{"id":2437,"date":"2011-01-12T12:43:12","date_gmt":"2011-01-12T12:43:12","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/psybd\/"},"modified":"2025-05-14T19:08:26","modified_gmt":"2025-05-14T19:08:26","slug":"psybd","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/psybd\/","title":{"rendered":"Key Diagnostic Criteria Distinguishing Manic Episode from Hypomanic Episode"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Bipolar disorder, a medical illness with substantial morbidity and mortality, is\u00a0characterized by episodic recurrent mania or hypomania and major depression.\u00a0The hallmark of bipolar disorder is at least one episode of mania (bipolar I disorder)\u00a0or hypomania (bipolar II disorder).<br \/>\n<!--more--><br \/>\n<strong>Key Diagnostic Criteria Distinguishing Bipolar I Disorder from Bipolar II Disorder.*<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td><strong>Manic Episode (Bipolar I Disorder)<\/strong><\/td>\n<td><strong> Hypomanic Episode (Bipolar II Disorder)<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Distinct period during which there is an abnormally and persistently\u00a0elevated, expansive, or irritable mood lasting at\u00a0least 1 wk (or less if hospitalization is required)<\/td>\n<td>Distinct period during which there is an abnormally and persistently\u00a0elevated, expansive, or irritable mood lasting at least 4 days<\/td>\n<\/tr>\n<tr>\n<td>Must be accompanied by at least three of the following symptoms\u00a0(four if mood is only irritable): inflated self-esteem\u00a0or grandiosity, decreased need for sleep, pressured\u00a0speech, racing thoughts, distractibility, increased involvement\u00a0in goal-directed activity or psychomotor agitation,\u00a0excessive involvement in pleasurable activities with a high\u00a0potential for painful consequences<\/td>\n<td>Must be accompanied by at least three of the following symptoms\u00a0(four if mood is only irritable): inflated self-esteem or grandiosity,\u00a0decreased need for sleep, pressured speech, racing thoughts, distractibility,\u00a0increased involvement in goal-directed activity or psychomotor agitation, excessive involvement in pleasurable activities with a high potential for painful consequences<\/td>\n<\/tr>\n<tr>\n<td>Symptoms do not meet criteria for a mixed episode<\/td>\n<td>Hypomanic episodes must be clearly different from the person\u2019s usual\u00a0nondepressed mood, and there must be a clear change in functioning\u00a0that is not characteristic of the person\u2019s usual functioning<\/td>\n<\/tr>\n<tr>\n<td>Disturbance must be sufficiently severe to cause marked impairment\u00a0in social or occupational functioning or to require\u00a0hospitalization, or it is characterized by the presence\u00a0of psychotic features<\/td>\n<td>Changes in mood and functioning must be observable by others. In\u00a0contrast to a manic episode, a hypomanic episode is not severe\u00a0enough to cause marked impairment in social or occupational\u00a0functioning or to require hospitalization, and there are no psychotic\u00a0features<\/td>\n<\/tr>\n<tr>\n<td>Symptoms not due to direct physiological effect of medication,\u00a0general medical condition, or substance abuse<\/td>\n<td>Symptoms not due to direct physiological effect of medication, general\u00a0medical condition, or substance abuse<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>* Criteria are from the American Psychiatric Association.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Diagnostic and statistical manual of mental disorders, 4th ed. rev.: DSM-IV-R. Washington, DC: American Psychiatric Association, 2000.<\/li>\n<li>Frye MA. Clinical practice. Bipolar disorder&#8211;a focus on depression. N Engl J Med. 2011 Jan 6;364(1):51-9. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21208108\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: Jan 12, 2011.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[76],"tags":[16,15,14,13,1256,1255,1254,1253,1252,1251,1250,1257],"class_list":["post-2437","post","type-post","status-publish","format-standard","hentry","category-psychiatry","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-distinguishing","tag-episode","tag-episodio","tag-hipomaniaco","tag-hypomanic","tag-key","tag-maniaco","tag-manic"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2437","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2437"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2437\/revisions"}],"predecessor-version":[{"id":9341,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2437\/revisions\/9341"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2437"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2437"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2437"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}