BIPOLAR TEST / CHECKLIST

Bipolar Test

Bipolar I Disorder

(Manic type)

Bipolar Test

Bipolar I Disorder

(Mixed Type)

Bipolar Test

Bipolar II Disorder

MANIC EPISODE

A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week (or any duration if hospitalisation is necessary). During the period of mood disturbance, THREE (or more) of the following symptoms have persisted (FOUR if the mood is only irritable) and have been present to a significant degree:

inflated self-esteem or grandiosity

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

more talkative than usual or pressure to keep talking

flight of ideas or experience that thoughts are racing

easily distracted

increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation

excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments)

The symptoms do not meet criteria for Mixed Episode

The mood disturbance is sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relationships with others, or to necessitate hospitalisation to prevent harm to self or others, or there are psychotic features.

The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, or other treatments) or a general medical condition (e.g., hyperthyroidism).

Except for duration, the criteria are met both for a Manic Episode and for a Major Depressive Episode nearly every day during at least a 1-week period.

The mood disturbance is sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relationships with others, or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.

the symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, or other treatment) or a general medical condition (e.g., hyperthyroidism).

MAJOR DEPRESSIVE EPISODE

Five (or more) of the following symptoms have been present during the same 2-week period. At least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure.

Person reports a depressed mood most of the day, nearly every day, (e.g., feels sad or empty) or is observed by others to be in a depressed mood

Note: In children and adolescents, can be irritable mood.  

A markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day

Significant weight loss when not dieting or weight gain. Or reports a decreased or increased appetite nearly every day. Children my experience a failure to make expected weight gains.

Insomnia or hypersomnia (too much sleep) nearly every day

Psychomotor agitation or retardation nearly every day

Fatigue or loss of energy nearly every day

Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day

Diminished ability to think or concentrate, or indecisiveness, nearly every day

Recurrent thoughts of death, suicidal ideation, or a suicide attempt.

HYPOMANIC EPISODE

A distinct period of persistently elevated, expansive, or irritable mood, lasting at least 4 days. During the period of mood disturbance, THREE (or more) of the following symptoms have persisted (FOUR if the mood is only irritable) and have been present to a significant degree:

inflated self-esteem or grandiosity

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

more talkative than usual or pressure to keep talking

flight of ideas or experience that thoughts are racing

easily distracted

increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation

excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments)

The episode is associated with an unequivocal change in functioning that is uncharacteristic of the person when not symptomatic.

The disturbance in mood and the change in functioning are observable by others.

The episode is not severe enough to cause marked impairment in social or occupational functioning, or to necessitate hospitalization, and there are no psychotic features.

The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, or other treatment) or a general medical condition (e.g., hyperthyroidism).