ABSTRACT
Repeated episodes of mania are classied as bipolar (sufferers resemble those who also have depressive episodes in their family history, premorbid personality, age of onset and prognosis). It includes the following:
1. Bipolar affective disorder with a. Current episode hypomanic b. Current episode manic without psychotic
symptoms c. Current episode manic with psychotic
symptoms 2. Bipolar affective disorder with a. Current episode having mild/moderate
depression b. Current episode having severe depression
without psychotic symptoms c. Current episode having severe depression
with psychotic symptoms 3. Bipolar affective disorder with a. Current episode mixed
296 Bipolar I disorder
1. Duration: at least 1 week 2. Number of episode: at least one manic episode 3. Manic episode: at least three or more of the fol-
lowing symptoms or four or more if only irritability is present
a. Inated self-esteem or grandiosity b. Decreased need for sleep
c. More talkative than usual or pressure of speech
d. Flight of ideas or racing thoughts e. Distractibility f. Increase in goal-directed activity or psycho-
motor agitation g. Excessive involvement in activities that
have a high potential for painful and negative consequences (e.g. overspending, sexual indiscretions, or foolhardy investments)
4. Functional impairment and exclusion of other causes
5. Speciers: current or most recent episode manic, hypomanic, depressed, mixed features, psychotic features, catatonic features, atypical features, melancholic features, rapid cycling, with suicide risk severity, with anxiety, with seasonal pattern, and with postpartum onset
296.89 Bipolar II disorder
1. Duration: at least 4 days. 2. Number of episode: one major depressive epi-
sode and at least one hypomanic episode. 3. Hypomanic episode has the same requirement
of the number of symptoms as manic episode. 4. The only difference is that patients should have
no impairment in functioning. 5. Speciers are the same as manic episode.
