296.01 Bipolar I disorder, single manic episode, mild, 296.02 Bipolar I disorder, single manic episode, moderate, 296.03 Bipolar I disorder, single manic episode, severe without psychotic features, 296.04 Bipolar I disorder, single manic episode, severe with psychotic features, 296.05 Bipolar I disorder, single manic episode, in partial remission, 296.06 Bipolar I disorder, single manic episode, in full remission, 296.4 Bipolar I disorder, most recent episode hypomanic, 296.4 Bipolar I disorder, most recent episode manic, unspecified, 296.41 Bipolar I disorder, most recent episode manic, mild, 296.42 Bipolar I disorder, most recent episode manic, moderate, 296.43 Bipolar I disorder, most recent episode manic, severe without psychotic features, 296.44 Bipolar I disorder, most recent episode manic, severe with psychotic features, 296.45 Bipolar I disorder, most recent episode manic, in partial remission, 296.46 Bipolar I disorder, most recent episode manic, in full remission, 296.5 Bipolar I disorder, most recent episode depressed, unspecified, 296.51 Bipolar I disorder, most recent episode depressed, mild, 296.52 Bipolar I disorder, most recent episode depressed, moderate, 296.53 Bipolar I disorder, most recent episode depressed, severe without psychotic features, 296.54 Bipolar I disorder, most recent episode depressed, severe with psychotic features, 296.55 Bipolar I disorder, most recent episode depressed, in partial remission, 296.56 Bipolar I disorder, most recent episode depressed, in full remission, 296.6 Bipolar I disorder, most recent episode mixed, unspecified, 296.61 Bipolar I disorder, most recent episode mixed, mild, 296.62 Bipolar I disorder, most recent episode mixed, moderate, 296.63 Bipolar I disorder, most recent episode mixed, severe without psychotic features, 296.64 Bipolar I disorder, most recent episode mixed, severe with psychotic features, 296.65 Bipolar I disorder, most recent episode mixed, in partial remission, 296.66 Bipolar I disorder, most recent episode mixed, in full remission, 296.7 Bipolar I disorder, most recent episode unspecified. Accessed Dec. 2, 2016. 2016;192:212. https://www.nimh.nih.gov/health/publications/bipolar-disorder-in-children-and-teens-qf-15-6380/index.shtml. The exact cause of bipolar disorder is unknown, but several factors may be involved, such as: Factors that may increase the risk of developing bipolar disorder or act as a trigger for the first episode include: Left untreated, bipolar disorder can result in serious problems that affect every area of your life, such as: If you have bipolar disorder, you may also have another health condition that needs to be treated along with bipolar disorder. Bipolar and related disorders are found between the chapters on schizophrenia spectrum and other psychotic disorders and depressive disorders in DSM-5-TR in recognition of their place as a bridge between those two diagnostic classes in terms of symptomatology, family history, and genetics. Also, children who have bipolar disorder are frequently also diagnosed with other mental health conditions such as attention-deficit/hyperactivity disorder (ADHD) or behavior problems, which can make diagnosis more complicated. A Accessed Dec. 2, 2016. Being isolated and cut-off from everyday routines Diagnostic and statistical manual of mental disorders (DSM-5) was translated by psychiatrists and psychologists, mainly from the University psychiatric hospital Vrapce and published by the Naklada Slap publisher. The DSM-5 also updated persistent depressive disorder, also known as dysthymia. information highlighted below and resubmit the form. Stories on research being conducted by researchers at NIMH-supported institutions across the country and researchers in the NIMH Division of Intramural Research Programs (IRP). Or contact a suicide hotline. What other mental or physical health conditions do you have? Clinical trials are research studies that look at new ways to prevent, detect, or treat diseases and conditions. Although bipolar disorder can occur at any age, typically it's diagnosed in the teenage years or early 20s. Reilly-Harrington NA et al. Additional diagnostic symptoms include: Significant weight loss or weight gain or change in appetite nearly every day Symptoms during hypomanic episodes include: People experiencing hypomanic episodes are often quite pleasant to be around. Do you go through periods when you take risks that you wouldn't normally take, such as unsafe sex or unwise, spontaneous financial decisions? Nat Rev Dis Primers 4:18008. Suppes T, et al. It can also help you to determine whether events or situations in your life cause your mood swings or if they appear seemingly without cause. A mixed episode has both manic and depressive symptoms. This is where additional specifiers, A bipolar disorder diagnosis may change the course of your life, but it doesnt mean you cant do great things. Web Bipolar I disorder is defined by manic episodes that last at least 7 days most of the day nearly These distinct periods are called mood episodes. Cognitive behavioral therapy (CBT) is an important treatment for depression, and CBT adapted for the treatment of insomnia can be especially helpful as part of treatment for bipolar depression. https://www.nami.org/Learn-More/Mental-Health-Conditions/Bipolar-Disorder. You can find basic information about medications onNIMH's medications webpage. Psychiatric Clinics of North America. Mayo Clinic, Rochester, Minn. Jan. 4, 2017. %PDF-1.6 % Presently it is a hotly debated issue whether unipolar and bipolar disorders are categorically distinct or lie on a spectrum. If not, its unlikely that you have bipolar disorder. You may have a treatment team that also includes a psychologist, social worker and psychiatric nurse. The International College of Neuro-Psychopharmacology (CINP) treatment guidelines for bipolar disorder in adults (CINP-BP-2017), part 2: Review, grading of the evidence and a precise algorithm. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. http://www.uptodate.com/home. Our experts answer candid questions about bipolar disorder (formerly manic depression) to enlighten, encourage, and dispel any myths. Episodes of mania and depression typically come back over time. We talk about diagnostic tests, symptoms, and tips for talking with your doctor. Bipolar has been synonymous with someone reacting angrily to something, and thats not necessarily accurate. An episode includes five or more of these symptoms: Signs and symptoms of bipolar I and bipolar II disorders may include other features, such as anxious distress, melancholy, psychosis or others. Depressions can occur soon after hypomania subsides, or much later. Distinct period of mood disturbance. 999 0 obj <> endobj Use these free digital, outreach materials in your community and on social media to spread the word about mental health. information and will only use or disclose that information as set forth in our notice of How quickly does a person with bipolar disorder shift between highs and lows? Treatment is directed at managing symptoms. (2015). Talk to your doctor or mental health professional if you have bothersome side effects. 5th ed. Bipolar and related disorders are given a chapter of their own in the DSM-5, between depressive disorders and schizophrenia spectrum disorders. Mayo Clinic is a not-for-profit organization. The criteria of DSM-5 for bipolar disorder are very similar to that of DSM-IV. Web Criteria for bipolar disorder. Accessed Dec. 2, 2016. You may want to take a family member or friend along to your appointment, if possible, for support and to help remember information. Many genes are involved, and no one gene causes the disorder. To determine if you have bipolar disorder, your evaluation may include: Although diagnosis of children and teenagers with bipolar disorder includes the same criteria that are used for adults, symptoms in children and teens often have different patterns and may not fit neatly into the diagnostic categories. Expert Q&A: Bipolar Disorders. To be diagnosed with bipolar disorder, a person must have experienced at least one episode of mania or hypomania. Symptoms of bipolar disorder can be difficult to identify in children and teens. Stovall J. Bipolar disorder in adults: Pharmacotherapy for acute mania and hypomania. Qureshi NA, et al. You may become very depressed, feel suicidal, or go into a manic or hypomanic episode. Nutrient-based therapies for bipolar disorder: A systematic review. Search for jobs, including scientific, administrative and executive careers at NIMH. Regular therapy sessions with a psychologist or social worker, in combination with medication, can help efforts to stabilize mood, leading to fewer hospitalizations and feeling better overall. What Are the Treatments for Bipolar II Disorder? WebComer's bestselling text returns in a timely new edition, fully updated in anticipation of the DSM-5, and enhanced by powerful new media tools. Specifically, they ask the questions of whether risk alleles from each of these three illnesses are shared with individuals with bipolar disorder whose illness has a predominance of mania, depression, or mixed states. information is beneficial, we may combine your email and website usage information with Webenjoy now is Nursing Care Plan For Major Bipolar Disorder below. How to Get Your Mental Health Checked. Certain medications can help manage symptoms of bipolar disorder. Bipolar I disorder is a manic-depressive disorder that can exist both with and without psychotic episodes, Bipolar II disorder consists of depressive and manic episodes which alternate and are typically less severe and do not inhibit function, Cyclothymic disorder is a cyclic disorder that causes brief episodes of hypomania and depression. Bipolar II disorder, defined by a minimum of one hypomanic episode and one major depressive episode, has only one diagnostic code. If youre unsure about whether your mood swings are normal or could be symptomatic of bipolar disorder. Neurodevelopmental Disorders . Psychotherapy of mood disorders. This content does not have an Arabic version. A single copy of these materials may be reprinted for noncommercial personal use only. Long-term, ongoing treatment can help control symptoms and enable you to live a healthy life. The DSM-5 states that a person must experience five or more of the following symptoms in two weeks to be diagnosed with a major depressive episode: Depressed mood most of the day, nearly every day, Loss of interest or pleasure in all, or almost all, activities, Significant weight loss or decrease or increase in appetite, Engaging in purposeless movements, such as pacing the room, Diminished ability to think or concentrate, or indecisiveness, Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt. We still have the three main diagnoses: Bipolar I, Bipolar II, and Cyclothymic. If you or a friend or family member are thinking about taking part in clinical research, this page contains basic information about clinical trials. http://www.uptodate.com/home. the unsubscribe link in the e-mail. http://www.uptodate.com/home. Following a prescribed treatment plan can help people manage their symptoms and improve their quality of life. Many people with bipolar disorder also have other mental disorders or conditions such asanxiety disorders,attention-deficit/hyperactivity disorder (ADHD),misuse of drugs or alcohol, oreating disorders. A Visual Guide to Understanding Bipolar Disorder. An effective treatment plan usually includes a combination of medication and psychotherapy, also called talk therapy. We used the ongoing Ravenna-San Diego Collaboration database to examine this question with respect to major depressive disorder (MDD) and bipolar II (BP-II). Phone: 1-866-615-6464 Accessed Jan. 4, 2017. the unsubscribe link in the e-mail. (2018). Bipolar I disorder is defined by manic episodes that last at least 7 days (most of the day, nearly every day) or Psychotherapy and Psychosomatics. information is beneficial, we may combine your email and website usage information with Learning more about these brain differences may help scientists understand bipolar disorder and determine which treatments will work best. 171 0 obj <>stream National Institute of Mental Health. This type of therapy can provide support, education, and guidance to people with bipolar disorder and their families. Between episodes, many people with bipolar disorder are free of mood changes, but some people may have lingering symptoms. People with an immediate family member who has bipolar are at higher risk. Accessed Jan. 4, 2016. Follow NIMH on social mediaTwitter, Facebook, YouTube and LinkedIn. To compare characteristics of bipolar disorder patients diagnosed as DSM-5 types I (BD-1) vs. II (BD-2). This process requires patience, as some medications need weeks to months to take full effect. 2013;9:639. Pediatric bipolar disorder: Overview of choosing treatment. 2016;192:212. Substance Abuse and Mental Health Services Administration. Learn more about NIMHs commitment to accelerating the pace of scientific progress and transforming mental health care. [Google Scholar] Bauer M (2005) Epidemiology of bipolar disorders. Talking with a doctor or mental health professional is the first step in identifying bipolar disorder. Accessed Jan. 4, 2017. Make a donation. other information we have about you. Our website services, content, and products are for informational purposes only. One of the most successful methods for identifying disease genes http://www.uptodate.com/home. Clinical Practice and Epidemiology in Mental Health. If you are a Mayo Clinic patient, this could What treatments are best? Department of Health and Human ServicesUSA.gov. This site complies with the HONcode standard for trustworthy health information: verify here. WebSole B, Torrent C (2017) Cognitive impairment in bipolar disorder: Treatment and prevention strategies. These mood episodes cause F84.0 Autism Spectrum Disorder . The Bipolar Book - Aysegul Yildiz 2015-05-22 As a major mainstay of clinical focus and research today, bipolar disorder affects millions of individuals Treatment may also include newer therapies designed specifically for the treatment of bipolar disorder, including interpersonal and social rhythm therapy (IPSRT) and family-focused therapy. WebOVERVIEW OF BIPOLAR DISORDER (BD) The DSM-V defines BD by the experience of a manic episode. Please see our Citing NIMH Information and Publications page for more information. 2016;39:75. Accessed Dec. 2, 2016. People with bipolar II disorder can benefit from preventive drugs that level out moods over the long term. How Is Bipolar II Disorder Different From Other Types of Bipolar Disorder? While the manic episodes of bipolar I disorder can be severe and dangerous, individuals with bipolar II disorder can be depressed for longer periods, which can cause significant impairment. Individuals with bipolar experience an elevated or irritable mood for at least four consecutive days, while their depressive episodes last for at least two weeks at a time. %%EOF Accessed Dec. 6, 2016. Psychotherapy and Psychosomatics. Psychotherapy of mood disorders. One of the most successful methods for identifying disease genes over the past two decades has been the genome-wide association study (GWAS). [Google Scholar] Vieta E, Berk M (2018) Bipolar disorders. Axelson D, et al. What Are the Symptoms of Bipolar II Disorder? Learn about how NIMH manages research grants, including policies and reporting requirements. A tool to predict suicidal ideation and behavior in bipolar disorder: The Concise Health Risk Tracking Self-Report. Some people cycle back and forth between hypomania and depression, while others have long periods of normal mood in between episodes. WebBACKGROUND. Mood disorders and complementary and alternative medicine: A literature review. Try regular, vigorous exercise like jogging, swimming, or bicycling, which can help with depression and anxiety, promote better sleep, and support your heart and brain health. Most commonly, symptoms continue for a few weeks to a few months. %PDF-1.7 % The health care provider can complete a physical exam and other necessary medical tests to rule out other possible causes. In between episodes of hypomania and depression, many people with bipolar II disorder typically live normal lives. Dealing With Ups and Downs of Bipolar Disorder? Axelson D, et al. Bipolar disorder in children and teens. eTable 2. Unlike a manic episode, these symptoms are not so severe as to impact daily functioning or cause psychotic symptoms. Talk to your health care provider about clinical trials, their benefits and risks, and whether one is right for you. Neuropsychiatric Disease and Treatment. Bipolar disorder. Bipolar II disorder is not a milder form of bipolar I disorder, but a separate diagnosis. xV*Dj(mhP (&\"AR)GCjpH!k*"9gKXD`QPQu yP8:Qw sb;C QWh{TAh ,I@.x2ArAv=T{u{1 3.PbHKI9U":4O4qoPQn^ &8'zdUIN.hBdS8C=A}6=SfFC!BC+.QN(hBJKF; -g ]Oga9YC?'/O.C?+|>qGYlj66f_[/?MfdX/fy9^l:y{ k/w~7w~_].W?x8[[|,I Most people are in their teens or early 20s when symptoms of bipolar , M.D. Listen Now! Stopping a medication suddenly may lead symptoms to worsen or come back. Bipolar II disorder (pronounced "bipolar two") is a form of mental illness. 2014;10:140. It's possible value for treating bipolar depression, or preventing future highs and lows, is less well-established. Edited by Terence A. Ketter, M.D. Generally, treatment includes: There is a problem with At the heart of the "DSM-5" debate has been the fundamental question, "Is the diagnosis of bipolar disorder developmentally appropriate?" Research Conducted at NIMH (Intramural Research Program), Research Training and Career Development Opportunities, tips to help prepare for and get the most out of your visit, attention-deficit/hyperactivity disorder (ADHD). Be ready to answer them to reserve time to go over any points you want to focus on. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. http://www.uptodate.com/home. Web Bipolar disorder formerly called manic depression is a mental health condition that causes extreme mood swings that include emotional highs mania or. Further details including current severity, presence of psychotic features, course, and other specifiers cant be coded but should be recorded wherever the diagnosis is documented. F -codes are from the ICD -10. Or, if you think you can do so safely, take the person to the nearest hospital emergency room. Web DSM 5 Bipolar 2 Criteria and Bipolar 2 Symptoms. Bipolar II is similar to bipolar I disorder, with moods cycling between high and low over time. However, in bipolar II disorder, the "up" moods never reach full-blown mania. The less-intense elevated moods in bipolar II disorder are called hypomanic episodes, or hypomania. What, if anything, appears to worsen your symptoms? 2011;8:10. Mania may also trigger a break from reality (psychosis) and require hospitalization. You may want to start a mood diary using an app such as "Daylio" to help keep track and monitor your mood fluctuations. Treatment can help many people, including those with the most severe forms of bipolar disorder. But have you ever gone to bed one night feeling euphoric and woken up the next morning to find you feel empty and hopeless? 4 consecutive days of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy; present most of the day, nearly every day (or any duration, if hospitalization needed) Learn more about NIMH research areas, policies, resources, and initiatives. By definition, hypomanic episodes do not involve psychosis and do not interfere with functioning. F31.2 Bipolar I Disorder, most recent episode manic, with psychotic features . In life-threatening situations, call 911. Psychotherapy, also called talk therapy, can be an effective part of treatment for people with bipolar disorder. The types and doses of medications prescribed are based on your particular symptoms. John R. Kelsoe. If youve given your patient a bipolar disorder diagnosis, it may be helpful to provide them with additional resources for use outside your sessions. https://www.nimh.nih.gov/health/topics/bipolar-disorder/index.shtml. Although individuals may benefit from being part of a clinical trial, participants should be aware that the primary purpose of a clinical trial is to gain new scientific knowledge so that others may be better helped in the future. Bipolar and related disorders. However, if you have bipolar II, you have not had a manic Firstly, a doctor may perform a physical evaluation to rule out any other conditions that may be causing symptoms. Epilepsia 4:8-13. Criteria have been met for at least one manic episode. John R. Kelsoe. What Are My Cyclothymia Treatment Options? Psychotherapy is a term for treatment techniques that aim to help people identify and change troubling emotions, thoughts, and behaviors. For bipolar disorder under the DSM-5, there are now seven possible diagnoses : Bipolar I disorder Bipolar II disorder Cyclothymic disorder Do you have any blood relatives with bipolar disorder or depression? What's so bad about that, you might ask? Be part of tomorrows medical breakthroughs. 17,249 Color vision L. Hurvich Computer Science 1981 1,030 As mentioned, the American Psychiatric Association (APA) prefers the terms unspecified or other specified for bipolar disorder to better reflect the uncertainty of the diagnoses. If no other illnesses are present, the doctor will conduct a comprehensive mental health evaluation to assess the patients symptoms in accordance with the specific criteria from the American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders (DSM-5). For example, someone having psychotic symptoms during a depressive episode may falsely believe they are financially ruined, while someone having psychotic symptoms during a manic episode may falsely believe they are famous or have special powers. National Institute of Mental Health. Difference Between Bipolar Disorder 1 & 2, What to Expect From A First Therapy Session, Forgiveness: How to Let Go of Hurt So You Can Feel Better in 11 Steps, Happy Birthday Psycom: The 10 Most Meaningful Advances in Mental Health Since 1996, Am I "Normal"? Sansone RA, et al. They can often seem like the "life of the party" -- making jokes, taking an intense interest in other people and activities, and infecting others with their positive mood. Janicak PG. In a study published in the Journal of Affective Disorders, the researchers identified 18 men and 23 women aged 18 years and older with bipolar depression based on DSM-5 criteria who had already been treated WebThese moods range from manic episodes to depressive episodes. You can learn some ways to help here. Use these resources to find help for yourself, a friend, or a family member. Neurodevelopmental Disorders . The first feature is whether the fluctuations in mood are caused by a situation, person, or event, or appear without cause. Also, birth control medications may lose effectiveness when taken along with certain bipolar disorder medications. Substance Abuse and Mental Health Services Administration. Lithium can take weeks to work fully, making it better for long-term treatment than for acute hypomanic episodes. Lithium has been used for more than 60 years to treat bipolar disorder. Mood stabilizers such as lithium or valproate can help prevent mood episodes or reduce their severity. Structure your activities. (2016). Medications also may need to be adjusted as your symptoms change. WebHandbook of Diagnosis and Treatment of Bipolar Disorders . 6001 Executive Boulevard, Room 6200, MSC 9663 A family health care provider is a good resource and can be the first stop in searching for help. The For example, some people with bipolar II disorder experience hypomania, a less severe form of mania. information and will only use or disclose that information as set forth in our notice of To be considered mania, the elevated, expansive, or irritable mood must last for at least one week and be present most of the day, nearly every day. hMoGS 9@iM@u@%(d:P -ZY_Pw\-.0R]H^[{Q"r"9\d]JTwEpj(jxLe5KDK}s)&%/&>WaKV\/@pje2\W*;cId75I^\A,Z\ .K$Ty< Are there any brochures or other printed material that I can have? National Institute of Mental Health. >87z8HE_I^):6bH bd%. This content does not have an English version. Neurodevelopmental Disorders . Psychiatric Clinics of North America. I have these other health conditions. APA Members $63.20. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. The health care provider may then conduct a mental health evaluation or provide a referral to a trained mental health care provider, such as a psychiatrist, psychologist, or clinical social worker who has experience in diagnosing and treating bipolar disorder. Bipolar disorder doesn't get better on its own. About 2.5% of the U.S. population suffers from some form of bipolar disorder - nearly 6 million people. American Psychiatric Association. National Institute of Mental Health. American Psychiatric Association. Their results are largely and satisfyingly in line with practical expectations. Examples include: There's no sure way to prevent bipolar disorder. 1031 0 obj <>/Filter/FlateDecode/ID[<46CFB622C0BEA04EBA626E28B1CB33FF>]/Index[999 61]/Info 998 0 R/Length 135/Prev 163221/Root 1000 0 R/Size 1060/Type/XRef/W[1 2 1]>>stream Mood disorders included persistent depression and major depressive, bipolar I, and bipolar II disorders. Sometimes a person might experience symptoms of bipolar disorder that do not match the three categories listed above, and this is referred to as other specified and unspecified bipolar and related disorders.. Acute hypomanic episodes do not involve psychosis and do not involve psychosis and do involve... And guidance to people with bipolar disorder are called hypomanic episodes, many people, those! One night feeling euphoric and woken up the next morning to find help for yourself, friend! More than 60 years to treat bipolar disorder: the Concise health risk Tracking Self-Report satisfyingly. 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