Editing Bipolar I disorder (section)

===Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5)===
In May 2013, [[American Psychiatric Association]] released the fifth edition of the [[Diagnostic and Statistical Manual of Mental Disorders]] ([[DSM-5]]). There are several proposed revisions to occur in the diagnostic criteria of Bipolar I Disorder and its subtypes. For Bipolar I Disorder 296.40 (most recent episode hypomanic) and 296.4x (most recent episode manic), the proposed revision includes the following specifiers: with [[Psychosis|psychotic]] features, with [[Mixed affective state|mixed]] features, with [[Catatonia|catatonic]] features, with rapid cycling, with [[Anxiety disorder|anxiety]] (mild to severe), with [[Suicide risk assessment|suicide risk severity]], with [[Seasonal affective disorder|seasonal pattern]], and with [[Postpartum period|postpartum]] onset.<ref name=":03">{{Cite book|title=Diagnostic and Statistical Manual of Mental Disorders|last=American Psychiatric Association|date=2013-05-22|publisher=American Psychiatric Association|isbn=978-0-89042-555-8|doi=10.1176/appi.books.9780890425596|url-access=registration|url=https://archive.org/details/diagnosticstatis0005unse}}</ref> Bipolar I Disorder 296.5x (most recent episode depressed) will include all of the above specifiers plus the following: with [[Melancholia|melancholic]] features and with atypical features.<ref name=":03" /> The categories for specifiers will be removed in DSM-5 and criterion A will add or there are at least 3 symptoms of major [[Major depressive disorder|depression]] of which one of the symptoms is [[Depression (mood)|depressed]] mood or [[anhedonia]].<ref name=":03" /> For Bipolar I Disorder 296.7 (most recent episode unspecified), the listed specifiers will be removed.''<ref name=":03" />''

The criteria for manic and hypomanic episodes in criteria A & B will be edited. Criterion A will include "and present most of the day, nearly every day", and criterion B will include "and represent a noticeable change from usual behavior". These criteria as defined in the DSM-IV-TR have created confusion for clinicians and need to be more clearly defined.<ref name="ReferenceA">{{cite book|title=Issues pertinent to a developmental approach to bipolar disorder in DSM-5|publisher=American Psychiatric Association|year=2010}}</ref><ref>{{cite book|title=Diagnostic and Statistical Manual of Mental Disorders (4th ed. text revision)|year=2000|publisher=American Psychiatric Association|location=Washington, DC|pages=345–392}}</ref>

There have also been proposed revisions to criterion B of the diagnostic criteria for a Hypomanic Episode, which is used to diagnose For Bipolar I Disorder 296.40, Most Recent Episode Hypomanic. Criterion B lists "inflated self-esteem, flight of ideas, distractibility, and decreased need for sleep" as symptoms of a Hypomanic Episode. This has been confusing in the field of child psychiatry because these symptoms closely overlap with symptoms of [[attention deficit hyperactivity disorder]] (ADHD).<ref name="ReferenceA"/>