DSM IV Criteria
(Note: this is often referred to as "rapidly cycling
bipolar" - but technically Rapid Cycling refers to at least 4 episodes in
the previous 12 months that meet criteria for a Major Depressive, Manic, Mixed
or Hypomanic Episode, and the Episodes are demarcated either by partial or full
remission for at least 2 months or a switch to an episode of opposite polarity -
e.g., Major Depressive Episode to Manic Episode)
A. The criteria are met both for a Manic Episode and for a Major Depressive
Episode (except for duration) nearly every day during at least a 1-week period.
B. 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.
C. 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: Mixed-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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