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 #Mania #Bipolar #Manic #MoodDisorders #Elevated #Differential #Diagnosis #Algorithm #Psychiatry #Causes