Why it fits
Depression with agitation, irritability, racing thoughts, insomnia
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Depression with agitation, irritability, racing thoughts, insomnia
Sustained episodic activation plus decreased need for sleep are the key separators.
Separates the Mania / Hypomania / Mixed States group. It is not specific to Mixed state.
Applies to the Mania / Hypomania / Mixed States group — not specific to Mixed state
Rows marked “Whole group”: Applies to the Mania / Hypomania / Mixed States group — not specific to Mixed state
Depression with agitation, irritability, racing thoughts, insomnia
Very high suicide risk, abrupt escalation, psychosis.
Applies to the Mania / Hypomania / Mixed States group.
Sustained episodic activation plus decreased need for sleep are the key separators.
Applies to the Mania / Hypomania / Mixed States group.
Sleep change is one of the highest-yield discriminators Hypomania is commonly found only on careful retrospective history One of the easiest high-risk states to miss Acute stimulant states can mimic both mania and psychosis Treat switching as diagnostically meaningful
Applies to the Mania / Hypomania / Mixed States group.
None listed
Applies to the Mania / Hypomania / Mixed States group.
None listed
Clinical reference — not validated decision support. Review before use.