• Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation (purposeless non-goal-directed activity). • Excessive involvement in activities that have a high potential for painful consequences (example: engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments). 3. The mood disturbance is sufficiently severe to cause marked impairment in social or occupational functioning or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features. 4. The episode is not attributable to the physiological effects of a substance (examples: a drug of abuse, a medication, other treatment) or to another medical condition. Hypomanic episode 1. A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity and energy, lasting at least four consecutive days and present most of the day, nearly every day. 2. During the period of mood disturbance and increased energy and activity, three (or more) of the following symptoms (four if the mood is only irritable) have persisted, represent a noticeable change from usual behavior, and have been present to a significant degree: • Inflated self-esteem or grandiosity. • Decreased need for sleep (example: feels rested after only three hours of sleep). • More talkative than usual or pressure to keep talking. • Flight of ideas or subjective experience that thoughts are racing. • Distractibility (attention too easily drawn to unimportant or irrelevant external stimuli), as reported or observed. • Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation. • Excessive involvement in activities that have a high potential for painful consequences (examples: engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments). 3. The episode is associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic. 4. The disturbance in mood and the change in functioning are observable by others.
256
Made with FlippingBook - professional solution for displaying marketing and sales documents online