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Bipolar I disorder is defined by the DSM as having one or more manic episode or mixed episodes. A manic episode is a period of one week with abnormally and persistently elevated, expansive, or irratible mood.

and may also have the following symptoms (at least 3 or more) are persistent:

  • inflated self-esteem or grandiosity
  • decreased need for sleep
  • more talkative than usual or pressure to keep talking
  • flight of ideas or racing thoughts
  • distractability
  • increase in goal-directed activity
  • excessive involvement in pleasurable activities that have high potential for painful consequences

A mixed episode is a period of one week or more where a person has symptoms of both a major depressive episode and a manic episode nearly every day.

To meet clinical standards these symptoms also must cause significant distress or impairment in social, occupational, or other important areas of functioning.

The condition is also not caused or explained by the following:

This diagnosis may also include any of the following:


Mood disorders as diagnosed by the DSM edit
Mood episodes: Major depressive episode Manic episode Mixed episode Hypomanic episode

Depressive disorders: Major depressive disorder Dysthymic disorder Depressive disorder NOS (PMDD)

Bipolar disorders: Bipolar I disorder Bipolar II disorder Cyclothymic disorder Bipolar disorder NOS

Other mood disorders: Mood disorder due to a general medical condition Substance-induced mood disorder Mood disorder NOS

Episode specifiers: Severity Psychotic Remission Chronic Catatonic Melancholic Atypical Postpartum

Course specifiers: Longitudinal Seasonal (SAD) Rapid cycling

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