Table 1. Diagnostic and Statistical Manual of Mental Disorders Criteria for Diagnosis of a Hypomanic and Manic Episode
Hypomanic EpisodeManic Episode
At least 4 consecutive days and present most of the dayAt least 1 week and present most of the day or any duration if hospitalization is necessary, or there are psychotic features
During the period of mood disturbance, ≥3 of the following symptoms (4 if the mood is only irritable) are present*:
  • Inflated self-esteem or grandiosity

  • Decreased need for sleep

  • More talkative than usual or pressure to keep taking

  • Flight of ideas or subjective experience that thoughts are racing

  • Distractibility

  • Increase in goal directed activity

  • Excessive involvement in activities that have high potential for painful consequences

Mood disturbance is associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic, and the change in functioning is observable by others.Mood disturbance is sufficiently severe to cause marked impairment in social or occupational functioning.
  • * These represent a noticeable change from usual behavior.