Tuesday, March 6, 2007

Some insight on Bipolar Mood Disorder

Here is the BASIC criteria that is used for Bipolar d/o:

These criteria are based on the specifications of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR).

Manic episodes are characterized by the following symptoms:
At least 1 week of profound mood disturbance is present, characterized by elation, irritability, or expansiveness.
Three or more of the following symptoms are present:
Grandiosity
Diminished need for sleep
Excessive talking or pressured speech
Racing thoughts or flight of ideas
Clear evidence of distractibility
Increased level of goal-focused activity at home, at work, or sexually
Excessive pleasurable activities, often with painful consequences
The mood disturbance is sufficient to cause impairment at work or danger to the patient or others.
The mood is not the result of substance abuse or a medical condition.


Hypomanic episodes are characterized by the following:
The patient has an elevated, expansive, or irritable mood of at least 4 days' duration.
Three or more of the following symptoms are present:
Grandiosity or inflated self-esteem
Diminished need for sleep
Pressured speech
Racing thoughts or flight of ideas
Clear evidence of distractibility
Psychomotor agitation at home, at work, or sexually
Engaging in activities with a high potential for painful consequences
The mood disturbance is observable to others.
The mood is not the result of substance abuse or a medical condition.


Major depressive episodes are characterized by the following:
For the same 2 weeks, the person experiences 5 or more of the following symptoms, with at least 1 of them being either a depressed mood or characterized by a loss of pleasure or interest:
Depressed mood
Markedly diminished pleasure or interest in nearly all activities
Significant weight loss or gain or significant loss or increase in appetite
Hypersomnia or insomnia
Psychomotor retardation or agitation
Loss of energy or fatigue
Decreased concentration ability or marked indecisiveness
Preoccupation with death or suicide; patient has either a plan or has attempted suicide
The symptoms cause significant impairment and distress.
The mood is not the result of substance abuse or a medical condition.


Mixed episodes are characterized by the following:
Persons must meet both the criteria for mania and major depression; the depressive event is required to be present for 1 week only.
The mood disturbance results in marked disruption in social or vocation function.
The mood is not the result of substance abuse or a medical condition.

1 comment:

Anonymous said...

Well that certainly describes our boy. I can't understand how he's coping w/o meds.
Thanks for the info.
xo