Document ID: chunk:federal_register_of_legislation:F2018L00869:clause:1_1:p1
Version: federal_register_of_legislation:F2018L00869
Segment Type: clause
Provision Reference: sch 1 cl 1 (pt 1/9)
Character Range: 11873–15239

1               Definitions
In this instrument:
                               bipolar and related disorder due to another medical condition means a disorder of mental health that meets the following diagnostic criteria (derived from DSM-5):
         1. A prominent and persistent period of abnormally elevated, expansive, or irritable mood and abnormally increased activity or energy that predominates in the clinical picture.
          2. There is evidence from the history, physical examination or laboratory findings that the disturbance is the direct pathophysiological consequence of another medical condition.
          3. The disturbance is not better explained by another mental disorder.
         4. The disturbance does not occur exclusively during the course of a delirium.
          5. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning, or necessitates hospitalisation to prevent harm to self or others or there are psychotic features.
         Note: DSM-5 is also defined in the Schedule 1 - Dictionary.
                               bipolar disorder—see subsection 7(2).
                               bipolar I disorder means a disorder of mental health that meets the following diagnostic criteria (derived from DSM-5):
         1. Criteria have been met for at least one manic episode (criteria A-D under manic episode).
          2. The occurrence of the manic and major depressive episode(s) is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.
         Note 1: For a diagnosis of bipolar I disorder, it is necessary to meet the criteria for a manic episode.  The manic episode may have been preceded by and may be followed by hypomanic or major depressive episodes.
         Note 2: DSM-5, hypomanic episode, manic episode and major depressive episode are also defined in the Schedule 1 - Dictionary.
                               bipolar II disorder means a disorder of mental health that meets the following diagnostic criteria (derived from DSM-5):
         1. Criteria have been met for at least one hypomanic episode (criteria A-F under hypomanic episode) and at least one major depressive episode (criteria A-C under major depressive episode).
          2. There has never been a manic episode.
          3. The occurrence of the hypomanic episode(s) and major depressive episode(s) is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.
         4. The symptoms of depression or the unpredictability caused by frequent alternation between periods of depression and hypomania causes clinically significant distress or impairment in social, occupational or other important areas of functioning.
         Note 1: For a diagnosis of bipolar II disorder, it is necessary to meet the criteria for a current or past hypomanic episode and the criteria for a current or past major depressive episode.
         Note 2: DSM-5, hypomanic episode and major depressive episode are also defined in the Schedule 1 - Dictionary.
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