II. Background
- DSM-5 Criteria for a Hypomanic Episode
- 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)
- Persistent abnormally elevated or expansive mood
- May present as irritability in some cases
- Distinct period lasts at least 4 consecutive days
- Symptoms persist for most of day on nearly everyday
- Not due to Mania Secondary Causes (e.g. Substance Abuse)
- Functional change that is uncharacteristic of the patient at baseline and one that is observable by others
- Symptoms are not severe enough to cause a marked Impairment of functioning
- 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
- Inflated self esteem or grandiosity
- Decreased need for sleep
- Pressured speech or more talkative than usual
- Flight of ideas or racing thoughts
- Distractibility (derailed on irrelevant topics)
- Increased goal directed activity (social, work, school, sex) or psychomotor Agitation (purposeless non-goal directed activity)
- Excessive involvement in risky pleasurable activities that have a high potential of adverse, painful outcome
- Unrestrained shopping sprees
- Sexual indiscretions
- Foolish business investments
V. References
- (2013) DSM-5, APA