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Manic episode of predominantly elevated mood or
irritable mood. During this mania, had at least 3 of the
following (4 if the mood was only irritable):
- Inflated self-esteem or grandiosity
- Decreased need for sleep (insomnia)
- More talkative than usual or pressured speech
- Flight of ideas or racing thoughts
- Distractibility
- Increased activity or agitation
- Reckless involvement in pleasurable activities
Evidence that this mania caused marked occupational
or social impairment
Absence of two weeks or more of delusions or
hallucinations when mood was normal
Not superimposed on schizophrenia, schizophreniform
disorder, delusional disorder, or psychotic disorder not
otherwise specified
Absence of evidence that an organic factor initiated
or maintained this mania
Current (or most recent) episode involves the full
symptomatic picture of both Manic and Major Depressive
Episodes. During this superimposed depression:
- Persistent depressed mood
- Marked apathy or loss of interest
- Significant anorexia or weight loss or increase
in appetite or weight
- Insomnia or hypersomnia
- Psychomotor agitation or psychomotor retardation
- Fatigue
- Feelings of worthlessness or excessive guilt
- Poor concentration or indecisiveness
- Recurrent thoughts of death or suicide
- Absence of evidence that an organic factor
initiated and maintained this depression
- Absence of evidence that this depression was due
to normal bereavement
- Absence of two weeks or more of delusions or
hallucinations when mood was normal
Bipolar Disorder, Manic
Manic period of predominantly elevated mood or
irritable mood. During this mania, had at least 3 of the
following (4 if the mood was only irritable):
- Inflated self-esteem or grandiosity
- Decreased need for sleep (insomnia)
- More talkative than usual or pressured speech
- Flight of ideas or racing thoughts
- Distractibility
- Increased activity or agitation
- Reckless involvement in pleasurable activities
Evidence that this mania caused marked occupational
or social impairment
Absence of two weeks or more of delusions or
hallucinations when mood was normal
Not superimposed on schizophrenia, schizophreniform
disorder, delusional disorder, or psychotic disorder not
otherwise specified
Absence of evidence that an organic factor initiated
and maintained this mania
Bipolar Disorder, Depressed
Past history of manic period of predominantly
elevated mood or irritable mood. During this mania, had
at least 3 of the following (4 if the mood was only
irritable):
- Inflated self-esteem or grandiosity during this
mania
- Decreased need for sleep during this mania
(insomnia)
- More talkative than usual or pressured speech
during this mania
- Flight of ideas or racing thoughts during this
mania
- Distractibility during this mania
- Increased activity or agitation during this
mania
- Reckless involvement in pleasurable activities
during this mania
Evidence that this mania caused marked occupational
or social impairment
Absence of evidence that an organic factor initiated
or maintained this mania
Currently (or most recently) in a major depressive
episode. During this major depressive episode had at
least 5 of the following:
- Persistent depressed mood
- Marked apathy or loss of interest
- Significant anorexia or weight loss or increase
in appetite or weight
- Insomnia or hypersomnia
- Psychomotor agitation or psychomotor retardation
- Fatigue
- Feelings of worthlessness or excessive guilt
- Poor concentration or indecisiveness
- Recurrent thoughts of death or suicide
Absence of evidence that an organic factor initiated
or maintained this depression
Absence of evidence that this depression was due to
normal bereavement
Absence of two weeks or more of delusions or
hallucinations when mood was normal not superimposed on
schizophrenia, schizophreniform disorder, delusional
disorder, or psychotic disorder not otherwise specified
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