A. Very rapid alteration (over days) between manic symptoms and depressive symptoms that meet symptom threshold criteria but not minimal duration criteria for Manic, Hypomanic, or Major Depressive Episodes.
B. Recurrent Hypomanic Episodes without intercurrent depressive symptoms
C. A Manic or Mixed Episode superimposed on Delusional Disorder, residual Schizophrenia, or Psychotic Disorder Not Otherwise Specified.
D.Hypomanic Episodes, along with chronic depressive symptoms, that are too infrequent to qualify for a diagnosis of Cyclothymic Disorder.
E. Situations in which the clinician has concluded that a Bipolar Disorder is present but in unable to determine whether it is primary, due to general medical condition, or substance induced
Bipolar I Disorder – Most Recent Episode Unspecified
Draft Criteria for Bipolar I Disorder
Retain structure, with changes limited to the definitions of mood episodes that define each
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).