| A. A distinct period of persistently elevated, expansive,
or irritable mood, lasting at least 4 days, that is clearly
different from the usual nondepressed mood. |
| B. During the period of mood disturbance, three (or
more) of the following symptoms have persisted (four if the mood
is only irritable) and have been present to a significant degree: |
| 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 (either socially,
at work or 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. |
| E. The episode 1) is not severe enough to cause marked
impairment in social or occupational functioning, 2) does not necessitate
hospitalization, and 3) does not have psychotic features. |
| F. 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). |