Diagnostic Parameter, Bipolar Disorder

Bipolar I Disorder
Sometimes individuals experience severe mood swings from periods of extreme depression to periods of exaggerated happiness. This is known as bipolar disorder or manic-depressive illness, an illness that involves episodes of serious mania and depression. The individual's mood usually swings from overly "high" and irritable (mania) to sad and hopeless (depression) and then back again, with periods of normal moods interspersed.
Bipolar I Disorder, Single Manic Episode

The patient has had just one Manic Episode and no Major Depressive Episodes.

Schizoaffective disorder doesn't explain the Manic Episode better, and it isn't superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder or Psychotic Disorder Not Otherwise Specified.
Specify Mixed: If a single episode meets the criteria for Mixed Episode, it would be recorded, for example:

Bipolar I Disorder, Single Manic Episode, Mixed, Moderate

Include any specifiers that apply to this Manic Episode.

Bipolar I Disorder, Most Recent Episode Manic

The patient's most recent episode is of mania.
The patient has had at least one Major Depressive, Manic or Mixed Episode.

Schizoaffective disorder doesn't explain the above episodes better, and they aren't superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder or Psychotic Disorder Not Otherwise Specified.

Include any specifiers that apply to this Manic Episode or to the overall course of the disorder.
Bipolar I Disorder, Most Recent Episode Hypomanic

The patient's most recent episode is Hypomanic.
The patient has previously had one or more Manic or Mixed Episodes.

The symptoms cause clinically important distress or impair work, social or personal functioning.

Schizoaffective disorder doesn't explain the above episodes better, and they aren't superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder or Psychotic Disorder Not Otherwise Specified.

Include any specifiers that apply to the overall course of the disorder.
Bipolar I Disorder, Most Recent Episode Mixed

The patient's most recent episode is of mixed mania and depression.
The patient has had at least one Major Depressive, Manic or Mixed Episode.

Schizoaffective disorder doesn't explain the above episodes better, and they aren't superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder or Psychotic Disorder Not Otherwise Specified.

Include any specifiers that apply to this Mixed Episode or to the overall course of the disorder.
Bipolar I Disorder, Most Recent Episode Depressed

The patient's most recent episode is Major Depressive.

The patient has had at least one previous Manic or Mixed Episode.

Schizoaffective disorder doesn't explain the above episodes better, and they aren't superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder or Psychotic Disorder Not Otherwise Specified.

Include any specifiers that apply to this Major Depressive Episode or to the overall course of the disorder.
Bipolar I Disorder, Most Recent Episode Unspecified

Other than duration, the patient currently or recently meets criteria for Major Depressive, Manic, Mixed, or Hypomanic episode.
The patient has had at least one previous Manic or Mixed Episode.

These symptoms cause clinically important distress or impair work, social or personal functioning.

Schizoaffective disorder doesn't explain the above episodes better, and they aren't superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder or Psychotic Disorder Not Otherwise Specified.

The symptoms are not directly caused by a general medical condition or the use substances, including prescription medications.

Include any specifiers that apply to the overall course of the disorder.