Hypomanic Episodes (Symptoms)1. Inflated self-esteem or grandiosity2. Decreased need for sleep 3. More talkative than usual or pressure to keep talking4. Flight of ideas or subjective experience that thoughts are racing 5. Distractibility (as reported or observed)6. Increase in goal-directed activity (either socially, at work, or at school or sexually) or psychomotor agitation (pacing around room, tapping toes, rapid talking)7. Excessive involvement in activities that have a high potential for painful consequences (unrestrained buying sprees, sexual indiscretions, or foolish business investmentsHypomanic EpisodesC. The episode is associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic D. The disturbance in mood and the change in functioning are observable by othersE. The episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization. If there are psychotic features, the episode is, by definition, manic F. The episode is not attributable to the physiological effects of a substanceMajor Depressive Episode:*Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; (1) depressed mood or (2) loss of interest or pleasure.*Signs of experiencing at least one of these symptoms.1.) Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad, empty, hopeless) or observation made by others (e.g., appears tearful) (Note: In children and adolescents, can beirritable mood.)
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2.) Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective or observation)3.) Significant weight loss when not dieting or weight gain (e.g., a change of morethan 5% of body weight in a month), or decrease or increase in appetite nearly every day4.) Insomnia or hypersomnia nearly every day5.) Psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down)6.) Fatigue or loss of energy nearly every day7.) Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day8.) Diminished ability to think or concentrate, or indecisiveness, nearly every day9.) Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideationwithout a specific, or a suicide attempt or a specific plan for committing suicide
Major Depressive Episode Continued B. The symptoms cause clinically significant distress or impairment in social,
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