Health.amThree to four ofthe following criteria are required during the elevated mood period:
Self-esteem: highly inflated, grandiosity
Sleep: decreased need for sleep, rested after only a few hours
Speech: pressured
Thoughts: racing thoughts and flight of ideas
Attention: easy distractibility
Activity: increased goal-directed activity
Hedonism: high excess involvement in pleasurable activities (sex, spending, travel)
General criteria for a manic episode require a clear period of persistently elevated, expansive, or irritable mood lasting 1 week or severe enough to require hospitalization. These symptoms must be a change from prior functioning and cannot be due to a medical condition and cannot be substance-induced. The symptoms also must cause distress or impairment.
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition,
Text Revision. Washington. DC: American Psychiatric Association, 2000.