Bipolar I disorder diagnostic criteria: Difference between revisions
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'''Bipolar I disorder''' is a [[mood disorder]] that is characterized by at least one [[Manic episode|manic]] or [[Mixed episode|mixed]] episode. There may be episodes of [[hypomania]] or [[Major depressive episode|major depression]] as well. It is a sub-diagnosis of [[bipolar disorder]], and conforms to the classic concept of manic-depressive illness.{{Fact|date=November 2007}} | '''Bipolar I disorder''' is a [[mood disorder]] that is characterized by at least one [[Manic episode|manic]] or [[Mixed episode|mixed]] episode. There may be episodes of [[hypomania]] or [[Major depressive episode|major depression]] as well. It is a sub-diagnosis of [[bipolar disorder]], and conforms to the classic concept of manic-depressive illness.{{Fact|date=November 2007}} | ||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
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 [[major depressive episodes]]. | |||
===DSM-V Diagnostic Criteria for Manic Episode<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | |||
{{cquote| | |||
*A. A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at | |||
least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary). | |||
'''''AND''''' | |||
*B. During the period of mood disturbance and increased energy or activity, three (or more) of the following symptoms (four if the mood is only irritable) are present to a significant degree and represent a noticeable change from usual behavior: | |||
:*1. Inflated self-esteem or grandiosity. | |||
:*2. Decreased need for sleep (e.g., feels rested after only 3 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), as reported or observed. | |||
:*6. Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation (i.e., purposeless non-goal-directed activity). | |||
:*7. Excessive involvement in activities that have a high potential for painful consequences(e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments). | |||
'''''AND''''' | |||
*C. The mood disturbance is sufficiently severe to cause marked impairment in social oroccupational functioning or to necessitate hospitalization to prevent harm to self or others,or there are psychotic features. | |||
'''''AND''''' | |||
*D. The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment) or to another medical condition. | |||
}} | |||
==General diagnosis codes [[DSM-IV-TR]]== | ==General diagnosis codes [[DSM-IV-TR]]== | ||
Revision as of 22:31, 17 October 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]
Overview
Bipolar I disorder is a mood disorder that is characterized by at least one manic or mixed episode. There may be episodes of hypomania or major depression as well. It is a sub-diagnosis of bipolar disorder, and conforms to the classic concept of manic-depressive illness.[citation needed]
Diagnostic Criteria
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 major depressive episodes.
DSM-V Diagnostic Criteria for Manic Episode[1]
| “ |
least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary). AND
AND
AND
|
” |
General diagnosis codes DSM-IV-TR
| Dx Code # | Disorder | Description |
|---|---|---|
| 296.0x | Bipolar I disorder | Single manic episode |
| 296.40 | Bipolar I disorder | Most recent episode hypomanic |
| 296.4x | Bipolar I disorder | Most recent episode manic |
| 296.6x | Bipolar I disorder | Most recent episode mixed |
| 296.5x | Bipolar I disorder | Most recent episode depressed |
| 296.7 | Bipolar I disorder | Most recent episode unspecified |
See also
- Bipolar disorder
- Bipolar II
- Detailed listing of DSM-IV-TR bipolar disorder diagnostics codes
- Borderline personality disorder
- Bipolar spectrum
- Seasonal affective disorder
- Oppositional defiance disorder
- Emotional dysregulation
- Creativity and bipolar disorder
- Bipolar disorders research
Resources
International Society for Bipolar Disorders
References
- American Psychiatric Association
- BipolarSupportAlliance.org
- United Nations Principles of Medical Ethics
- ↑ Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.