Page 58 - e-book CPG - Bipolar Disorder

CLINICAL PRACTICE GUIDELINES MANAGEMENT OF BIPOLAR DISORDER (2ND ED.)

Appendix 3
Appendix 3
DIAGNOSTIC CRITERIA OF BIPOLAR DISORDER BASED ON

DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS FIFTH EDITION,
DIAGNOSTIC CRITERIA OF BIPOLAR DISORDER BASED ON
TEXT REVISION (DSM-5-TR) AND INTERNATIONAL CLASSIFICATION OF DISEASES
DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS FIFTH EDITION,
ELEVENTH REVISION (ICD-11)
TEXT REVISION (DSM-5-TR) AND INTERNATIONAL CLASSIFICATION OF DISEASES
ICD-11 ELEVENTH REVISION (ICD-11) DSM-5-TR
Hypomanic Episode Hypomanic Episode
DSM-5-TR
ICD-11
Hypomanic Episode Hypomanic Episode
A persistent mood state lasting for at least Abnormally and persistently elevated,

several days characterised by persistent expansive or irritable mood along AND
A persistent mood state lasting for at least Abnormally and persistently elevated,
elevation of mood or increased irritability as persistently increased energy or activity
several days characterised by persistent expansive or irritable mood along AND
well as increased activity or a subjective lasting at least four days accompanied by
elevation of mood or increased irritability as persistently increased energy or activity
experience of increased energy, three or four (if mood is only irritable):
well as increased activity or a subjective lasting at least four days accompanied by
accompanied of other characteristic  inflated self-esteem or grandiosity
by
energy, three or four (if mood is only irritable):
increased
experience
symptoms e.g.: by other characteristic  decreased need for sleep
accompanied
 inflated self-esteem or grandiosity
 increased talkativeness
symptoms e.g.:  increased talkativeness or pressure of
 decreased need for sleep
 rapid or racing thoughts  increased talkativeness or pressure of
speech
 increased talkativeness
 increased self-esteem  flight of ideas
 rapid or racing thoughts
speech
 decreased need for sleep  distractibility
 increased self-esteem
 flight of ideas
 distractibility  increased in goal-directed activity
 decreased need for sleep
 distractibility
 impulsive or reckless behaviour  excessive involvement in activities with
 distractibility
 increased in goal-directed activity
 impulsive or reckless behaviour  excessive involvement in activities with
negative consequences
Manic Episode Manic Episode

negative consequences

Manic Episode
Manic Episode
An extreme mood state lasting at least one week Abnormally and persistently elevated, expansive

unless shortened by a treatment intervention or irritable mood along AND persistently
An extreme mood state lasting at least one week Abnormally and persistently elevated, expansive
characterised by euphoria, irritability or increased energy or activity lasting at least one
unless shortened by a treatment intervention or irritable mood along AND persistently
expansiveness and by increased activity or a week accompanied by three or four (if mood is
by
or increased energy or activity lasting at least one
characterised
irritability
euphoria,
subjective experience of increased energy, only irritable):
expansiveness and by increased activity or a week accompanied by three or four (if mood is
accompanied by other characteristic symptoms  inflated self-esteem or grandiosity
subjective experience of increased energy, only irritable):
e.g.:  decreased need for sleep
accompanied by other characteristic symptoms  inflated self-esteem or grandiosity
 rapid or pressured speech
e.g.:  increased talkativeness or pressure of
 decreased need for sleep
 flight of ideas  increased talkativeness or pressure of
speech
 rapid or pressured speech
 increased self-esteem or grandiosity  flight of ideas
 flight of ideas
speech
 decreased need for sleep  distractibility
 increased self-esteem or grandiosity
 flight of ideas
 distractibility  increased in goal-directed activity or
 distractibility
 decreased need for sleep
 impulsive or reckless behaviour  increased in goal-directed activity or
excessive involvement in activities with
 distractibility
 rapid changes among different mood states negative consequences
 impulsive or reckless behaviour excessive involvement in activities with
(i.e. mood lability)
 rapid changes among different mood states negative consequences
At least one manic episode is not better explained by schizoaffective disorder and is not
(i.e. mood lability)
superimposed on schizophrenia or other psychotic disorders.
At least one manic episode is not better explained by schizoaffective disorder and is not
A manic/hypomanic episode during antidepressant treatment is accepted as evidence of BD.
superimposed on schizophrenia or other psychotic disorders.
The symptoms in hypomania represent a change from the individual’s typical mood, energy level and
A manic/hypomanic episode during antidepressant treatment is accepted as evidence of BD.
behaviour but are not severe enough to cause marked impairment in functioning.
The symptoms in hypomania represent a change from the individual’s typical mood, energy level and
There are similarities between mania and hypomania symptoms; however the diagnosis of manic
behaviour but are not severe enough to cause marked impairment in functioning.
episode necessitates that the disturbance is severe enough:
There are similarities between mania and hypomania symptoms; however the diagnosis of manic
 causing impairment in social or occupational functioning or
episode necessitates that the disturbance is severe enough:
 requiring hospitalisation or
 causing impairment in social or occupational functioning or
 with psychotic features
 requiring hospitalisation or
Depressive Episode Major Depressive Episode
 with psychotic features
Depressive Episode Major Depressive Episode
A period of depressed mood or diminished For at least two weeks, presenting with five or

interest in activities occurring most of the day, more of the following symptoms, of which, at
A period of depressed mood or diminished For at least two weeks, presenting with five or
nearly every day during a period lasting at least least one must be depressed mood or loss of
interest in activities occurring most of the day, more of the following symptoms, of which, at
two weeks accompanied by other symptoms e.g.:
nearly every day during a period lasting at least least one must be depressed mood or loss of
two weeks accompanied by other symptoms e.g.:
44
44
44