BIPOLAR DISORDER

Question 1

• A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy.
• 3 or more of the symptoms
• Lasting at least 1 week

Answer 1

Manic Episode

Question 2

(ranging from uncritical self-confidence to marked grandiosity,
and may reach delusional proportions. Despite lack of any particular experience or talent, the
individual may embark on complex tasks such as writing a novel.

Answer 2

Inflated self-esteem or grandiosity.

Manic Episode

Question 3

(Inability to censor immaterial external stimuli—the interviewer’s attire, background noises or conversations, furnishings in the room).

Answer 3

Distractibility

Manic Episode

Question 3

(Distinct from insomnia. The individual may sleep little, if at all, or may
awaken several hours earlier than usual, feeling rested and full of energy. When the sleep
disturbance is severe, the individual may go for days without sleep, yet not feel tired)

Answer 3

Decreased need for sleep

Manic Episode

Question 4

(Speech can be rapid, pressured, loud, and
difficult to interrupt. Individuals may talk continuously and without regard for others’ wishes to communicate, often in an intrusive manner or without concern for the relevance of what is said)

Answer 4

More talkative than usual or pressure to keep talking.
Manic Episode

Question 5

(Frequently there is flight of ideas evidenced by a nearly continuous flow of accelerated speech, with abrupt shifts from one topic to another. Speech may become disorganized, incoherent, and particularly distressing to
the individual.)

Answer 5

Flight of ideas or subjective experience that thoughts are racing.
Manic Episode

Question 6

(Excessive planning and participation in multiple activities— socially, at work or school, sexually, political, and religious) or psychomotor agitation (i.e.,
purposeless non-goal-directed activity–Some individuals write excessive letters, e-mails, text
messages, and so forth, on many different topics to friends, public figures, or the media).

Answer 6

Increase in goal-directed activity

Manic Episode

Question 7

(e.g., engaging in unrestrained buying sprees–may purchase many unneeded items without the money to pay for them, sexual indiscretions, or foolish business investments, giving away
possessions that are unusual for the individual).

Answer 7

Excessive involvement in activities that have a high potential for painful consequences

Manic Episode

Question 8

4 consecutive days

This episode is not severe enough to cause marked impairment in social or occupational
functioning or to necessitate hospitalization

Answer 8

HYPOMANIC EPISODE

Question 9

2nd symptom of Hypomanic Episode (e.g., feels rested after only 3 hours of sleep).

Answer 9

HYPOMANIC EPISODE

Decreased need for sleep

Question 10

1st symptom of Hypomanic Episode

Answer 10

HYPOMANIC EPISODE

Inflated self-esteem or grandiosity.

Question 11

3rd symptom of Hypomanic Episode

Answer 11

HYPOMANIC EPISODE

More talkative than usual or pressure to keep talking.

Question 12

4th symptom of Hypomanic Episode

Answer 12

HYPOMANIC EPISODE

Flight of ideas or subjective experience that thoughts are racing.

Question 13

5th symptom of Hypomanic Episode (i.e., attention too easily drawn to unimportant or irrelevant external stimuli), as
reported or observed.

Answer 13

HYPOMANIC EPISODE

Distractibility

Question 14

6th symptom of Hypomanic (either socially, at work or school, or sexually) or psychomotor agitation.

Answer 14

HYPOMANIC EPISODE

Episode Increase in goal-directed activity

Question 15

7th symptom of Hypomanic (e.g.,
engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments).

Answer 15

HYPOMANIC EPISODE

Excessive involvement in activities that have a high potential for painful consequences

Question 16

• Five (or more) of the symptoms have been present during the same 2- week
  period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure.

Answer 16

MAJOR DEPRESSIVE EPISODE

Question 16

SYMPTOMS OF MDE

__________ (e.g., a change of more than 5% of
body weight in a month), or decrease or increase in appetite nearly every day. (Note: In
children, consider failure to make expected weight gain.)

Answer 16

Significant weight loss when not dieting or weight gain

Question 16

SYMPTOMS OF MDE
__________ activities most of the day, nearly every day (as indicated by either subjective account or observation).

Answer 16

Markedly diminished interest or pleasure in all, or almost all,

Question 16

SYMPTOMS OF MDE

most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad, empty, or hopeless) or observation made by others (e.g., appears tearful).
(Note: In children and adolescents, can be irritable mood.)

Answer 16

Depressed mood

Question 16

SYMPTOMS OF MDE

_______ or ______ nearly every day.

Answer 16

Insomnia or hypersomnia

Question 17

SYMPTOMS OF MDE

_________ or retardation nearly every day (observable by others, not merely
subjective feelings of restlessness or being slowed down).

Answer 17

Psychomotor agitation

Question 18

SYMPTOMOF MDE
_______ or loss of energy nearly every day.

Answer 18

Fatigue

Question 18

SYMPTOMS OF MDE

________ or excessive or inappropriate guilt (which may be delusional)
nearly every day (not merely self-reproach or guilt about being sick).

Answer 18

Feelings of worthlessness

Question 19

SYMPTOMS OF MDE

_______ or concentrate, or indecisiveness, nearly every day (either by
subjective account or as observed by others).

Answer 19

Diminished ability to think

Question 20

SYMPTOMS OF MDE

(not just fear of dying), recurrent suicidal ideation without a
specific plan, or a suicide attempt or a specific plan for committing suicide.

Answer 20

Recurrent thoughts of death