D3. Bipolar Disorders

Manic Episode

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy

Lasts at least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary)

Hypomanic Episode

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 4 consecutive days and present most of the day, nearly every day.

The individual can be seen as productive.

Bipolar I Disorder

Bipolar mood disorder with at least one manic episode and optionally, depressive episodes

Mild

Moderate

Severe

With psychotic features

In partial remission

In full remission

Unspecified

Specifiers of Bipolar I Disorder

No. They are common but not required for diagnosis

Are depressive episodes required for Bipolar I?

Bipolar II Disorder

Bipolar mood disorder with at least one major depressive episode and at least one hypomanic episode

Current or most recent episode: Hypomanic or Depressed

With anxious features

With mixed features

Specifiers of Bipolar II Disorder

No. There must be no experience of manic episodes

Are manic episodes required for Bipolar II?

Cyclothymic Disorder

A milder form of bipolar disorder involving numerous periods of hypomanic symptoms and numerous periods of depressive symptoms that do not meet the criteria for a major depressive episode or a manic episode

With Anxious Distress

Specifiers of Cyclothymic Disorder

Mood swings persist for at least 2 years in adults (1 year in children and adolescents)

How long should symptoms of Cyclothymic Disorder last?