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Bipolar Disorder:
Manic Episode
 The
manic episodes of bipolar disorders are defined by limited periods of
abnormally elevated, expansive, or irritable mood accompanied by a
marked impairment in judgment, as well as causing difficulty in social
and occupational functioning. These bipolar-manic episodes are
frequently accompanied by unrealistic grandiose ideas, excess energy,
and increases in goal-directed activity that frequently have a high
potential for damaging consequences. The DSM-IV TR diagnostic criteria
for bipolar disorder-manic episodes follow below:
Bipolar disorder: Manic episode
-
A distinct
period of abnormally and persistently elevated, expansive, or
irritable mood, lasting at least one week (or any duration if
hospitalization is necessary).
-
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 a significant degree:
-
inflated
self-esteem or grandiosity
-
decreased need
for sleep (e.g. feels rested after only three hours of sleep)
-
more talkative
than usual or pressure to keep talking
-
flight of
ideas or subjective experience that thoughts are racing
-
distractability (i.e. attention too easily drawn to unimportant or
irrelevant external stimuli
-
increase in
goal-directed activity (either socially, at work or school, or
sexually) or psychomotor agitation
-
excessive
involvement in pleasurable activities that have a high potential
for painful consequences (e.g., engaging in unrestrained buying
sprees, sexual indiscretions or foolish business investments)
-
The symptoms do
not meet criteria for a mixed episode.
-
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.
-
The symptoms are
not due to the direct physiological effects of a substance (e.g. a
drug of abuse, a medication, or other treatment) or general medical
condition (e.g., hypothyroidism).
Note:
Manic-like episodes that are clearly caused by somatic antidepressant
treatment (e.g., medication, electroconvulsive therapy, light therapy)
should not count toward a diagnosis manic-depressive I disorder
From DSM-IV-TR Mental
Disorders: Diagnosis, Etiology and Treatment by Michael B. First and
Allan Tasman
Additional information and
webpage by
Paul Susic MA Licensed Psychologist Ph.D Candidate
(Health Psychology)
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