Bipolar I disorder
≥1 full manic episode (abnormally elevated/expansive/irritable mood + ↑energy, ≥7 days or any duration if hospitalised)
≥1 full manic episode (abnormally elevated/expansive/irritable mood + ↑energy, ≥7 days or any duration if hospitalised)
Hypomanic episode threshold has been met.
Severe recurrent temper outbursts (verbal or behavioural), grossly disproportionate to situation, ≥3×/week
Recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value
≥5 of 9 SIG-E-CAPS symptoms for ≥2 weeks; ≥1 must be depressed mood or anhedonia
Uninterrupted period of illness including a major mood episode (MDE or manic) concurrent with Schizophrenia Criterion A symptoms
Symptoms characteristic of a bipolar/related disorder causing clinically significant distress/impairment
Pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood; ≥5 of 8: uncomfortable when not the centre of attention; inappropriate sexually seductive or provocative behaviour; rapidly shifting shallow emotions; uses physical appearance to draw attention; impressionistic/lacking-in-detail speech; theatrical/exaggerated emotional expression; suggestible; considers relationships more intimate than they are
Recurrent outbursts of failure to control aggressive impulses; ≥1 of: verbal aggression or physical aggression toward property/animals/individuals ≥2×/week (on average) for ≥3 months; ≥3 aggressive outbursts involving damage/injury within a 12-month period
Deliberate and purposeful fire setting on more than one occasion
Recurrent unexpected panic attacks (abrupt surge reaching peak within minutes; ≥4 of 13 symptoms)
≥2 years (≥1 yr children/adolescents) of hypomanic AND depressive symptoms not meeting full episode criteria
≥1 month of ≥1 delusion(s)
Depressed mood most of the day, more days than not, for ≥2 years (≥1 yr children/adolescents)
Prominent depressive episode directly attributable to physiological effects of a medical condition
Recurrent binge eating episodes associated with ≥3 of: eating faster; eating until uncomfortably full; eating large amounts when not physically hungry; eating alone due to embarrassment; feeling disgusted/depressed/guilty afterwards
Recurrent binge eating episodes (eating large amount in discrete period + sense of lack of control)
Self-reported excessive sleepiness (hypersomnolence) despite main sleep period of ≥7 hrs; ≥1 of: recurrent lapses into sleep during same day; prolonged main sleep episode (>9 hrs) that is non-restorative; difficulty being fully awake after abrupt awakening
Recurrent periods of irrepressible need to sleep, lapsing into sleep, or napping within same day, for ≥3 months; ≥1 of: cataplexy (brief episodes of bilateral muscle tone loss) ≥few times/month; hypocretin deficiency (CSF hypocretin-1 ≤110 pg/mL); REM sleep latency ≤15 min on MSLT (or mean sleep latency ≤8 min with ≥2 sleep-onset REM periods)
Recurrent episodes of incomplete awakening from sleep, usually occurring during the first third of the major sleep episode, accompanied by either sleepwalking (complex behaviour without full consciousness) or sleep terrors (abrupt awakenings with intense fear/autonomic arousal; difficult to console)
Consistent pattern of inhibited, emotionally withdrawn behaviour toward caregivers; ≥2 of: rarely seeks/responds to comfort when distressed; minimal positive affect; unexplained irritability/sadness/fearfulness
Repeated episodes of arousal during sleep associated with vocalisation and/or complex motor behaviours
Same symptom criteria as Schizophrenia (≥2 of the 5 symptom clusters; ≥1 must be delusions, hallucinations, or disorganised speech)
Prominent anxiety, panic attacks, or obsessions/compulsions directly attributable to physiological effects of another medical condition
Problematic pattern of alcohol use leading to clinically significant impairment/distress; ≥2 of 11 criteria within 12 months (impaired control ×4; social impairment ×3; risky use ×2; pharmacological criteria ×2)
≥6 inattentive symptoms and/or ≥6 hyperactive-impulsive symptoms (≥5 for age ≥17) for ≥6 months, inconsistent with developmental level and negatively impacting activities
Pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, beginning by early adulthood; ≥4 of 7: avoids occupational activities involving interpersonal contact due to fears of criticism; unwilling to get involved unless certain of being liked; shows restraint in intimate relationships due to fear of shame; preoccupied with being criticised/rejected; inhibited in new interpersonal situations; views self as socially inept/unappealing/inferior; unusually reluctant to take risks or engage in new activities
Pervasive pattern of instability of interpersonal relationships, self-image, and affect, with marked impulsivity beginning by early adulthood; ≥5 of 9: frantic efforts to avoid abandonment; unstable intense relationships; identity disturbance; impulsivity in ≥2 damaging areas; suicidal/self-mutilating behaviour; affective instability; chronic emptiness; inappropriate intense anger; transient stress-related paranoia/dissociation
Persistent or recurrent pattern of sleep disruption primarily due to alteration of the circadian system or misalignment between endogenous circadian rhythm and sleep-wake schedule
Pervasive and excessive need to be taken care of, leading to submissive and clinging behaviour and fears of separation, beginning by early adulthood; ≥5 of 8: difficulty making everyday decisions without advice/reassurance; needs others to assume responsibility for major areas of life; difficulty expressing disagreement out of fear; difficulty initiating projects alone; goes to excessive lengths to obtain nurturance/support; feels uncomfortable/helpless when alone; urgently seeks a replacement relationship when one ends; preoccupied with fears of being left to care for self
Disruption of identity characterised by ≥2 distinct personality states/possession experiences with marked discontinuity in sense of self and agency, accompanied by alterations in affect, behaviour, consciousness, memory, perception, cognition, and/or sensory-motor functioning
Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception in self (imposed on self) or in another person (imposed on another)
≥1 symptom of altered voluntary motor or sensory function
≥4 symptoms from: angry/irritable mood (loses temper; touchy/easily annoyed; angry/resentful); argumentative/defiant behaviour (argues with authority; defies rules; deliberately annoys; blames others); or vindictiveness — for ≥6 months, exhibited during interaction with ≥1 non-sibling individual
Symptoms characteristic of a depressive disorder causing clinically significant distress/impairment
Symptoms characteristic of a dissociative disorder causing clinically significant distress/impairment
Symptoms characteristic of a feeding/eating disorder causing clinically significant distress/impairment
Death of someone close to the bereaved person ≥12 months ago (≥6 months in children/adolescents)
Prominent hallucinations or delusions
Pervasive pattern of detachment from social relationships and restricted range of emotional expression, beginning by early adulthood; ≥4 of 7: neither desires nor enjoys close relationships; almost always chooses solitary activities; little/no interest in sexual experiences; few/no pleasurable activities; lacks close friends; appears indifferent to praise/criticism; shows emotional coldness/detachment/flat affect
≥2 of: delusions; hallucinations; disorganised speech; grossly disorganised/catatonic behaviour; negative symptoms — ≥1 must be delusions, hallucinations, or disorganised speech
Marked fear/anxiety about ≥2 of 5 situations: public transport; open spaces; enclosed places; standing in line/crowds; being outside home alone
Pervasive pattern of disregard for/violation of rights of others since age 15: ≥3 of 7: failure to conform to lawful behaviours; deceitfulness; impulsivity; irritability/aggressiveness; reckless disregard for safety; consistent irresponsibility; lack of remorse
≥1 of: delusions; hallucinations; disorganised speech; grossly disorganised/catatonic behaviour
Persistent or recurrent experiences of depersonalisation (feelings of unreality/detachment from one's mind/body) and/or derealisation (feelings of unreality of surroundings)
Over ≥6 months, recurrent and intense sexual arousal from the exposure of one's genitals to an unsuspecting person, as manifested by fantasies, urges, or behaviours
Over ≥6 months, recurrent and intense sexual arousal from touching or rubbing against a non-consenting person, as manifested by fantasies, urges, or behaviours
Excessive anxiety/worry about multiple events/activities, more days than not for ≥6 months
Preoccupation with having or acquiring a serious illness
Pervasive pattern of grandiosity, need for admiration, and lack of empathy beginning by early adulthood; ≥5 of 9: grandiose sense of self-importance; preoccupation with fantasies of unlimited success/power/brilliance/beauty/love; believes he/she is special; requires excessive admiration; sense of entitlement; interpersonally exploitative; lacks empathy; envious of others or believes others are envious; arrogant
Symptoms characteristic of an anxiety disorder causing clinically significant distress/impairment
Marked fear/anxiety about ≥1 social situation with possible scrutiny by others
Intoxication: recent stimulant use; Withdrawal: cessation/reduction after prolonged heavy use
Prominent hallucinations or delusions