Which symptoms must be present for the diagnosis of hypomanic episodes in bipolar affective disorder (manic-depressive illness)?

Updated: May 30, 2019
  • Author: Stephen Soreff, MD; Chief Editor: Glen L Xiong, MD  more...
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Hypomanic episodes are characterized by an elevated, expansive, or irritable mood of at least 4 consecutive days’ duration. At least 3 of the following symptoms are also present [2] :

  • Grandiosity or inflated self-esteem

  • Diminished need for sleep

  • Pressured speech

  • Racing thoughts or flight of ideas

  • Clear evidence of distractibility

  • Increased level of goal-focused activity at home, at work, or sexually

  • Engaging in activities with a high potential for painful consequences

The mood disturbance is observable to others. The mood is not the result of substance abuse or a medical condition. The episode is not severe enough to cause social or occupational impairment.

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