Posted by B2chica on October 27, 2011, at 8:26:39
In reply to Re: Mixed states/dsyhoric mania in Bipolar Disorder, posted by icu_baby on October 21, 2011, at 16:01:42
the definitions really are very unspecific right now and are really not that acurate. They are in the process of revising the DSM. i think it will be out may of 2013.
There is something going around called the "Bipolarity-Specifier Criteria" it is not a standard of use...yet but it seems to make more sense.
here is the Criteria:-Episode of elevated or irritable mood or an episode of increased activity
-at least 3 of the symptoms listed under Criterion B of the DSM-IV-TR (ie, inflated self-esteem/grandiosity, decreased need for sleep, more talkative, flight of ideas/racing thoughts, distractibility, increase in goal-directed activty/psychomotor agitation, excessive involvement in pleasurable activities that have a high potential for painful consequences)
associated with at least 1 of the 3 following consequences:
*unequivocal and observable change in functioning uncharacteristic of the persons usual behavior
*marked impairment in social or occupational functioning observable by others
*requiring hospitalization or outpatient treatment-no minimum duration of symptoms is required
-no exclusion criteria
-bipolar-specifier criteria include all cases meeting DSM-IV criteria for bipolar 1 and 2 disorders as well as additional cases excluded by DSM-IV exclusionary criteria (eg, symptoms occuring during antidepressant treatment)
b2c.
poster:B2chica
thread:1000278
URL: http://www.dr-bob.org/babble/20111027/msgs/1000955.html