C. The symptoms do not meet criteria for a Mixed Episode.

D. The mood disturbance is sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relationships with others, or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features. 

E. 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). 

Note: Manic-like episodes that are clearly caused by somatic antidepressant treatment (e.g., medication, electroconvulsive therapy, light therapy) should not count toward a diagnosis of Bipolar I Disorder.

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1) inflated self-esteem or grandiosity
2) decreased need for sleep (e.g., feels rested after only 3 hours of sleep)
3) more talkative than usual or pressure to keep talking
4) flight of ideas or subjective experience that thoughts are racing
5) distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli)
6) increase in goal-directed activity (at work, at school, or sexually) or psychomotor agitation
7) excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments)

C. The episode is associated with an unequivocal change in functioning that is uncharacteristic of the person when not symptomatic.

D. The disturbance in mood and the change in functioning are observable by others.嚙稽嚙踝蕭嚙諍共嚙瑾嚙踝蕭嚙踝蕭嚙瞇嚙稷

E. 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.嚙稽嚙衛伐蕭嚙磐嚙踝蕭嚙緙嚙踝蕭職嚙踝蕭嚙衛迎蕭I嚙瘢嚙稷
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嚙踝蕭躁嚙篇嚙瞑躁嚙篇嚙箭嚙瘟嚙稻嚙褒則嚙磕嚙篌嚙瞑嚙諛同
嚙踝蕭抭怳j嚙踝蕭嚙踝蕭嚙瞑嚙箭嚙踝蕭
1.嚙踝蕭怑n嚙瘠嚙諸以嚙磕嚙踝蕭嚙篇嚙踝蕭嚙璀嚙箴嚙諒只嚙緯嚙罵嚙諸以嚙磕嚙瘠
2.嚙踝蕭抭y嚙踝蕭職嚙踝蕭肮嚙踝蕭嚙踝蕭嚙踝蕭j嚙緞嚙確嚙璀嚙諉前嚙諒反而可嚙踝蕭嚙踝蕭嚙踝蕭嚙緹嚙踝蕭n嚙瘠

嚙踝蕭嚙瘦嚙諒同嚙瞋嚙踝蕭嚙踝蕭嚙箴嚙篆嚙踝蕭嚙踝蕭礎嚙箭嚙踝蕭G

1.嚙盤嚙諒迎蕭"high"嚙瞌"abnormally and persistently"嚙璀嚙踝蕭嚙緙嚙豌鳴蕭嚙璀嚙瞌嚙磅嚙踝蕭嚙踝蕭嚙踝蕭嚙稽嚙諉造嚙踝蕭嚙踝蕭嚙踝蕭嚙豌。嚙瑾嚙踝蕭H嚙箭嚙瘩嚙緹嚙賠事時，嚙踝蕭嚙瞎嚙稽嚙箠嚙瘡嚙篇嚙踝蕭嚙課描嚙緲嚙踝蕭嚙誰樂症嚙踝蕭嚙稽嚙瘡嚙緹嚙賠事精神嚙線嚙緯嚙緞嚙稷嚙璀嚙踝蕭嚙盤嚙諒佗蕭嚙踝蕭嚙踝蕭嚙稽嚙稽嚙踝蕭嚙賠事）嚙璀嚙瞑嚙褕強嚙論會嚙緞嚙踝蕭嚙踝蕭z嚙畿嚙踝蕭嚙踩的時塚蕭嚙畿嚙磕嚙緞嚙踝蕭嚙踝蕭嚙論，嚙瞌嚙碼嚙瘦嚙線嚙窯嚙璀嚙緞(normal)嚙踝蕭嚙瘠嚙踝蕭嚙瘦嚙諒沒嚙踝蕭嚙踝蕭嚙踝蕭嚙稽嚙畿嚙篌嚙論在嚙篇嚙踝蕭嚙瑾嚙緬嚙褕塚蕭嚙賦不嚙踝蕭嚙踝蕭z嚙璀嚙瞇嚙瞌嚙線嚙瘩嚙窯嚙璀嚙緞(abnormal)嚙踝蕭嚙瘠嚙緻嚙褐合嚙誹所謂迎蕭嚙線嚙踝蕭嚙諸自主嚙緞嚙踝蕭'madness"嚙踝蕭嚙踝蕭嚙瘠
2.嚙瘟嚙稻嚙磕嚙踝蕭嚙確嚙線嚙窮嚙篇嚙踝蕭嚙璀嚙諍前嚙磅嚙踝蕭嚙箠嚙諒賴的嚙談理嚙踝蕭嚙請。

嚙瘦嚙諒需要嚙緞嚙踝蕭嚙踝蕭嚙踝蕭礎嚙箭嚙踝蕭G

1.嚙磊嚙緹躁嚙篇嚙踝蕭嚙線嚙踝蕭G嚙緞嚙瘦嚙稽嚙璀嚙諛梧蕭嚙稽嚙磅嚙瞌嚙瞌嚙緹嚙踝蕭嚙稷嚙畿嚙編嚙踝蕭嚙衝迎蕭嚙踝蕭嚙罷嚙畿嚙畿嚙衛工嚙瑾嚙踝蕭嚙瘩嚙踝蕭嚙踝蕭嚙瘠
2.嚙踝蕭躁嚙篇嚙踝蕭嚙踝蕭搨n嚙緞嚙踝蕭嚙瘡嚙稽嚙踝蕭嚙碼嚙瘦嚙磅嚙踝蕭嚙踝蕭H嚙踝蕭嚙踝蕭@嚙踝蕭嚙踝蕭嚙踝蕭嚙箭嚙踝蕭嚙踝蕭嚙瞇嚙踝蕭嚙踝蕭躁嚙璀嚙緬嚙窯嚙罵嚙踝蕭嚙豌佗蕭躁嚙篇嚙璀嚙諄者是嚙緹嚙篇嚙瘠嚙誹據穿蕭s(Arch Gen Psychiatry 2003; 60: 261嚙碾269)嚙璀 嚙緻嚙諍「嚙衝二嚙踝蕭躁嚙緹嚙篇嚙緞嚙踝蕭嚙踝蕭嚙箭嚙瑾嚙羯嚙諒佗蕭53.9%嚙踝蕭嚙褕塚蕭嚙踝蕭嚙篇嚙踝蕭嚙璀50.3%嚙踝蕭嚙褕塚蕭嚙瞌嚙緹嚙踝蕭嚙璀1.3%嚙踝蕭嚙褕塚蕭嚙羯嚙瞌嚙踝蕭躁嚙踝蕭嚙璀嚙緣嚙羯嚙踝蕭2.3%嚙篁嚙瞌嚙誰速嚙踝蕭嚙踝蕭嚙篇嚙踝蕭嚙瘠嚙稽嚙踝蕭嚙璀嚙踝蕭嚙瞌嚙踝蕭嚙踝蕭嚙緞嚙踝蕭嚙踝蕭嚙瘠嚙豌抬蕭v嚙踝蕭嚙踝蕭嚙衝迎蕭嚙璀嚙瘡嚙磐嚙瞋嚙踝蕭嚙踝蕭嚙踝蕭穩嚙緩嚙踝蕭嚙踝蕭嚙瘩嚙璀嚙箭嚙緹嚙踝蕭嚙璀嚙篁嚙線嚙稼嚙緞嚙磕嚙踝蕭嚙緹嚙踝蕭嚙瘠嚙磐嚙線嚙線嚙緞嚙誕用改蕭嚙緹嚙踝蕭嚙璀嚙緬嚙窯嚙罵嚙豬發躁嚙篇嚙璀嚙瘦嚙瘦嚙諒合嚙諄。

嚙瑾

嚙瑾