Fast Five Quiz: Bipolar Disorder Practice Essentials

Stephen Soreff, MD


January 19, 2022

Patients who meet the full criteria for both a manic and depressive episode simultaneously meet the diagnosis for a manic episode with mixed features. To qualify as having a manic or hypomanic episode with mixed features, individuals must also have at least three of these symptoms during most days of the current or most recent episode of mania/hypomania:

  • Depressed mood or prominent dysphoria

  • Markedly diminished pleasure or interest in nearly all activities

  • Psychomotor retardation

  • Loss of energy or fatigue

  • Feelings of worthlessness or excessive guilt

  • Preoccupation with death or suicide, recurrent suicidal ideation without a specific plan, or a suicide plan/attempt

Learn more about the presentation of bipolar disorder.


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