bipolar disorder I
dsm iv
mood disorder
manic episodes, mixed
psychotic disorder
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Bipolar I Disorder

DSM IV Criteria

 Diagnostic criteria for 296.0x Bipolar I Disorder, Single Manic Episode

A.  Presence of only one Manic Episode...and no past major Depressive Episodes.

    Note:  Recurrence is defined as either a change in polarity from depression or an interval of at least 2 months without manic symptoms.

B.  The Manic Episode is not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Specify if:
     Mixed:  if symptoms meet criteria for a Mixed Episode...

Specify (for current or most recent episode).
     Severity/Psychotic/Remission Specifiers...
     With Catatonic Features...
     With Postpartum Onset...

Diagnostic criteria for 296.40 Bipolar I Disorder, Most Recent Episode Hypomanic

A.  Currently (or most recently) in a Hypomanic Episode...

B.  There has previously been at least one Manic Episode...or Mixed Episode...

C. The mood symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

D.  The mood episodes in Criteria a and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Specify:

     Longitudinal Course Specifiers (With and Without Interepisode Recovery)...
     With Seasonal Pattern (applies only to the pattern of Major Depressive Episodes)...
     With Rapid Cycling...

Diagnostic criteria for 296.4x Bipolar I Disorder, Most Recent Episode Manic

A.  Currently (or most recently) in a Manic Episode...

B.  There has previously been at least one Major Depressive Episode...,Manic Episode...,or Mixed Episode...

C.  The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Specify (for current or most recent episode):
     Severity/Psychotic/Remission Specifiers...
     With Catatonic Features...
     With Postpartum Onset...

Specify
     Longitudinal Course Specifiers (With and Without Interepisode Recovery)...
     With Seasonal Pattern (applies only to the pattern of Major Depressive Episodes)...
     With Rapid Cycling...

Diagnostic criteria for 196.6x Bipolar I Disorder, Most Recent Episode Mixed

A.  Currently (or most recently) in a Mixed Episode...

B.  There has previously been at least one Major Depressive episode...,Manic Episode...,or Mixed Episode...

C. The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Specify (for current or most recent episode):
     Severity/Psychotic/Remission Specifiers...
     With Catatonic Features...
     With Postpartum Onset...

Specify:
     Longitudinal Course Specifiers (With and Without Interepisode Recovery)...
     With Seasonal Pattern
(applies only to the pattern of Major Depressive Episodes)...
     With Rapid Cycling...

Diagnostic criteria for 296.5x Bipolar I Disorder, most Recent Episode Depressed

A.  Currently (or most recently) in a Major Depressive Episode...

B.  There has previously been at least one Manic Episode...or Mixed Episode...

C. The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Specify (for current or most recent episode)
     Severity/Psychotic/Remission Specifiers...
     Chronic...
     With Catatonic Features...
     With Melancholic Features...
     With Atypical Features...
     With Postpartum Onset...

Specify:
     Longitudinal Course Specifiers (With and Without Interepisode Recovery)...
     With Seasonal Pattern
(applies only to the pattern of major Depressive Episodes)...
     With Rapid Cycling...

Diagnostic criteria for 296.7 Bipolar I Disorder, most Recent Episode Unspecified

A.  Criteria, except for duration, are currently (or most recently) met for a Manic..., a hypomanic..., or a Major Depressive Episode...

B.  There has previously been at least one Manic Episode

The above is for educational purposes.


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