Bipolar I disorder diagnostic criteria: Difference between revisions
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<SMALL>''Note:Criteria A-D constitute a manic episode. At least one lifetime manic episode is required for the diagnosis of bipolar I disorder .''</SMALL> | <SMALL>''Note:Criteria A-D constitute a manic episode. At least one lifetime manic episode is required for the diagnosis of bipolar I disorder .''</SMALL> | ||
===DSM-V Diagnostic Criteria for Hypomanic 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 activity or energy, lasting at least 4 consecutive days and present most of the day, nearly every day. | |||
'''''AND''''' | |||
*B. During the period of mood disturbance and increased energy and activity, three (or more) of the following symptoms (four if the mood is only irritable) have persisted, represent a noticeable change from usual behavior, and have been present to a significant degree: | |||
:*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. | |||
:*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). | |||
:*C. The episode is associated with an unequivocal change in functioning that is uncharacteristic of the individual 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. If there are psychotic features, the | |||
episode is, by definition, manic. | |||
:*F. The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment). | |||
}} | |||
<SMALL>''Note:A full hypomanie episode that emerges during antidepressant treatment (e.g.,medication, electroconvulsive therapy) but persists at a fully syndromal level beyond | |||
the physiological effect of that treatment is sufficient evidence for a hypomanie episodediagnosis. However, caution is indicated so that one or two symptoms (particularly increased irritability, edginess, or agitation following antidepressant use) are not taken as sufficient for diagnosis of a hypomanie episode, nor necessarily indicative of a bipolar diathesis. .''</SMALL> | |||
<SMALL>''Note:Criteria A-'F constitute a hypomanie episode. Hypomanie episodes are common in bipolar I disorder but are not required for the diagnosis of bipolar I disorder. | |||
.''</SMALL> | |||
Revision as of 18:34, 18 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
|
” |
Note:A full manic episode that emerges during antidepressant treatment (e.g., 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 .
Note:Criteria A-D constitute a manic episode. At least one lifetime manic episode is required for the diagnosis of bipolar I disorder .
DSM-V Diagnostic Criteria for Hypomanic Episode[1]
| “ |
AND
episode is, by definition, manic.
|
” |
Note:A full hypomanie episode that emerges during antidepressant treatment (e.g.,medication, electroconvulsive therapy) but persists at a fully syndromal level beyond the physiological effect of that treatment is sufficient evidence for a hypomanie episodediagnosis. However, caution is indicated so that one or two symptoms (particularly increased irritability, edginess, or agitation following antidepressant use) are not taken as sufficient for diagnosis of a hypomanie episode, nor necessarily indicative of a bipolar diathesis. .
Note:Criteria A-'F constitute a hypomanie episode. Hypomanie episodes are common in bipolar I disorder but are not required for the diagnosis of bipolar I disorder.
.
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
- ↑ 1.0 1.1 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.