Manic Episodes

Manic episode

Elevated, expansive mood for at least one week

Examples of symptoms: Inflated easy distractibility, increase in goal-directed activity or psychomotor agitation, excessive involvement in pleasurable but risky behaviors

self-esteem

Examples of symptoms: decreased need for

sleep

Examples of symptoms: excessive

talkativeness

Examples of symptoms: flight of ideas or

sense that thoughts are racing

Impairment in

normal functioning

DSM-5 Criteria: A distinct period of abnormally and persistently

elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and present most of the day, nearly every day

DSM-5 Criteria: . During the period of mood disturbance and increased energy or activity,

three (or more) of the following symptoms are present to a significant degree and represent a noticeable change from usual behavior

DSM-5 Criteria: Inflated

self-esteem or grandiosity

DSM-5 Criteria: Decreased need for

sleep (e.g., feels rested after only 3 hours of sleep)

DSM-5 Criteria: More talkative than usual or

pressure to keep talking

DSM-5 Criteria: Flight of ideas or

subjective experience that thoughts are racing

DSM-5 Criteria: Distractibility

(i.e., attention too easily drawn to unimportant or irrelevant external stimuli), as reported or observed

DSM-5 Criteria: Increase in goal-directed

activity (either socially, at work or school, or sexually)

DSM-5 Criteria: Excessive involvement in activities that

have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments)

DSM-5 Criteria: . The mood disturbance is sufficiently severe to cause marked impairment in

social or occupational functioning

DSM-5 Criteria: The episode is not attributable to the physiological effects of

a substance (e.g., a drug of abuse, a medication, other treatment)

A full manic episode that emerges during antidepressant treatment but persists at a level beyond the physiological effect of that treatment is sufficient evidence of a

manic episode and, therefore, a bipolar I diagnosis.

DSM-5 Criteria: The mood disturbance is sufficient enough to necessitate

hospitalization to prevent harm to self or others

DSM-5 Criteria: The mood disturbance has

psychotic features

DSM-5 Criteria: The episode is not attributable to another

general medical condition.

DSM-5 Criteria: Increase in psychomotor

agitation (e.g., purposeless non-goal-directed activity).