Idsmiv Diagnostic Criteria

A. At least 4 days of abnormally and persistently elevated, expansive or irritable mood.

B. During the period of mood disturbance at least three of the following have persisted in a significant manner (four if mood is irritable):

1. Inflated self-esteem or grandiosity.

2. Decreased need for sleep.

3. The patient is more talkative than usual and feels pressure to keep talking.

4. Flight of ideas (jumping from topic to topic) or a subjective sense of racing thoughts.

5. Distractibility.

6. Increased goal-directed activity or psychomotor agitation.

7. Excessive involvement in pleasurable activities that have a high potential for painful consequences (ie, sexual promiscuity).

C. The mood disturbance and change in functioning is noticeable to others.

D. The change in functioning is uncharacteristic of the patient's baseline but does not cause marked social or occupational dysfunction, does not require hospitalization, and no psychotic features are present.

E. Symptoms cannot be due to a medical condition, medication or drugs.

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