양극성장애의 진단 (1형·2형)

A. A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary).B. During the period of mood disturbance and increased energy/activity, three (or more) of the following (four if the mood is only irritable) are present to a significant degree and represent a noticeable change from usual behavior:

• 1. Inflated self-esteem or grandiosity.

• 2. Decreased need for sleep (e.g., feels rested after only 3 hours of sleep).

• 3. More talkative than usual or pressure to keep talking.

• 4. Flight of ideas or subjective experience that thoughts are racing.

• 5. Distractibility, as reported or observed.

• 6. Increase in goal-directed activity or psychomotor agitation.

• 7. Excessive involvement in activities that have a high potential for painful consequences.

C. The mood disturbance is sufficiently severe to cause marked impairment in social or occupational functioning or to necessitate hospitalization, or there are psychotic features.D. The episode is not attributable to the physiological effects of a substance or another medical condition.

A. A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 4 consecutive days and present most of the day, nearly every day.B. Three (or more) of the same symptoms as a manic episode (four if mood is only irritable).C. 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 others.E. The episode is not severe enough to cause marked impairment, 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 substance.

필수

조증 1회 이상(우울 불필요)

경조증 + 주요우울 삽화

배제

—

조증 병력 있으면 1형

양상

과대망상·입원·재산 탕진

우울로 내원 + 과거 4~6일 들뜸(기능 유지)

Bipolar I disorder: Criteria have been met for at least one manic episode (the manic episode may have been preceded by and may be followed by hypomanic or major depressive episodes).
Bipolar II disorder: Criteria have been met for at least one hypomanic episode and at least one major depressive episode, and there has never been a manic episode.