Diagnostic Criteria for Manic Episode

DSM-IV-TR Diagnostic Criteria for Manic Episode

A) Distinct period of abnormality and persistently elevated, expansive, or irritable mood, lasting of least 1 week
B) During period of mood disturbance, three or more of the following symptoms have persisted and present to a certain degree
i - inflated self-esteem or grandiosity
ii - decreased need for sleep (e.g. feels rested after only 3 hours of sleep)
iii - more talkative than usual or pressure to keep talking
iv - flight of ideas or subjective experience that thoughts are racing
v - distractibility
vi - increase in goal-directed activity or psychomotor agitation
vii - excessive involvement in pleasurable activities that have high potential for painful consequences
C) Symptoms do not meet criteria for mixed episode
D) 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 to others, or there are psychotic features
E) Symptoms are not due to the direct physiologic effects of a substance or a general medical condition