Mania — DSM-4 Criteria

The criteria for Mania (≥1 week) or Hypomania (≥4 days) are:

1. Elevated, expansive, or irritable mood that impairs functioning, PLUS

2. At least 3 of the following (4 if mood was “irritable”):
  • Inflated self-esteem; grandiosity
  • Decreased need for sleep (<3 hrs / day)
  • Talkative; pressure to keep talking
  • Racing thoughts / flight of ideas
  • Distracted by unimportant / irrelevant stimuli
  • Increased goal-seeking (work/school/social/sexual)
  • Unrestrained sex / buying sprees / dumb investments

3. The disturbance either: a) markedly impairs work, usually activities, or relationships; b) requires hospitalization; OR c) has psychotic features.

4. Substances weren’t the cause.

See also our posting on Depression.

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