Bipolar and Mania - Causes of Elevated Mood Disorders - Differential Diagnosis Algorithm
Bipolar I
• Manic Episode (may have hx > 1 MDE)
• MANIA: 1 week elevated or irritable mood PLUS 3 or more:
1) Grandiosity
2) Decreased sleep
3) Pressure of speech
4) Flight of ideas
5) Distractibility
6) Increase in goal directed activity
7) Excessive pleasureable but harmful activities
Bipolar II
• Hypomanic Episode (must have hx of >1 MDE)
• HYPOMANIA: No marked impairment, no psychosis, no hospitalization. At least 4 days. PLUS 3 or more
Cyclothymia
• Symptoms without clear mood episode
• 2 Years Hypomanic Episodes and Depressed Mood
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