Document ID: chunk:federal_register_of_legislation:F2018L00869:clause:1_1:p4
Version: federal_register_of_legislation:F2018L00869
Segment Type: clause
Provision Reference: sch 1 cl 1 (pt 4/9)
Character Range: 21030–24280

only three hours of sleep);
            (iii)       more talkative than usual or pressure to keep talking;
            (iv)        flight of ideas or subjective experience that thoughts are racing;
            (v)          distractibility (that is, attention too easily drawn to unimportant or irrelevant external stimuli), as reported or observed;
            (vi)        increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation; or
            (vii)     excessive involvement in activities that have a high potential for painful consequences (for example, engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments).
         C.            The episode is associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic.
         D.           The disturbance in mood and the change in functioning are observable by others.
         E.            The episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalisation.  If there are psychotic features, the episode is, by definition, manic.
         F.             The episode is not attributable to the physiological effects of a substance (for example, a drug of abuse, a medication, other treatment) or another medical condition.  The episode is not attributable to the physiological effects of a substance (for example, a drug of abuse, a medication, other treatment) or another medical condition.
         Note 1: Criteria A–F constitute a hypomanic episode.  Hypomanic episodes are common in bipolar I disorder but are not required for the diagnosis of bipolar I disorder.
         Note 2: bipolar I disorder and DSM-5 are also defined in the Schedule 1 - Dictionary.
                               major depressive episode meets the following diagnostic criteria (derived from DSM-5):
         1. Five (or more) of the following symptoms have been present during the same two-week period and represent a change from previous functioning; at least one of the symptoms is either (i) depressed mood or (ii) loss of interest or pleasure:
Note: Do not include symptoms that are clearly attributable to another medical condition.
            (i)            depressed mood most of the day, nearly every day, as indicated by either subjective report (for example, feels sad, empty, or hopeless) or observation made by others (for example, appears tearful);
Note: In children and adolescents, can be irritable mood.
            (ii)         markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation);
            (iii)       significant weight loss when not dieting or weight gain (for example, a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day;
Note: In children, consider failure to make expected weight gain.
            (iv)        insomnia or hypersomnia nearly every day;
            (v)          psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being