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