Name:

Bipolar I Disorders Diagnostic Tool DOB:

ID #:
Manic Episode Criteria:
A. A Distinct period of abnormally and persistently C. Not better accounted for by Schizoaffective Disorder,
elevated, expansive, or irritable mood, lasting at least 1 Schizophrenia, Schizophreniform Disorder, Delusional
week (or any duration if hospitalization is necessary). Disorder, or Psychotic Disorder NOS.
B. During the period of mood disturbance, 3 or more of Bipolar I Disorder, Most Recent Episode Mixed
the following symptoms have persisted (4 if the mood is A. Currently or most recently in a Mixed Episode.
only irritable), and have been present to a significant B. There has been at least one prior Major Depressive
degree: Episode, Mixed Episode or Mixed Episode.
1. Inflated self-esteem or grandiosity. C. Not better accounted for by Schizoaffective Disorder,
2. Decreased need for sleep (e.g., feels rested after only Schizophrenia, Schizophreniform Disorder, Delusional
hours of sleep). Disorder, or Psychotic Disorder NOS.
3. More talkative than usual or pressure to keep talking.
Bipolar I Disorder, Most Recent Episode Depressed
4. Flight or ideas or subjective experience that A. Currently or most recently in a Depressed Episode.
thoughts are racing. B. There has been at least one prior Manic Episode or
5. Distractibility (i.e., attention too easily drawn to Mixed Episode.
unimportant or irrelevant external stimuli). C. Not better accounted for by Schizoaffective Disorder,
6. Increase in goal directed activity (either socially, at Schizophrenia, Schizophreniform Disorder, Delusional
work or school, or sexually), or psychomotor Disorder, or Psychotic Disorder NOS.
agitation.
7. Excessive involvement in pleasurable activities that Bipolar I Disorder, Most Recent Episode Unspecified
have a high potential for painful consequences (e.g. A. Currently or most recently in an Unspecified Episode
engaging in unrestrained buying sprees, sexual B. There has been at least one prior Manic Episode.
indiscretions, or foolish business investments). C. The mood symptoms cause clinically significant
distress or impairment in social, occupational, or other
AND important areas of functioning.
C. The symptoms do not meet criteria for a Mixed
Episode Mood Disorder. D. Not better accounted for by Schizoaffective Disorder,
AND Schizophrenia, Schizophreniform Disorder, Delusional
D. The mood disturbance is sufficiently severe to cause Disorder, or Psychotic Disorder NOS.
marked impairment in occupational functioning or in E. The mood symptoms are not due to the direct
usual social activities or relationships with other, or physiological effects of a substance or general medical
to necessitate hospitalization to prevent harm to self condition.
or other, or there are psychotic features.
AND Diagnostic Codes
E. The symptoms are not due to the direct physiological
effects of a substance or of a general medical 296.xx Bipolar I Disorder
condition. .0x Single Manic Episode (specify if mixed)
.40 Most Recent Episode Hypomanic
Bipolar I Disorder, Single Manic Episode .4x Most Recent Episode Manic
A. Presence of only one Manic Episode and no .6x Most Recent Episode Mixed
Past Major Depressive Episodes. .5x Most recent Episode Depressed
B. The manic episode is not better accounted for by .7 Most Recent Episode Unspecified
Schizoaffective Disorder, Schizophrenia,
Schizophreniform Disorder, Delusional 296.89 Bipolar II Disorder
Disorder, or Psychotic Disorder NOS. 301.13 Cyclothymic Disorder
296.80 Bipolar Disorder NOS
Bipolar I Disorder, Most Recent Episode Hypomanic 296.90 Mood Disorder NOS
A. Currently or most recently in a Hypomanic Episode. 293.83 Mood Disorder Due to Medical
B. There has been at least one prior Manic Episode.
C. The mood symptoms cause clinically significant Specifiers
distress or impairment in social, occupational, or other 1 = Mild
important areas of functioning. 2 = Moderate
D. Not better accounted for by Schizoaffective Disorder, 3 = Severe Without Psychotic Features
Schizophrenia, Schizophreniform Disorder, Delusional 4 = Severe with Psychotic Features
Disorder, or Psychotic Disorder NOS. 5 = In Partial Remission
6 = In Full Remission
Bipolar I Disorder, Most Recent Episode Manic 0 = Unspecified.
A. Currently or most recently in a Manic Episode.
B. There has been at least one prior Major Depressive Clinician’s Name:
Episode or Mixed Episode. Date of Assessment:
Signature: