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APA Practice Guidelines > Practice Guideline for the Treatment of Patients With Bipolar Disorder Second Edition > PART B: Background Information and Review of Available Evidence > IV. Disease Definition, Natural History and Course, and Epidemiology > A. Definition of Bipolar Disorder >

Table 6. Summary of Manic and Depressive Symptom Criteria in DSM-IV-TR Mood Disorders
Table 6. Summary of Manic and Depressive Symptom Criteria in DSM-IV-TR Mood Disorders
DisorderManic Symptom CriteriaDepressive Symptom Criteria
Major depressive disorderNo history of mania or hypomaniaHistory of major depressive episodes (single or recurrent)
Dysthymic disorderNo history of mania or hypomaniaDepressed mood, more days than not, for at least 2 years (but not meeting criteria for a major depressive episode)
Bipolar I disorderHistory of manic or mixed episodesMajor depressive episodes typical but not required for diagnosis
Bipolar II disorderOne or more episodes of hypomania; no manic or mixed episodesHistory of major depressive episodes
Cyclothymic disorderFor at least 2 years, the presence of numerous periods with hypomanic symptomsNumerous periods with depressive symptoms that do not meet criteria for a major depressive episode
Bipolar disorder not otherwise specifiedManic symptoms present, but criteria not met for bipolar I, bipolar II, or cyclothymic disorderNot required for diagnosis


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