A. abnormally and persistently

elevated,

expansive,

or

irritable mood,

lasting at least

1 week

(or any duration if hospitalized)

Manic episode

3 (or more)

of the following

(4 if the mood is only irritable)

(1) grandiosity

(2) decreased need for sleep

(3) more talkative /pressured

(4) flight of ideas/ racing thoughts

(5) distractibility

(6) increase goal-directed activity

or psychomotor agitation

(7) excessive involvement in pleasurable activities

that

have a high potential for painful consequences

(buying sprees, sexual indiscretions, or business investments)

severe enough

to cause impairment in social, occupational, other functioning

or to necessitate hospitalization

to prevent harm to self or others,

or there are psychotic features

not due to the substance or general medical condition

(e.g., hyperthyroidism).

Note: Manic episodes that are caused by

somatic antidepressant treatment

(e.g., medication, electroconvulsive therapy, light therapy)

should not count toward a diagnosis of Bipolar I Disorder.

Mild

Moderate

Severe Without Psychotic Features

Severe With Psychotic Features

Mood-Congruent Psychotic Features: 

(themes of inflated worth, power, etc)

or

Mood-Incongruent Psychotic Features:

(persecutory delusions, thought insertion, and delusions of being controlled)

.x5-- In Partial Remission:

Manic symtpims but full criteria are not met,

or remission lasting less than 2 months

.x6--In Full Remission:

For 2 months no significant symptoms

.x0--Unspecified.