Bipolar

Mania Diagnosis

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Mania Diagnosis, Manic Disorder Diagnosis

  • 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. Does not meet criteria for mixed disorder
  4. Not due to Mania Secondary Causes
  5. Sufficient severity
    1. Impaired work or social functioning or
    2. Hospitalization required or
    3. Psychosis
  • 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
  7. Excessive involvement in risky pleasurable activities
    1. Unrestrained shopping sprees
    2. Sexual indiscretions
    3. Foolish business investments
  • 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
  • References
  1. (2000) DSM IV, APA