II. Background
- DSM-5 Criteria for a Manic Episode
- At least one manic episode is required for diagnosis of Bipolar I 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 one week
- Persists for most of day and occurs nearly every day
- Does not meet criteria for mixed disorder
- Not due to Mania Secondary Causes (e.g. Substance Abuse)
- Sufficient severity
- Impaired work or social functioning or
- Hospitalization required to prevent harm to self or others or
- Psychosis
IV. Criteria: Minor (3 or more present; 4 if mood is irritable)
- 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. Differential Diagnosis
- See Hypomania Diagnosis
- See Major Depression Diagnosis
- Mixed Disorder Diagnosis
- Criteria met for Manic Episode and Major Depressive Episode except for duration
- Symptoms present nearly everyday for at least 1 week
- Not due to Mania Secondary Causes
- Mood Disorder is sufficiently severe to impair functioning
VI. References
- (2013) DSM-5, APA
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Related Studies
| Definition (CSP) | manic episode of the major affective disorder bipolar depression; tendency to remission and recurrence and to swing to the major depressive episode. |
| Concepts | Mental or Behavioral Dysfunction (T048) |
| MSH | D001714 |
| ICD9 | 296.40 |
| SnomedCT | 68569003 |
| DSM4 | 296.40 |
| English | Manic Disorders, Bipolar affective disorder, manic, bipolar depression manic phase, Bipolar I Disorder, Most Recent Episode Manic, Unspecified, Disorder, Manic, Bipolar affective disorder, manic, unspecified degree, MANIC DEPRESSIVE DISEASE MANIC PHASE, MANIC DIS, bipolar disorder manic phase, Manic bipolar disorder, NOS, monopolar mania, bipolar I disorder, most recent episode, manic, bipolar I disorder, most recent episode, manic (diagnosis), Bipol I currnt manic NOS, bipolar disorder manic, manic disorder, manic disorders, Bipolar I disorder, most recent episode (or current) manic, unspecified, Bipolar I disorder, most recent episode manic, Manic bipolar I disorder (disorder), Manic bipolar I disorder, disorder; bipolar, I, most recent episode, manic, disorder; manic, manic; disorder, Manic bipolar I disorder, NOS, Manic Bipolar Affective Disorder, Manic Disorder |
| Dutch | manische bipolaire affectieve stoornis, manische bipolaire affectieve stoornis, ernst niet-gespecificeerd, manisch; stoornis, stoornis; bipolair, I, meest recente episode, manisch, stoornis; manisch, Manische stoornis |
| French | Trouble affectif bipolaire, épisode maniaque, degré non précisé, Trouble affectif bipolaire, épisode maniaque, Trouble maniaque |
| German | bipolare affektive Stoerung, manisch, unspezifische Form, bipolare affektive Stoerung, manisch, Manische Störung |
| Italian | Sindrome affettiva bipolare, episodio maniacale, Sindrome affettiva bipolare, episodio maniacale, grado non specificato, Disturbo maniacale |
| Portuguese | Perturbação afectiva bipolar, maníaca, NE, Perturbação afectiva bipolar, maníaca, Transtorno Maníaco |
| Spanish | Trastorno afectivo bipolar maniaco, Trastorno afectivo bipolar maniaco, grado no especificado, Trastorno Maníaco, trastorno bipolar I maníaco (trastorno), trastorno bipolar I maníaco, trastorno bipolar I, episodio más reciente maníaco |
| Japanese | 双極性感情障害、躁病型, ｿｳｷｮｸｾｲｶﾝｼﾞｮｳｼｮｳｶﾞｲｿｳﾋﾞｮｳｶﾞﾀ |
| Czech | manická porucha, Bipolární afektivní porucha, manická epizoda, Bipolární afektivní porucha, manická epizoda, blíže neurčená závažnost |
| Hungarian | Bipolaris affectiv zavar, mániás, nem meghatározott súlyosságú, Bipolaris affectiv zavar, mániás |
| Norwegian | Manisk forstyrrelse |
Ontology: Manic (C0338831)
| Definition (NCI) | Excitement of psychotic proportions manifested by mental and physical hyperactivity, disorganisation of behaviour and elevation of mood.(On-line Medical Dictionary) |
| Definition (NCI_CTCAE) | A disorder characterized by excitement of psychotic proportions manifested by mental and physical hyperactivity, disorganization of behavior and elevation of mood. |
| Concepts | Mental or Behavioral Dysfunction (T048) |
| MSH | D001714 |
| ICD10 | F30.9 |
| SnomedCT | 154872008, 268750008, 231494001 |
| English | Manias, Manic State, Manic States, State, Manic, States, Manic, MANIA, Manic, Manic state, Mania NOS, manic state, manic, Mania (disorder), mania, Mania |
| French | MANIE, Etat maniaque, Manie, État maniaque |
| Portuguese | MANIA, Estado maníaco, Mania |
| Spanish | MANIA, Estado maníaco, manía (trastorno), maníaco, manía, Manía |
| Dutch | manische toestand, manie |
| German | manischer Zustand, MANIE, Manie |
| Japanese | ｿｳﾋﾞｮｳ, ｿｳｼﾞｮｳﾀｲ, 躁障害, 躁状態, 躁病, そう病, 躁狂, そう状態, 定型的躁状態, メーニア |
| Czech | mánie, Manický stav, Mánie |
| Italian | Mania, Stato maniacale |
| Hungarian | Mania, Maniás állapot |
| Norwegian | Mani |
