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


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Revision as of 22:46, 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 or occupational 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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