| Eligibility |
Group 1: Healthy Volunteers
Inclusion Criteria for Group 1:
1. Male or female =18 years of age
2. Capable of understanding/complying with protocol requirements
3. Has competency to understand and sign informed consent form
4. Physically healthy with no acute medical condition and =3 stable, chronic medical
conditions
5. Without current and/or lifetime psychiatric disorders as assessed by the Mini
International Neuropsychiatric Interview for DSM-5 (MINI)
Exclusion Criteria for Group 1:
1. Acute medical condition or >3 stable, chronic health conditions
2. Significant structural brain lesion
3. Progressive neurological disease
4. Preexisting implanted electrical device
5. Currently pregnant or planning to become pregnant
6. Contraindications to MR imaging
7. Tests positive for cannabis, illegal substances, or prescription medications without
valid prescription
8. Currently taking steroids, opioids, or other agents that might affect brain circuitry
per research team discretion
9. Use of cigarettes or other nicotine products within 12 hours of imaging visit
10. Use of stimulants 24 hours prior MRI visit
11. Presents an immediate danger to self or others as judged by research psychiatrist
12. Has psychiatric disorder, including alcohol/drug use disorder or personality disorder
Group 2: Treatment-Responsive BDI
Inclusion Criteria for Group 2:
1. Male or female =18 years of age
2. Capable of understanding/complying with protocol requirements
3. Has competency to understand and sign informed consent form
4. Physically healthy with no acute medical condition and =3 stable, chronic medical
conditions
5. Meets diagnostic criteria for BDI or BDII according to the DSM-5 criteria
6. Must be stable on current BD medications with no dosing changes in the last 30 days or
not currently taking any BD medications.
7. Recent mood episode must currently be in remission for > 8 weeks
8. Montgomery-Asberg Depression Rating Scale (MADRS) =10 total score during the
psychiatric assessments portion and at the MRI visit (if repeated at MRI visit)
9. Young Mania Rating Scale (YMRS) =12 total score during the psychiatric assessments
portion and at the MRI visit (if repeated at MRI visit)
10. Clinical Global Impression-Severity for Bipolar Disorder (CGI-S-BD) =2 during the
psychiatric assessments visit
11. Must be adherent (= 80%) with BD medication(s)
Exclusion Criteria for Group 2:
1. Acute medical condition or >3 stable, chronic health conditions
2. Significant structural brain lesion
3. Progressive neurological disease
4. Preexisting implanted electrical device
5. Currently pregnant or planning to become pregnant
6. Contraindications to MR imaging
7. Tests positive for cannabis, illegal substances, or prescription medications without
valid prescription
8. Currently taking steroids, opioids, or other agents that might affect brain circuitry
per research team discretion
9. Use of cigarettes or other nicotine products within 12 hours of imaging visit
10. Use of stimulants within 24 hours of imaging visit
11. Presents an immediate danger to self or others as judged by research psychiatrist
12. Has had changes in medications within 30 days
13. Contribution of any co-occurring psychiatric comorbidity disproportionate to
contribution of BDI or BDII
14. Meets DSM-5 criteria for current borderline or antisocial personality disorder
15. Meets DSM-5 criteria for alcohol and/or drug use disorder within 6 months, excluding
caffeine and/or nicotine
Group 3: Treatment-Refractory BDI
Inclusion Criteria for Group 3:
1. Male or female =18 years of age
2. Capable of understanding/complying with protocol requirements
3. Has competency to understand and sign informed consent form
4. Physically healthy with no acute medical condition and =3 stable, chronic medical
conditions
5. Meets diagnostic criteria for BDI or BDII according to the DSM-5 criteria
6. Must be stable on drugs, including at least 1 mood stabilizer, with no dosing changes
in the last 30 days
7. GCI-S-BD >3 at the psychiatric assessments visit
8. MADRS =20 total score or YMRS =18 total score during the psychiatric assessments
portion and at the MRI visit (if repeated at MRI visit)
9. BD-associated mood episodes are primary source of disability, according to both
subject and psychiatrist
10. Current depressive episode lasting =6 months despite = 2 adequate evidence-based
first-line treatment > 8 weeks, current manic/hypomanic episode lasting =2 months
despite = 2 adequate evidence-based first-line treatment > 4 weeks, or meeting rapid
cycling criteria in last 12 months despite =2 evidence-based first-line treatments for
BDI or BDII assessed with assistance of Modified Antidepressant Treatment History Form
(MATHF)
11. Severe impairment with score of =7 on at least one of three subscales of Sheehan
Disability Scale (SDS), which includes assessment of work-life, family-life, and
social life during the psychiatric assessments portion
Exclusion Criteria for Group 3:
1. Acute medical condition or >3 stable, chronic health conditions
2. Significant structural brain lesion
3. Progressive neurological disease
4. Preexisting implanted electrical device
5. Currently pregnant or planning to become pregnant
6. Contraindications to MR imaging
7. Tests positive for cannabis, illegal substances, or prescription medications without
valid prescription
8. Currently taking steroids, opioids, or other agents that might affect brain circuitry
per research team discretion
9. Use of cigarettes or other nicotine products within 12 hours of imaging visit
10. Use of stimulants within 24 hours of imaging visit
11. Presents an immediate danger to self or others as judged by research psychiatrist
12. Has had changes in medications within 30 days
13. Contribution of any co-occurring psychiatric comorbidity disproportionate to
contribution of BDI or BDII
14. Meets DSM-5 criteria for current borderline or antisocial personality disorder
15. Meets DSM-5 criteria for alcohol and/or drug use disorder within 6 months, excluding
caffeine and/or nicotine
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