Fast Five Quiz: Bipolar Disorder Practice Essentials

Stephen Soreff, MD


January 19, 2022

According to the Diagnostic and Statistical Manual (DSM-5), manic episodes refer to a period of abnormal, persistently elevated, expansive, or irritable moods that last at least 1 week (or any duration if hospitalization is necessary). Three or more of these symptoms must have persisted and been present to a significant degree (four if the mood is only irritable):

  • Inflated self-esteem or grandiosity

  • Decreased need for sleep

  • More talkative than usual (or pressure to keep talking)

  • Flight of ideas or subjective experience that thoughts are racing

  • Distractibility

  • Increase in goal-directed activity or psychomotor agitation

  • Excessive involvement in pleasurable activities that have a high potential for negative consequences

Learn more about mania in bipolar disorder.


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