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13 Cards in this Set

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Bipolar II Disorder Criterion A

Criteria have been met for at least 1 hypomanic episode and at least one major depressive episode

Bipolar II Disorder Criterion B

There has never been a manic episode

Bipolar II Disorder Criterion C

The occurrence of the hypomanic episode and major depressive episode is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder

Bipolar II Disorder Criterion D

The symptoms of depression or the unpredictability caused by frequent alternation between periods of depression and hypomania causes clinically significant distress or impairment in social, occupation, or other important areas of functioning

Hypomania Episode Criterion A

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 4 consecutive days, nearly every day.

Hypomania Episode Criterion B

During the period of mood disturbance and increased energy and activity, 3 or more of the following symptoms have persisted (4 if the mood is only irritable), represent a noticeable change from usual behavior, and have been present to a significant degree


1. Inflated self-esteem or grandiosity


2. Decreased need for sleep


3. More talkative than usual or pressured speech


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


5. Distractibility


6. Increase in goal-directed activity or psychomotor agitation


7. Excessive involvement in activities that have a high potential for painful consequences

Hypomania Episode Criterion C

The episode is associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic

Hypomania Episode Criterion D

The disturbance in mood and the change in functioning are observable by others

Hypomania Episode Criterion E

The episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization. If there are psychotic features, the episode is, by definition, manic

Hypomania Episode Criterion F

The episode is not attributable to the physiological effects of a substance.

Major Depressive Episode Criterion A

5 or more symptoms present for the same 2-week period and represent a change from previous functioning, at least one is either (1) depressed mood or (2) loss of interest or pleasure


1. Depressed mood most of the day, nearly every day, as indicated by either subjective report or observation made by others


2. Marked diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (subjective report or observation by others)


3. Significant weight loss/gain, or decrease/increase in appetite nearly every day


4. Insomnia or hypersomnia nearly every day


5. Psychomotor agitation or retardation nearly every day (observable by others, not just subjective feelings of restlessness)


6. Fatigue or loss of energy nearly every day


7. Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely guilt about being sick)


8. Diminished ability to think or concentrate, or indecisiveness, nearly every day (subjective or observable)


9. Recurrent thoughts of death, suicidal ideation without a specific plan, a suicide attempt, or specific plan for committing suicide

Major Depressive Episode Criterion B

The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning

Major Depressive Episode Criterion C

Not attributable to the physiological effects of a substance or another medical condition