Bipolar & Related specifier

With anxious distress

“With anxious distress” is recorded for Cyclothymic Disorder; its definition is pending qualified clinician verification — confirm against the current DSM-5-TR / ICD-11 text.

DSM-5-TRFeaturesReview dueBipolar & Related

Cyclothymic Disorder

Applies to

Cyclothymic Disorder

Specifier group

Features

Definition

Needs manual verification

Source status

Needs formal source review

Reference

What this specifier records

Aide-memoire content for the specifier and how it sits within its diagnosis. Confirm against current DSM-5-TR / ICD-11 materials before documenting.

At a glance

Definition pending verification

The generated definition for this specifier is withheld pending qualified clinician review. Confirm the specifier against current DSM-5-TR / ICD-11 materials before documenting.

Curated clinical reasoning

Fit and exclusions

When this fits

Anxious tension or restlessness rises and falls with the mood episode.
Worry, loss-of-control fears, or dread meaningfully increase distress or impairment.
The pattern is present often enough to influence formulation and care planning.

When this may not fit

Anxiety is better explained by a separate anxiety disorder with an independent course.
Restlessness is more consistent with akathisia, intoxication, withdrawal, delirium, or another medical cause.

Focused checks

Clarify timing against the mood episode
Separate worry from psychotic threat beliefs
Review agitation and suicide risk

Coding context

ICD-11 context

ICD-11 (6A62): Chronic instability of mood (2+ years).

Bipolar & Related specifier

With anxious distress

“With anxious distress” is recorded for Cyclothymic Disorder; its definition is pending qualified clinician verification — confirm against the current DSM-5-TR / ICD-11 text.

DSM-5-TRFeaturesReview dueBipolar & Related

Cyclothymic Disorder

Applies to

Cyclothymic Disorder

Specifier group

Features

Definition

Needs manual verification

Source status

Needs formal source review

Reference

What this specifier records

Aide-memoire content for the specifier and how it sits within its diagnosis. Confirm against current DSM-5-TR / ICD-11 materials before documenting.

At a glance

Definition pending verification

The generated definition for this specifier is withheld pending qualified clinician review. Confirm the specifier against current DSM-5-TR / ICD-11 materials before documenting.

Curated clinical reasoning

Fit and exclusions

When this fits

Anxious tension or restlessness rises and falls with the mood episode.
Worry, loss-of-control fears, or dread meaningfully increase distress or impairment.
The pattern is present often enough to influence formulation and care planning.

When this may not fit

Anxiety is better explained by a separate anxiety disorder with an independent course.
Restlessness is more consistent with akathisia, intoxication, withdrawal, delirium, or another medical cause.

Focused checks

Clarify timing against the mood episode
Separate worry from psychotic threat beliefs
Review agitation and suicide risk

Coding context

ICD-11 context

ICD-11 (6A62): Chronic instability of mood (2+ years).