II. Background

  1. DSM-5 Criteria for a Hypomanic Episode
  2. At least one manic episode is required for diagnosis of Bipolar II Disorder (in addition to Major Depression)

III. Criteria: Major (all must be present)

  1. Persistent abnormally elevated or expansive mood
    1. May present as irritability in some cases
  2. Distinct period lasts at least 4 consecutive days
  3. Symptoms persist for most of day on nearly everyday
  4. Not due to Mania Secondary Causes (e.g. Substance Abuse)
  5. Functional change that is uncharacteristic of the patient at baseline and one that is observable by others
  6. Symptoms are not severe enough to cause a marked Impairment of functioning
    1. Contrast with Mania Diagnosis

IV. Criteria: Minor (3 or more present; 4 if mood is irritable instead of expansive) - same minor criteria as for Mania Diagnosis

  1. Inflated self esteem or grandiosity
  2. Decreased need for sleep
  3. Pressured speech or more talkative than usual
  4. Flight of ideas or racing thoughts
  5. Distractibility (derailed on irrelevant topics)
  6. Increased goal directed activity (social, work, school, sex) or psychomotor Agitation (purposeless non-goal directed activity)
  7. Excessive involvement in risky pleasurable activities that have a high potential of adverse, painful outcome
    1. Unrestrained shopping sprees
    2. Sexual indiscretions
    3. Foolish business investments

V. References

  1. (2013) DSM-5, APA

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