Diagnostic Criteria

Question 1

Manic Episode

Answer 1

3 (or more) of the following (4 if the mood is irritable)

• Inflated self-esteem or grandiosity
• Decreased need for sleep
• More talkative; pressure to keep talking
• Flight of ideas; thoughts are racing
• Distractibility
• Increase in goal-directed activity; agitation
• Activities with potential for painful consequences

Question 2

Dysthymia

Answer 2

Continuing over a 2-year period (1 year in children) with

no discrete episodes of illness.

Question 3

Major Depressive Episode

Answer 3

5 (or more) of following symptoms have been present during same 2-wk period and represent change from previous functioning:

• Depressed mood most of day, nearly every day, as indicated by either subjective report or observation made by others
• Markedly diminished interest or pleasure in all, or almost all, activities most of day, nearly every day.
• Significant weight loss when not dieting or weight gain (more than 5% of body weight in month), or decrease or increase in appetite nearly every day.
• Insomnia or hypersomnia nearly every day.
• Psychomotor agitation or retardation nearly every day.
• Fatigue or loss of energy nearly every day.
• Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick).
• Diminished ability to think or concentrate, or indecisiveness, nearly every day.
• Recurrent thoughts of death, recurrent SI w/o specific plan, or SA or specific plan for committing suicide.

At least 1 of the symptoms is either Depressed mood or Loss of interest or pleasure

• Symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
• Episode is not attributable to physiological effects of substance or medical condition.

Question 4

Hypomanic Disorder

Answer 4

Lasting at least 4 consecutive days

• Present most of the day, nearly every day
• No marked impairment in social or occupational functioning
• Hospitalization is not necessary
• No psychotic symptoms

Question 5

Cyclothymia

Answer 5

Hypomania and dysthymia occurring over a 2-year period (1 year in children) with no discrete episodes of illness.

Question 6

Bipolar Disorder

Answer 6

Episodes of both mania (continuing for at least 1 week) and depression (bipolar I disorder) or

Both hypomania (continuing for at least 4 days) and depression
(bipolar II disorder).

Question 7

Adjustment Disorder

Answer 7

Identifiable stressor, does not need to be traumatic

Question 8

Acute Stress Disorder

Answer 8

Similar to PTSD but lasts 3days - 1 month