II. Type: Manic Delirium: 5
- Altered Consciousness
- Hallucinations, incoherent, or Disorganized Speech
- Disoriented
III. Type: Manic Out of Control: 4
- Crying, Unreasonable, Screaming
- Flight of ideas
- Grandiose Delusions
- Hallucinations
- Swearing, threatening or Lashing out
- No Need of sleep
IV. Type: Overactive, Disinhibited: 3
- Very expansive
- Poor concentration, Pressured speech, Grandiose
- Quickened pace, Disinhibited, Decreased decorum
- Little need for sleep
V. Type: Agitated loud: 2
- Elevated mood, Inflated self esteem, Expansive
- Apprehensive, Unwarranted optimism, Overconfident
- Active, Verbally loud
- Less need for sleep
VI. Type: Irritable, Aroused: 1
- Short-tempered, Mild mood elevation, Guarded attitude
- Distractible, Confident, Optimistic
- Guarded body language
VII. Type: Euthymic: 0
- Appropriate mood, No suicidal thoughts
- Normal speech, Normal thought, Guilt absent
- No anxiety
- No sleep difficulties, No somatic complaints
VIII. Type: Withdrawn quiet: -1
- Mildly depressed, Loss of satisfaction, Feels weak
- Slight retardation, Self-reproach, Altered eating
- Slightly withdrawn, Slight tension, Fidgety, Irritable
- Minor somatic complaints, Fatigued, Restless sleep
IX. Type: Mild Depression: -2
- Looks sad
- Obvious retardation, Pessimistic
- Avoids others, Minimal responses, Worried
- Plays with hands or hair
- Frequency somatic complaints
X. Type: Moderate Depression: -3
XI. Type: Severe Depression: -4
XII. Type: Depressive Stupor: -5
- Emotional paralysis
- Accusatory Hallucinations
- Stupor or mute