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*D. The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment) or to another medical condition.
*D. The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment) or to another medical condition.
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<SMALL>''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 .''</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>








}}


==General diagnosis codes [[DSM-IV-TR]]==
==General diagnosis codes [[DSM-IV-TR]]==

Revision as of 22:39, 17 October 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

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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]

“
  • A. A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at

least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary).

AND

  • B. During the period of mood disturbance and increased energy or activity, three (or more) of the following symptoms (four if the mood is only irritable) are present to a significant degree and represent a noticeable change from usual behavior:
  • 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 (i.e., purposeless non-goal-directed activity).
  • 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).

AND

  • C. The mood disturbance is sufficiently severe to cause marked impairment in social oroccupational functioning or to necessitate hospitalization to prevent harm to self or others,or there are psychotic features.

AND

  • D. The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment) or to another medical condition.
 ”


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 .



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

Resources

International Society for Bipolar Disorders

References

Template:WikiDoc Sources

  1. ↑ Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
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