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Mood disorder due to a general medical condition Substance-induced mood disorder Hypomanic episode Mixed episode Major medical condition present First episode at >50 years of age Symptoms in context of intoxication or withdrawal History of treatment for depression Mood disturbance not severe enough to require hospitalization or impair functioning Manic episode and MDE in 1 week
Manic Episode: Differential Diagnoses (cont.)
Consider if . . .
AD/HD Early childhood mood disturbance onset Chronic rather than episodic course No clear onsets and offsets No abnormally elevated mood No psychotic features American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) . 4th ed. 1994.
Depressed mood and/or loss of interest or pleasure 2 weeks duration