II. Background

  1. DSM-5 Criteria for a Manic Episode
  2. 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)

  1. Persistent abnormally elevated or expansive mood
    1. May present as irritability in some cases
  2. Distinct period lasts at least one week
  3. Persists for most of day and occurs nearly every day
  4. Does not meet criteria for mixed disorder
  5. Not due to Mania Secondary Causes (e.g. Substance Abuse)
  6. Sufficient severity
    1. Impaired work or social functioning or
    2. Hospitalization required to prevent harm to self or others or
    3. Psychosis

IV. Criteria: Minor (3 or more present; 4 if mood is irritable)

  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. Differential Diagnosis

  1. See Hypomania Diagnosis
  2. See Major Depression Diagnosis
  3. Mixed Disorder Diagnosis
    1. Criteria met for Manic Episode and Major Depressive Episode except for duration
    2. Symptoms present nearly everyday for at least 1 week
    3. Not due to Mania Secondary Causes
    4. Mood Disorder is sufficiently severe to impair functioning

VI. References

  1. (2013) DSM-5, APA

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