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Note: A full manic episode that emerges during antidepressant treatment (e.g., medication, electroconvulsive therapy) but persists at fully syndromal level beyond the physiological effect of that treatment is sufficient evidence for a manic episode and therefore a bipolar I diagnosis.
During a manic episode, a person’s feelings and mood can change rapidly, often influenced by their environment. While mania is usually seen as the opposite of depression, the person’s mood can be euphoric (extremely happy) or dysphoric (unpleasant and irritable).
NOTE: A full manic episode that emerges during antidepressant treatment (eg, medication, electroconvulsive therapy) but persists at a fully syndromal level beyond the physiological effect of that treatment is sufficient evidence for a manic episode and, therefore, a bipolar I diagnosis.
Episode not severe enough to cause marked impairment in social/occupational functioning or to necessitate hospitalization (if psychotic features present, the episode is manic)
For a diagnosis of bipolar I disorder, it is necessary to meet the following criteria for a manic episode. The manic episode may have been preceded by and may be followed by hypomanic or...
Their criteria for a manic episode are: You have an abnormal, long-lasting elevated expression of emotion along with a high degree of energy and activity that lasts for at least one week and is present most of the day, nearly every day.
The assessment, diagnosis, and treatment of bipolar disorder in adults are discussed separately, as are the clinical features and diagnosis of bipolar disorder in children and adolescents, geriatric patients, and patients with rapid cycling (ie, four or more mood episodes in a 12-month period):
A. Criteria, except for duration, are currently (or most recently) met for a manic, a hypomanic, a mixed, or a major depressive episode. B. There has previously been at least one manic episode or mixed episode.
During a manic episode, a person has a sustained and abnormally elevated, expansive, or irritable mood for at least one week, and at least three of the following symptoms: Grandiosity or an inflated sense of self1 Little need for sleep. Feeling pressured to speak, talking loudly and rapidly.
A manic episode is a period of extremely energetic, happy, or irritable moods that last for at least a week. Manic episodes are usually a sign of bipolar I disorder.