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Jul 09, 2013, 07:35 PM
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Member Since: Mar 2013
Location: USA
Posts: 1,486
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From the Mayo Clinic:
To be considered a manic episode: - The mood disturbance must be severe enough to cause noticeable difficulty at work, at school or in usual social activities or relationships; to require hospitalization to prevent harm to yourself or others; or to trigger a break from reality (psychosis).
- Symptoms do not meet the criteria for a mixed episode (see criteria for mixed episode below).
- Symptoms are not due to the direct effects of something else such as alcohol or drug use, taking a medication, or a having a medical condition such as hyperthyroidism.
My interpretation of "the mood disturbance must be severe enough to ... trigger a break from reality" is that the "mood disturbance" itself must also be present -if this makes sense. The criteria for the 'mood disturbance' that has to be a part of this whole picture would have to include 3 or more of the following, along with the psychosis (also Mayo Clinic):
A manic episode is a distinct period of abnormally and persistently elevated, expansive, or irritable mood that lasts at least one week (or less than a week if hospitalization is necessary). During the period of disturbed mood, three or more of the following symptoms must be present (four if the mood is only irritable): - Inflated self-esteem or grandiosity
- Decreased need for sleep (for example, you feel rested after only three hours of sleep)
- Unusual talkativeness
- Racing thoughts
- Distractibility
- Increased goal-directed activity (either socially, at work or school, or sexually)
- Doing things that have a high potential for painful consequences — for example, unrestrained buying sprees, sexual indiscretions or foolish business investments
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