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

Updated: May 06, 2018
  • Author: Stephen Soreff, MD; Chief Editor: Glen L Xiong, MD  more...
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Answer

Manic episodes are feature at least 1 week of profound mood disturbance, characterized by elation, irritability, or expansiveness (referred to as gateway criteria). At least 3 of the following symptoms must also be present [2] :

  • Grandiosity

  • Diminished need for sleep

  • Excessive talking or pressured speech

  • Racing thoughts or flight of ideas

  • Clear evidence of distractibility

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

  • Excessive pleasurable activities, often with painful consequences


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