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At least two years of numerous Hypomanic Episodes
(one year for children and adolescents)
Hypomanic periods had predominantly elevated mood,
expansive mood, or irritable mood
During these hypomanic periods had at least 4 of the
following:
- Inflated self-esteem or grandiosity
- Decreased need for sleep
- More talkative than usual or pressured speech
- Flight of ideas or racing thoughts
- Distractibility
- Increase in goal-directed activity or agitation
- Reckless involvement in pleasurable activities
Absence of evidence that these hypomanic periods
caused marked occupational or social impairment
Mood was never normal for more than 2 months at a
time during this 2 year hypomanic period (or during one
year for children and adolescents)
Absence of a Major Depressive Episode or Manic
Episode during the first 2 years of this hypomanic
period (or during one year for children and adolescents)
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 hypomania and depression
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