Severity/Psychotic/Remission Specifiers for Manic Episode

DSM-IV-TR criteria

  • NOTE: code in fifth digit. Mild, Moderate, Severe without Psychotic Features, and Severe with Psychotic Features can be applied only if the criteria are currently met for a Major Depressive Episode. In Partial Remission and In Full Remission can be applied to the most recent Major Depressive Episode in Major Depressive Disorder and to a Major Depressive Episode in Bipolar I or II Disorder only if it is the most recent type of mood episode.
  • .x1 — Mild: Minimum symptom criteria are met for a Manic Episode
  • .x2 — Moderate: Extreme increase in activity or impairment in judgment
  • .x3 — Severe Without Psychotic Features: Almost continual supervision required to prevent physical harm to self or others
  • .x4 — Severe With Psychotic Features: Delusions or hallucinations. If possible, specify whether the psychotic features are mood-congruent or mood-incongruent:
    • Mood-Congruent Psychotic Features: Delusions or hallucinations whose content is entirely consistent with the typical manic themes of inflated worth, power, knowledge, identity, or special relationship to a deity or famous person.
    • Mood-Incongruent Psychotic Features: Delusions or hallucinations whose content does not involve typical manic themes of inflated worth, power, knowledge, identity, or special relationship to a deity or famous person. Included are such symptoms as persecutory delusions (not directly related to grandiose ideas or themes), thought insertion, and delusions of being controlled.
  • .x5 — In Partial Remission: Symptoms of a Manic Episode are present but full criteria are not met, or there is a period without any significant symptoms of a Manic Episode lasting less than 2 months following the end of the Manic Episode.
  • .x6 — In Full Remission: During the past 2 months no significant signs or symptoms of the disturbance were present.
  • .x0 — Unspecified.

Associated features

Child vs. adult presentation

Gender and cultural differences in presentation

Epidemiology

Etiology

Empirically supported treatments