Bipolar Disorders

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1. Exhibits an abnormally and persistently elevated, expansive, or irritable mood with at least three additional symptoms of mania. 

2. Demonstrates loquaciousness or pressured speech.

3. Reports flight of ideas or thoughts racing. 

4. Verbalizes grandiose ideas, inflated self-esteem, and or persecutory beliefs. 

5. Exhibits increased motor activity or psychomotor agitation.

6. Loss of normal inhibition leads to impulsive and excessive pleasure-oriented, high-risk behavior without regard for painful consequences.

7. Depressed or irritable mood. 

8. Diminished interest in or enjoyment of activities. 

9. Lack of energy.

10. Poor concentration and indecisiveness.

11. Social withdrawal. 

12. Suicidal thoughts and/or gestures.

13. Mood-related hallucinations or delusions.

14. History of at least one hypomanic, manic, or mixed-mood episode.