A. A distinct period during which there is an abnormally elevated or irritable mood of at least one week in duration (less if hospitalization required).
B. The
mood disturbance must be accompanied by at least three additional symptoms
(four required if mood is irritable) including:
1) inflated
self-esteem or grandiosity
2) decreased
need for sleep
3) pressure
of speech,
4) flight
of ideas
5) distractibility
6) increased
involvement in goal-directed activities or psychomotor agitation
7) excessive
involvement in pleasurable activities with a high potential for painful
consequences.
A. A distinct period of persistently elevated, expansive, or irritable mood, lasting throughout at least 4 days, that is clearly different from the usual nondepressed mood.
B. During
the period of mood disturbance, three (or more) of the following symptoms
have persisted (four if
the mood is only irritable) and have been present to significant degree:
1) inflated
self-esteem or grandiosity
2) decreased
need for sleep (feels rested after only three hours of sleep)
3) more
talkative than usual or pressure to keep talking
4) flight
of ideas or subjective experience that thoughts are racing
5) distractibility
(i.e., attention too easily drawn to unimportant or irrelevant external
stimuli)
6) increase
in goal-directed activity (either socially, at work or school, or sexually)
or psychomotor agitation
7) excessive
involvement in pleasurable activities that have high potential for painful
consequences (e.g.,
engaging in unrestrained buying sprees, sexual indiscretions, or foolish
business investments)
C. The episode is associated with an unequivocal change in functioning that is uncharacteristic of the person when not symptomatic.
D. The disturbance in mood and the change in functioning are observable by others.
E. The
episode is not severe enough to cause marked impairment in social or occupational
functioning, or to necessitate hospitalization, and there are no psychotic
features.
A. The criteria are met for both 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.