Page 60 - e-book CPG - Bipolar Disorder

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

ICD-11 DSM-5-TR
DSM-5-TR
6A62 Cyclothymia ICD-11 F34.0 Cyclothymic disorder
ICD-11
DSM-5-TR
6A62 Cyclothymia F34.0 Cyclothymic disorder
6A62 Cyclothymia F34.0 Cyclothymic disorder

A persistent instability of mood over a period of At least two years (for children, a full year) of both

A persistent instability of mood over a period of At least two years (for children, a full year) of both
at least two years, involving numerous periods of hypomanic and depressive symptoms without
A persistent instability of mood over a period of At least two years (for children, a full year) of both
at least two years, involving numerous periods of hypomanic and depressive symptoms without
hypomanic and depressive symptoms that are ever fulfilling the criteria for an episode of mania,
at least two years, involving numerous periods of hypomanic and depressive symptoms without
hypomanic and depressive symptoms that are ever fulfilling the criteria for an episode of mania,
present during more of the time than not, but not hypomania or major depressive disorder.
hypomanic and depressive symptoms that are ever fulfilling the criteria for an episode of mania,
sufficient to meet the full criteria for an episode. hypomania or major depressive disorder.
present during more of the time than not, but not
present during more of the time than not, but not hypomania or major depressive disorder.
sufficient to meet the full criteria for an episode.
Specify

sufficient to meet the full criteria for an episode. Specify
With anxious distress
With anxious distress
Specify
Mixed Episode Mixed features
Mixed Episode With anxious distress
Mixed features
Mixed Episode Mixed features

A mixed episode is characterised by the Manic or hypomanic episode, with mixed

A mixed episode is characterised by the Manic or hypomanic episode, with mixed
presence of several prominent manic and several features
A mixed episode is characterised by the Manic or hypomanic episode, with mixed
prominent depressive symptoms consistent with features
presence of several prominent manic and several
presence of several prominent manic and several features
prominent depressive symptoms consistent with
those observed in manic episodes and Full criteria are met for a manic or hypomanic
those observed in manic episodes and
prominent depressive symptoms consistent with Full criteria are met for a manic or hypomanic
depressive episodes, which either occur episode, and at least three depressive symptoms
those observed in manic episodes and Full criteria are met for a manic or hypomanic
depressive episodes, which either occur episode, and at least three depressive symptoms
simultaneously or alternate very rapidly.
are present.
depressive episodes, which either occur episode, and at least three depressive symptoms
simultaneously or alternate very rapidly.
are present.
simultaneously or alternate very rapidly. are present.

Depressive episode, with mixed features
Depressive episode, with mixed features

Depressive episode, with mixed features

Full criteria are met for a depressive episode, and
Full criteria are met for a depressive episode, and
at least three manic/hypomanic symptoms are
Full criteria are met for a depressive episode, and
at least
present. three manic/hypomanic symptoms are
present.
Rapid cycling
Rapid cycling at least three manic/hypomanic symptoms are
Rapid cycling
Rapid cycling present.
Rapid cycling Rapid cycling

High frequency of mood episodes (at least four) At least four mood episodes in the previous 12

High frequency of mood episodes (at least four) At least four mood episodes in the previous 12
over the past 12 months months that met the criteria for manic, hypomanic
High frequency of mood episodes (at least four) At least four mood episodes in the previous 12
months that met the criteria for manic, hypomanic
over the past 12 months
or major depressive episodes.
over the past 12 months
months that met the criteria for manic, hypomanic

or major depressive episodes.
An interval of at least two months free of symptoms is required to distinguish between

or major depressive episodes.
An interval of at least two months free of symptoms is required to distinguish between
episodes.
An interval of at least two months free of symptoms is required to distinguish between
episodes.

episodes.

Source:
Source:
1. ICD-11 International Classification of Diseases 11th Revision. The global standard for diagnostic
Source: International Classification of Diseases 11th Revision. The global standard for diagnostic
1. ICD-11
health information (Available at: https://icd.who.int/).
1. ICD-11 International Classification of Diseases 11th Revision. The global standard for diagnostic
health information (Available at: https://icd.who.int/).
2. American Psychiatric Association. Bipolar and Related Disorders. In Diagnostic and Statistical
health information (Available at: https://icd.who.int/).
2. American Psychiatric Association. Bipolar and Related Disorders. In Diagnostic
Manual of Mental Disorders, Fifth Edition, Text Revision. Washington DC: APA; 2022. and Statistical
2. American Psychiatric Association. Bipolar and Related Disorders. In Diagnostic and Statistical
Manual of Mental Disorders, Fifth Edition, Text Revision. Washington DC: APA; 2022.

Manual of Mental Disorders, Fifth Edition, Text Revision. Washington DC: APA; 2022.

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