TO THE COSMOS BEYOND THE CIVILLIZED MIND

Contents

• Diagnostic Criteria For Bipolar I Disorders
  • Bipolar I Disorder, Single Manic Episode
  • Bipolar I Disorder, Most Recent Episode Hypomanic
  • Bipolar I Disorder, Most Recent Episode Manic
  • Bipolar I Disorder, Most Recent Episode Mixed
  • Bipolar I Disorder, Most Recent Episode Depressed
  • Bipolar I Disorder, Most Recent Episode Unspecified
• Differential Diagnosis

Diagnostic Criteria For Bipolar I Disorders

Bipolar I Disorder, Single Manic Episode

1. Presence of only one Manic Episode and no past Major Depressive Episodes.

   Note: Recurrence is defined as either a change in polarity from depression or an interval of at least 2 months without manic symptoms.
   

    

2. The Manic Episode is not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform  Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Bipolar I Disorder, Most Recent Episode Hypomanic

1. Currently (or most recently) in a Hypomanic Episode.
2. There has previously been at least one Manic Episode or Mixed Episode.
3. The mood symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
4. The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Bipolar I Disorder, Most Recent Episode Manic

1. Currently (or most recently) in a Manic Episode.
2. There has previously been at least one Major Depressive Episode, Manic Episode, or Mixed Episode.
3. The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Bipolar I Disorder, Most Recent Episode Mixed

1. Currently (or most recently) in a Mixed Episode.
2. There has previously been at least one Major Depressive Episode, Manic Episode, or Mixed Episode.
3. The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Bipolar I Disorder, Most Recent Episode Depressed

1. Currently (or most recently) in a Major Depressive Episode.
2. There has previously been at least one Manic Episode or Mixed Episode.
3. The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Bipolar I Disorder, Most Recent Episode Unspecified

1. Criteria, except for duration, are currently (or most recently) met for a Manic, a Hypomanic, a Mixed, or a Major Depressive Episode.
2. There has previously been at least one Manic Episode or Mixed Episode.
3. The mood symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
4. The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
5. The mood symptoms in Criteria A and B are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, or other treatment) or a general medical condition (e.g., hyperthyroidism).

Differential Diagnosis

Mood Disorder Due to a General Medical Condition; Substance-Induced Mood Disorder; Major Depressive Disorder; Dysthymic Disorder; Bipolar II Disorder; Cyclothymic Disorder; Psychotic Disorders (e.g., Schizoaffective Disorder, Schizophrenia, and Delusional Disorder).

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