One or more Manic or Mixed episodes. Commonly accompanied by a history of one or more major depressive episodes, but not required for the diagnosis. Mixed episodes cannot be due to a medical condition, medication, drugs of abuse, toxins or treatment for depression. Symptoms cannot be accounted for by a psychotic disorder. Mixed episodes are more likely in younger patients.
Episodes occur more frequently with age.
Manic episodes are more likely to receive clinical attention compared to Depressive episodes. The first episode in males tends to be a manic episode, while the first episode in Manicfemales tends to be a depressive episode. First degree relatives have higher rates of mood disorder. Classification Classification of involves describing the current or most recent mood episode - Manic, Hypomanic, Mixed or Depressive. Without psychotic features With psychotic features With catatonic features With postpartum onset Rapid Cycling Diagnosis requires the presence of at least 4 mood episodes within 1 year.