MOOD DISORDERS: Elevated Mood

Depressed or Elevated Mood Rule out depressed or elevated mood disorder due to substances and/or general medical condition Elevated Mood with or without Depressed MoodManic Episode (may have hx of >= 1 MDE)Hypomanic Episode (must have hx of >= 1 MDE)2 Years Hypomanic Episodes and Depressed MoodDepressed Mood Only MANIA: 1 week elevated or irritable mood PLUS 3 or more: 1) Grandiosity 2) Decreased sleep 3) Pressure of speech 4) Flight of ideas 5) Distractibility 6) Increase in goal directed activity 7) Excessive pleasureable but harmful activities Suicide = 15% over lifetime Symptoms without clear mood episode HYPOMANIA: No marked impairment, no psychosis, no hospitalization. At least 4 days.PLUS 3 or more: 1) Grandiosity 2) Decreased sleep 3) Pressure of speech 4) Flight of ideas 5) Distractibility 6) Increase in goal directed activity 7) Excessive pleasureable but harmful activities MOOD DISORDERS: Elevated Mood Bipolar I Bipolar II Cyclothymia Medical Conditions: Neurological C.V.A, Parkinson's, MS Viral Mononucleosis, HIV, HepatitisEndocrine Cushing's, Hyper/hypothyroidOther Cancer, B12 deficiency Drugs of Abuse: Amphetamines Alcohol Cocaine Medications: Corticosteroids Antihypertensives Antipsychotics Oral contraceptives