Comprehensive Guide to Interpersonal Psychotherapy

By Myrna M. Weissman; John C. Markowitz et al. | Go to book overview

CHAPTER 16
Bipolar Disorder

DISORDER
The DSM-IV definition of bipolar disorder requires at least one manic episode. Some patients have had a previous depressive episode and most will have subsequent episodes, either manic or depressive. Hypomanic or mixed episodes can also occur, as can significant mood lability between episodes. Assessment includes both current state and prior course.
MANIC EPISODES
A distinct period of abnormally and persistently elevated, expansive, or irritable mood lasting at least one week.
During the period of mood disturbance, at least three of the following symptoms have persisted to a significant degree:
1. Inflated self-esteem or grandiosity.
2. Decreased need for sleep.
3. More talkative than usual, or pressure to keep talking.
4. Flight of ideas or subjective experiences that thoughts are racing.
5. Distractibility.
6. Increase in goal-directed activities, either social, at work, at school, etc.; psychomotor agitation.
7. Excessive involvement in pleasurable activities that have a high potential for painful consequences (for example engaging in un

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