Bipolar I disorder diagnostic criteria: Difference between revisions
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===DSM-V Diagnostic Criteria for Major Depressive Disorder<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>=== | |||
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*A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure. | |||
Note: Do not include symptoms that are clearly attributable to another medical condition. | |||
:*1. Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad, empty, or hopeless) or observation made by others (e.g., appers tearful). (Note: In children and adolescents, can be irritable mood.) | |||
:*2. Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation). | |||
:*3. Significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. (Note: In children, consider failure to make expected weight gain.) | |||
:*4. Insomnia or hypersomnia nearly every day. | |||
:*5. Psychomotor agitation or retardation nearly every day (observable by others; not merely subjective feelings of restlessness or being slowed down). | |||
:*6. Fatigue or loss of energy nearly every day. | |||
:* 7. Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick). | |||
:* 8. Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others). | |||
:*9. Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide. | |||
'''''AND''''' | |||
* B. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. | |||
'''''AND''''' | |||
*C. The episode is not attributable to the physiological effects of a substance or another medical condition. | |||
}} | |||
<SMALL>''Note:Criteria A-C constitute a major depressive episode. Major depressive episodes are common in bipolar I disorder but are not required for the diagnosis of bipolar I disorder.''</SMALL> | |||
<SMALL>''Note:Responses to a significant loss (e.g., bereavement, financial ruin, losses from a natural disaster, a serious medical illness or disability) may include the feelings of intense sadness, rumination about the loss, insomnia, poor appetite, and weight loss noted in Criterion A, which may resemble a depressive episode. Although such symptoms may be understandable or considered appropriate to the loss, the presence of a major depressive episode in addition to the normal response to a significant loss should also be carefully considered. This decision inevitably requires the exercise of clinical judgment based on the individual’s history and the cultural norms for the expression of distress in the context of loss .''</SMALL> | |||
<SMALL>''Note: Insert Note Here.''</SMALL> | |||
Revision as of 18:50, 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.
.
DSM-V Diagnostic Criteria for Major Depressive Disorder[1]
| “ |
Note: Do not include symptoms that are clearly attributable to another medical condition.
:*2. Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation). :*3. Significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. (Note: In children, consider failure to make expected weight gain.)
:*9. Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide. AND
AND
|
” |
Note:Criteria A-C constitute a major depressive episode. Major depressive episodes are common in bipolar I disorder but are not required for the diagnosis of bipolar I disorder.
Note:Responses to a significant loss (e.g., bereavement, financial ruin, losses from a natural disaster, a serious medical illness or disability) may include the feelings of intense sadness, rumination about the loss, insomnia, poor appetite, and weight loss noted in Criterion A, which may resemble a depressive episode. Although such symptoms may be understandable or considered appropriate to the loss, the presence of a major depressive episode in addition to the normal response to a significant loss should also be carefully considered. This decision inevitably requires the exercise of clinical judgment based on the individual’s history and the cultural norms for the expression of distress in the context of loss . Note: Insert Note Here.
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 1.2 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.