Criteria for a Manic Episode

A.    A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at 
        least one week (or any duration if hospitalization is necessary).

B.    During the period of mood disturbance, three (or more) of the following symptoms have 
        persisted (four if the mood is only irritable) and have been present to a significant degree:

   1.    inflated self-esteem or grandiosity

   2.    decreased need for sleep (e.g., feels rested after only 3 hours of sleep)

   3.    more talkative than usual or pressure to keep talking

   4.    flight of ideas or subjective experience that thoughts are racing

   5.    distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli)

   6.    increase in goal-directed activity (either socially, at work or school, or sexually) or 
   
       psychomotor agitation

   7.    excessive involvement in pleasurable activities that have a high potential for painful 
          consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or 
          foolish business investments)

C.    The symptoms do not meet the criteria for a "mixed episode"

D.    The mood disturbance is significantly severe to cause marked impairment in occupational 
        functioning or in usual social activities or relationships with others, or to necessitate 
        hospitalization to prevent harm to self or others, or there are psychotic features.

E.    The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, 
        a medication, or other treatment) or a general medical condition (e.g., hyperthyroidism). 


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