Manic Episode
DSM IV Criteria
A) A distinct period of abnormally and
persistently elevated, expansive or irritable mood, lasting at least 1 week (or
any duration if hospitalization is necessary)
B) During the period of mood disturbance, three (or more) of the following
symptoms have persisted (four if the mood is only irritable) and have been
present to a significant degree:
1) inflated self-esteem or grandiosity
2) decreased need for sleep (e.g., feels rested after only 3 hours of sleep)
3) more talkative than usual or pressure to keep talking
4) flight of ideas or subjective experience that thoughts are racing
5) distractibility (i.e., attention too easily drawn to unimportant or
irrelevant external stimuli)
6) increase in goal-directed activity (at work, at school, or sexually) or
psychomotor agitation
7) excessive involvement in pleasurable activities that have a high potential
for painful consequences (e.g., engaging in unrestrained buying sprees, sexual
indiscretions, or foolish business investments)
C) The symptoms do not meet criteria for a Mixed Episode
D) The mood disturbance is sufficiently severe to cause marked impairment in
occupational functioning or in usual social activities or relationships with
others, or to necessitate hospitalization to prevent harm to self or others, or
there are psychotic features.
E) The symptoms are not due to the direct physiological effects of a substance
(e.g., a drug of abuse, a medication or other treatment) or a general medical
condition (e.g., hyperthyroidism)
Note: Manic-like episodes that are clearly caused by somatic antidepressant
treatment (e.g., medication, electroconvulsive therapy, light therapy) should
not count toward a diagnosis of Bipolar I disorder.
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