Manic mood symptoms in primary psychotic disorders
Sintomas de humor maníaco em transtornos psicóticos primários
CategoryDefinition
This descriptor may be used together with a diagnosis from the grouping of Schizophrenia and other primary psychotic disorders to indicate that manic symptoms are a prominent part of the clinical presentation. The descriptor refers to elevated, euphoric, irritable, or expansive mood states, including rapid changes among different mood states (i.e., mood lability) accompanied by increased energy or activity, when these represent a significant change from the individual’s typical mood and energy or activity level. This descriptor may be used whether or not the manic symptoms meet the diagnostic requirements of a separately diagnosed Bipolar disorder.
Coding Note
Diagnostic Criteria
This specifier may be used together with a diagnosis from the grouping of Schizophrenia or Other Primary Psychotic Disorders to indicate the extent to which manic mood symptoms are a prominent part of the clinical presentation. The specifier includes elevated, euphoric, irritable, or expansive mood states, including rapid changes among different mood states (i.e., mood lability). It also includes increased subjective experience of energy, which may be accompanied by increased goal-directed activity. The severity of associated non-mood symptoms of a Manic or Hypomanic Episode (e.g., decreased need for sleep, distractibility) should not be considered in making a rating for this specifier. Increased non-goal-directed psychomotor activity should be considered as part of the rating of the Psychomotor Symptoms specifier rather than here. This specifier may be used regardless of whether the manic symptoms meet the diagnostic requirements for a Manic Episode.
The rating should be made based on the severity of manic mood symptoms during the past week.
Table 6.10: Rating Scale for Manic Mood Symptoms in Primary Psychotic Disorders
| | |
| - | - |
| None
6A25.3&XS8H
| No significant manic mood symptoms have been present during the past week. |
| Mild
6A25.3&XS5W
| Hypomanic elevation of mood or increased irritability. The hypomanic symptoms do not cause marked impairment in personal, social, or occupational functioning. |
| Moderate
6A25.3&XS0T
| Marked elevation of mood, irritability, or subjective energy level. The manic symptoms cause considerable difficulty with personal, social, or occupational functioning. |
| Severe
6A25.3&XS25
| Extreme elevation of mood or irritability that results in hazardous, dangerous, or markedly inappropriate behaviour to a degree that intensive supervision is required. |
| Severity Unspecified
6A25.3
| Manic mood symptoms have been present during the past week, but it is not possible to make a severity rating based on the available information. |