Symptoms
A distinct period of persistently elevated, expansive, or irritable
mood, lasting throughout at least 4 days, that is clearly different
from the usual nondepressed mood.
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 subjective experience that thoughts are racing
distractibility (i.e., attention too easily drawn to unimportant
or irrelevant external stimuli)
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., the person engages 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).
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