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, Most Recent Episode Unspecified
- Criteria, except for duration, are currently (or most recently) met for a Manic (see Criteria for Manic Episode), a Hypomanic (see Criteria for Hypomanic Episode), or a Major Depressive Episode (see Criteria for Major Depressive Episode).
- There has previously been at least one Manic Episode (see Criteria for Manic Episode).
- The mood symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
- The mood symptoms in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
The mood symptoms in Criteria A and B are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, or other treatment) or a general medical condition (e.g., hyperthyroidism).
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, Most Recent Episode Unspecified
A. Criteria, except for duration, are currently (or most recently) met for a Manic, a Hypomanic, a Mixed or a Major Depressive Episode.
B. There has previously been at least one Manic Episode or Mixed Episode.
C. The mood symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D. The mood symptoms in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
E. The mood symptoms in Criteria A and B are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, or other treatment) or a general medical condition (e.g., hyperthyroidism).
Specify:
Longitudinal Course Specifiers (With and Without Interepisode Recovery)
With Seasonal Pattern (applies only to the pattern of Major Depressive Episodes)
With Rapid Cycling