Term
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Definition
| Distinct period of abnormally and persistently elevated, expansive or irritable mood and increased energy, every day for at least a week (or less if hospitalized), characterized by 3 (or 4 if the mood is only irritable) of the following: Inflated self-esteem or grandiosity, Decreased need for sleep, Excessively talkative, Flight of ideas, Distractibility, Increase in goal-directed activity, Excessive involvement in risky behaviors, Marked impairment in functioning or psychotic symptoms, All that is required is 1 manic episode (not substance or medical illness induced) to be diagnosed with Bipolar I Disorder |
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Term
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Definition
The criteria for a hypomanic episode are the same as those for a manic episode EXCEPT:
Minimum length is 4 days
Impairment in functioning is NOT severe enough to cause marked impairment in functioning or necessitate hospitalization
The are no psychotic symptoms |
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Term
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Definition
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
- depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful).
- 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 made by others)
- significant weight loss when not dieting or weight gain (change of more than 5% of body weight in a month), or dec. or inc. in appetite nearly every day.
- insomnia or hypersomnia nearly every day
- psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down)
- fatigue or loss of energy nearly every day
- feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick)
- diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others)
- 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
C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D.The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hypothyroidism). |
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Term
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Definition
At least 1 manic episode
Usually alternates with major depressive episodes, but this is not required for diagnosis
Specify type of most recent episode
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Term
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Definition
- Current or past hypomanic episode AND current or past major depressive episode
- Never met criteria for manic episodeIf this occurs at some point, diagnosis changes to Bipolar I Disorder
- Specify type of most recent episode
- Same specifiers as for Bipolar I except melancholic or atypical features
Specify if
Mild – 2 symptoms
Moderate – 3 symptoms
Moderate-severe – 4 or 5 symptoms
Severe – 4 or 5 symptoms and motor agitation
With psychotic features
In partial remission
In full remission
Unspecified
Specify if with:
Anxious distress, Mixed features
Rapid cycling, Melancholic features
Atypical features, Mood-congruent psychotic features
Mood-incongruent psychotic features
Catatonia, Peripartum onset, Seasonal pattern |
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Term
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Definition
For 2 years there have been numerous periods of hypomanic symptoms that do not meet the criteria for hypomanic episode and depressive symptoms that do not meet the criteria for major depressive episode
During this time the symptoms have been present for at least half the time, and the person has not been without symptoms for longer than 2 months at any time
prof: "have never seen this diagnosis used…." |
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Term
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Definition
- Substance/medication induced
- Due to another medical condition
- Other specified – reason why the full criteria are not met is specified
- Unspecified – reason why full criteria are not met is not specified
- Specified/unspecified distinction is new in DSM-5
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Term
Major Depressive Disorder
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Definition
| At least 1 major depressive episode in the absence of any manic or hypomanic episodes. Single versus recurrent episode Same specifiers as discussed with Bipolar I Disorder More common in women Associated with suicidality Suicide attempts more common in women, but completed suicides more common in men |
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Term
| Persistent Depressive Disorder (Dysthymia) |
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Definition
- Depressed mood most of the day, more days than not, for 2 years.
- At least 2 of the following Poor appetite or over-eating Insomnia or hypersomnia Low energy or fatigue Poor concentration Hopelessness
- No more than 2 months without the symptoms during that 2 (or 1) year period
- Specifiers – with anxious, mixed, melancholic, atypical, mood-congruent psychosis, mood-incongruent psychosis, peripartum onset, partial remission, full remission, early onset (<21 years), late onset
- Further specifiers: Pure dysthymic – no major depressive episodes
- Persistent major depressive – full criteria for major depressive episode throughout
- Intermittent major depressive, with or without current episode
- full criteria for major depressive episode met, but periods of at least 8 weeks when full criteria are not met, But criteria for persistent depression still met
Differentiated from major depressive disorder, recurrent, but length of time and absence of symptom free periods
Higher risk for comorbid substance abuse, anxiety and personality disorders |
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Term
Other Depressive Disorders
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Definition
- Depressive episode etiologically related to use of a substance
- Must differentiate between effect of medication intoxication or withdrawal, or a pre-existing depressive disorder
- Depressive Disorder due to Another Medical Condition
- Must be differentiated from adjustment disorder in response to having the illness
- Other Specified or Unspecified Depressive Disorder
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