manic episode (redirected from Manic Episode-criteria)

episode /ep·i·sode/ (ep´ĭ-sōd) a noteworthy happening occurring in the course of a continuous series of events.

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hypomanic episode  a period of elevated, expansive, or irritable mood resembling a manic episode but less severe.

major depressive episode  a period marked by depressed mood or loss of interest or pleasure in virtually all activities, associated with some combination of: altered weight, appetite, or sleep patterns, psychomotor agitation or retardation, difficulty in thinking or concentration, fatigue, feelings of worthlessness and hopelessness, and thoughts of death and suicide.

manic episode  a period of predominant mood elevation, expansiveness, or irritation together with some combination of inflated self-esteem or grandiosity, decreased need of sleep, talkativeness, flight of ideas, distractibility, hyperactivity, hypersexuality, and recklessness.

mixed episode  a period during which the symptoms of both a major depressive episode and of a manic episode occur nearly every day, with rapidly alternating moods.

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manic episode

Psychiatry A period characterized by a persistently elevated, expansive, or irritable mood, with ↑ energy, ↓ sleep, distractibility, impaired judgement, grandiosity, flights of ideas, and so on, most often affecting Pts < age 25; MEs are seen in those with primary–idiopathic affective illness or bipolar I disorder, in which Pts vacillate between hypermania and abject depression

Manic Episode-criteria  

A A distinct period of abnormally or persistently elevated, expansive, or irritable mood of ≥ 1 week or less if hospitalization is required

B During the period, ≥ 3 of following symptoms

 1. Grandiosity or inflated self-esteem

2. ↓ Need for sleep

3. ↑ Talkativeness

 4. Flight of ideas, or impression that thoughts are 'racing'

 5. Distractibility

6. ↑ Goal-oriented activity–socially, work- or school-related or psychomotor agitation

 7. Involvement in activities with potentially dire consequences, eg buying sprees, sexual indiscretions, inappropriate business transactions

C Symptoms do NOT meet criteria of a mixed episode

D The mood disturbance may markedly impair occupational or social function

E Symptoms are unrelated to the direct physiological effects of a substance–of abuse, medication, or other therapy or to a general medical condition–eg hyperthyroidism

DSM-IV^™, American Psychiatric Association, Washington, DC, 1994

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Patient discussion about Manic Episode-criteria.

Q. One of my friend`s son in the manic episode. I have seen people in manic episode to be happy. What could be the reason for their happiness. One of my friend`s son in the manic episode, is generally seen with high euphoria, but often he gets in to different episodes, where he seems to be happy but at the same time aggressive, which is a symptom of depression. Please clarify?

A. Yes Waylon, all bipolar in manic episode are happy for no reasons. All Bipolar with depressions are depressed continuously with aggression and agitation. These two episodes of bipolars are at different poles, but a bipolar with mixed episodes is also found among some. Your friend’s son may also be in the mixed episode where bipolars have mania and depression as well at the same time.

Q. Is there any way that i can be cautious or to prevent manic episodes? Last week I was diagnosed for bipolar mania. My family and friends were fed up with my manic episodes. After I calm down from my episodes they used to tell me about the severity of mess up that I had been doing to me or to others. I can understand there is some problem but I was helpless. Now as my family is aware of the reasons of my mania, they are helping me to get well. Is there any way that I can be cautious or to prevent episodes?

A. You can start learning about the time of occurrence of your episodes and notice the factors which triggers it. Get as much information about the mania and bipolar. Talk to many people who have this disorder and also try to talk to your doctor as well. You can join any society for bipolar which is near to your house.
http://www.youtube.com/watch?v=qSJ2uGdryh8&eurl=http://www.imedix.com/health_community/va16ggidrtIU_tips_insomnia_depression_work_related_stress_jiva?q=episodes%20facto&feature=player_embedded