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Bipolar I Disorder - Single Manic Episode

Updated May 21, 2010

Draft Criteria for Bipolar I Disorder

Retain structure, with changes limited to the definitions of mood episodes that define each.

 

Diagnostic criteria for Bipolar I Disorder, Single Manic Episode

A.   Presence of only one Manic Episode (see Criteria for Manic Episode) and no past Major Depressive Episodes. Note: Recurrence is defined as either a change in polarity from depression or an interval of at least 2 months without manic symptoms.

B.   The Manic Episode is not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

 

Specifiers and/or current features have not yet been reviewed by the Workgroup for bipolar disorder. It is anticipated that specifiers and/or features that apply across the mood disorders will be consistent across major depression and bipolar disorder. The bipolar specific rapid cycling specifier is under review to consider whether to keep as is, eliminate, or modify.

 

The Work Group is proposing several options for severity:

-PHQ-9 (see also PHQ-9 scoring)

-CGI (see background information on CGI-BP)

Severity of Illness Rating (applied to previous week)

 Considering your total clinical experience with this particular population, how mentally ill

is the patient at this time?

0 = Not Assessed

1 = Normal, not at all ill

2 = Borderline mentally ill

3 = Mildly ill

4 = Moderately ill

5 = Markedly ill

6 = Severely ill

7 = Among the most extremely ill patients

Bipolar I Disorder

There are six separate criteria sets for Bipolar I Disorder: Single Manic Episode, Most Recent Episode Hypomanic, Most Recent Episode Manic, Most Recent Episode Mixed, Most Recent Episode Depressed, and Most Recent Episode Unspecified.

Bipolar I Disorder, Single Manic Episode, is used to describe individuals who are having a first episode of mania. The remaining criteria sets are used to specify the nature of the current (or most recent) episode in individuals who have had recurrent mood episodes. 

 

Bipolar I Disorder, Single Manic Episode

A. Presence of only one Manic Episode and no past Major Depressive Episodes.

Note: Recurrence is defined as either a change in polarity from depression or an interval of at least 2 months without manic symptoms.

B. The Manic Episode is not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Specify if:

Mixed: if symptoms meet criteria for a Mixed Episode If the full criteria are currently met for a Manic, Mixed, or Major Depressive Episode, specify its current clinical status and/or features:

Mild, Moderate, Severe Without Psychotic Features/Severe With Psychotic Features

With Catatonic Features

With Postpartum Onset

If the full criteria are not currently met for a Manic, Mixed, or Major Depressive Episode, specify the current clinical status of the Bipolar I Disorder or features of the most recent episode:

In Partial Remission, In Full Remission

With Catatonic Features

With Postpartum Onset

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  American Psychiatric Association