DSM-5 Bipolar Disorder Criteria

Answer the questions below to assess for potential Bipolar Disorder criteria. This tool simplifies complex diagnostic criteria for informational purposes only. A formal diagnosis must be made by a qualified healthcare professional.

Understanding the Parameters

A **Manic Episode** is 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). During the period of mood disturbance and increased energy/activity, three or more of specific symptoms (e.g., inflated self-esteem, decreased need for sleep, more talkative, racing thoughts, distractibility, increased activity, risky behavior) are present to a significant degree and represent a noticeable change from usual behavior.

A **Hypomanic Episode** is 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. During the period of mood disturbance and increased energy/activity, three or more of the same symptoms as a manic episode are present to a significant degree and represent a noticeable change from usual behavior, but the episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization.

A **Major Depressive Episode** is a period of at least 2 weeks during which there is either depressed mood or a loss of interest or pleasure in nearly all activities, along with at least four additional symptoms (e.g., significant weight change, insomnia/hypersomnia, psychomotor agitation/retardation, fatigue, feelings of worthlessness/guilt, diminished ability to think/concentrate, recurrent thoughts of death).

**Additional Required Criteria** typically include considerations like the symptoms causing clinically significant distress or impairment in social, occupational, or other important areas of functioning, and that the disturbance is not attributable to the physiological effects of a substance (e.g., drug of abuse, medication) or to another medical condition. For Bipolar II, there must never have been a manic episode.

Disclaimer: This calculator is a simplified tool for educational and informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Mental health diagnoses are complex and require comprehensive evaluation by a qualified healthcare professional.