,• Separated from the depressive disorders in
DSM-5 and placed between the chapters on
schizophrenia spectrum and other psychotic
disorders and depressive disorders in
recognition of their place as a bridge between
the two diagnostic classes in terms of
symptomatology, family history and genetics.
,• Criterion A for manic and hypomanic episodes now
includes an emphasis on changes in activity and energy
as well as mood
• The DSM-IV diagnosis of bipolar I disorder, mixed
episode, requiring that the individual simultaneously
meet full criteria for both mania and major depressive
episode, has been REMOVED.
• Instead, a new specifier, “with mixed features,” has
been added that can be applied to episodes of mania
or hypomania when depressive features are present,
and to episodes of depression in the context of major
depressive disorder or bipolar disorder when features
of mania/hypomania are present.
, Other Specified Bipolar and Related Disorder
• DSM-5 allows the specification of particular conditions
for other specified bipolar and related disorder,
including categorization for individuals with a past
history of a major depressive disorder who meet all
criteria for hypomania except the duration criterion
(i.e., at least 4 consecutive days).
• A second condition constituting an other specified
bipolar and related disorder is that too few symptoms
of hypomania are present to meet criteria for the full
bipolar II syndrome, although the duration is sufficient
at 4 or more days.
DSM-5 and placed between the chapters on
schizophrenia spectrum and other psychotic
disorders and depressive disorders in
recognition of their place as a bridge between
the two diagnostic classes in terms of
symptomatology, family history and genetics.
,• Criterion A for manic and hypomanic episodes now
includes an emphasis on changes in activity and energy
as well as mood
• The DSM-IV diagnosis of bipolar I disorder, mixed
episode, requiring that the individual simultaneously
meet full criteria for both mania and major depressive
episode, has been REMOVED.
• Instead, a new specifier, “with mixed features,” has
been added that can be applied to episodes of mania
or hypomania when depressive features are present,
and to episodes of depression in the context of major
depressive disorder or bipolar disorder when features
of mania/hypomania are present.
, Other Specified Bipolar and Related Disorder
• DSM-5 allows the specification of particular conditions
for other specified bipolar and related disorder,
including categorization for individuals with a past
history of a major depressive disorder who meet all
criteria for hypomania except the duration criterion
(i.e., at least 4 consecutive days).
• A second condition constituting an other specified
bipolar and related disorder is that too few symptoms
of hypomania are present to meet criteria for the full
bipolar II syndrome, although the duration is sufficient
at 4 or more days.
