Diagnostic Statistical Manual, Fifth Edition (DSM v, 2013)
BIPOLAR II DISORDER
Categorized by Hypomanic Episode &
Major Depressive Disorder Hypomanic Episodes are characterized by the following:
(A) a distinct period of abnormally and persistently increased activity or energy, lasting at least 4 consecutive days and present most of the day, nearly every day;
(B) during the period of mood disturbance and increased energy and activity, three (or more)of the following symptoms have persisted (four if the mood is only irritable), represent a noticeable change from usual behavior, and have been present to a significant degree:
(1) inflated self-esteem or grandiosity;
(2) decreased need for sleep;
(3) more talkative than usual or pressure to keep talking;
(4) flight of ideas or subjective experience that thoughts are racing;
(5) distractibility as reported or observed;
(6) increase in goal-directed activity or psychomotor agitation;
(7) excessive involvement in activities that have a high potential for painful consequences;
(C) the episode is associated with an equivocal change in functioning that is uncharacteristic of the individual when not symptomatic;
(D) the disturbance in mood and the change in functioning are observable by others;
(E) the episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization. If there are psychotic features, the episode is, by definition, manic;
(F) the episode is not attributable to the physiological effects of a substance.
Major Depressive Disorder Hypomanic Episodes are characterized by the following:
(A) a distinct period of abnormally and persistently increased activity or energy, lasting at least 4 consecutive days and present most of the day, nearly every day;
(B) during the period of mood disturbance and increased energy and activity, three (or more)of the following symptoms have persisted (four if the mood is only irritable), represent a noticeable change from usual behavior, and have been present to a significant degree:
(1) inflated self-esteem or grandiosity;
(2) decreased need for sleep;
(3) more talkative than usual or pressure to keep talking;
(4) flight of ideas or subjective experience that thoughts are racing;
(5) distractibility as reported or observed;
(6) increase in goal-directed activity or psychomotor agitation;
(7) excessive involvement in activities that have a high potential for painful consequences;
(C) the episode is associated with an equivocal change in functioning that is uncharacteristic of the individual when not symptomatic;
(D) the disturbance in mood and the change in functioning are observable by others;
(E) the episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization. If there are psychotic features, the episode is, by definition, manic;
(F) the episode is not attributable to the physiological effects of a substance.