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Substance Abuse and Mental Health Services Administration. Impact of the DSM-IV to DSM-5 Changes on the National Survey on Drug Use and Health [Internet]. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2016 Jun.

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Impact of the DSM-IV to DSM-5 Changes on the National Survey on Drug Use and Health [Internet].

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Table 3.23DSM-IV to DSM-5 Bipolar II Disorder Comparison

DSM-IVDSM-5
Disorder Class: Mood DisordersDisorder Class: Bipolar and Related Disorders
A. Presence (or history) of one or more major depressive episodes.A. Criteria have been met for at least one hypomanic episode (see Table 3.8) and at least one major depressive episode (see Table 3.4).
B. Presence (or history) of at least one hypomanic Episode.
C. There has never been a manic episode or a mixed episode.B. There has never been a manic episode.
D. The mood symptoms in Criteria A and B are not better accounted for by schizoaffective disorder and are not superimposed on schizophrenia, schizophreniform disorder, delusional disorder, or psychotic disorder not otherwise specified.C. The occurrence of the hypomanic episode(s) and major depressive episode(s) is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.
E. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.D. The symptoms of depression or the unpredictability caused by frequent alternation between periods of depression and hypomania causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Specify current or most recent episode:
  • Hypomanic: If currently (or most recently) in a Hypomanic Episode
  • Depressed: If currently (or most recently) in a major depressive episode
Specify current or most recent episode:
  • Hypomanic
  • Depressed
Specify (for current or most recent major depressive episode only if it is the most recent type of mood episode)
Chronic
With catatonic features
With melancholic features
With atypical features
With postpartum onset		Specify course if full criteria for a mood episode are not currently met:
  • In partial remission
  • In full remission
Specify severity if full criteria for a mood episode are met:
  • Mild
  • Moderate
  • Severe
Specify:
  • Longitudinal course specifiers (with and without interepisode recovery)
  • With seasonal pattern (applies only to the pattern of major depressive episodes)
  • With rapid cycling
Specify if:
  • With anxious distress
  • With mixed features
  • With catatonia.
  • With mood-congruent psychotic features
  • With peripartum onset
  • With seasonal pattern: Applies only to the pattern of major depressive episodes.
  • With rapid cycling

From: 3, Mental Illness

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