This is a checklist for those wondering about a diagnosis of Bipolar Disorder, either for self-diagnosing reasons or as a guide to help communicate symptoms with a professional. This covers both type 1 and type 2 of Bipolar. Symptoms listed are pulled directly from the DSM-5.
Section 1 - Episode Criteria
Manic Episode
Must check ALL of the following:
I have experienced (and/or currently experience) a period of elevated mood which increased my goal-directed energy and my activity, which lasted at least one week and was present most of the day, nearly every day.
During this elevated mood, I became more irritable.
This mood disturbance was severe enough to cause impairment in social or occupational functioning, or caused hospitalization, or caused psychosis.
The episode was not triggered by substance use or another medication.
Must check THREE or more of the following:
During the period of mood disturbance, I experienced inflated self-esteem.
I had a decreased need for sleep. (For example, feeling rested after only a few hours of sleep.)
I was more talkative than usual, and/or I felt a pressure to keep talking.
I had a flight of ideas and/or felt my thoughts were racing.
I felt very goal-oriented and had an urge to finish projects.
I became excessively involved in activities which may have had a high potential for painful consequences.
Same criteria as a manic episode, except the episode is not severe enough to cause disturbance in social or occupational functioning, does not require hospitalization, and does not experience psychosis. If one experiences any of those things, the episode is manic by definition. You can experience both, or one or the other.
Major Depressive Episode
Must experience ALL of the following symptoms:
I have experienced (and/or currently do) major depressive symptoms during a same two-week period, which was a change from how I was functioning previously.
My symptoms caused significant distress and/or impairment in social, occupational, and/or other areas of functioning.
My episode and symptoms were not caused by substance use or another medical condition.
Must experience at least ONE of the following symptoms:
During the episode, I experience severe depression every day, most of the day.
I lose interest and/or pleasure in things I usually enjoy.
Must experience at least FIVE of the following symptoms, including the symptoms above. (For example, if you got 2/2 above, you only need three in this section.)
I experienced significant weight loss, even though I wasn’t dieting, and I noticed a change in my appetite.
I experienced either insomnia or hypersomnia every day.
I felt very restless and agitated.
I experienced fatigue and had no energy.
I felt worthless and experienced excessive guilt.
I had difficulty concentrating, and/or I felt indecisive.
I experienced suicidal thoughts and/or urges and/or I made an attempt on my own life.
Criteria has been met for at least one manic episode.
Can include both hypomanic and major depressive episodes, though neither are required for diagnosis.
Criteria has been met for at least one hypomanic episode.
Criteria has been met for at least one major depressive episode.
Critera has NOT been met for at least one manic episode. If a manic episode has been experienced, the diagnosis is for Bipolar I, not II.
Common symptoms and behaviors found in Bipolar (not required for diagnosis)
Inability to perceive they are ill during manic or hypomanic episode
Frequent change of appearance
Sharp sense of smell, hearing, and/or vision
Prone to gambling or other financially risky behaviors
Higher creativity during hypo/manic episodes
If you do not fit the diagnostic criteria for Bipolar Disorder but still relate to many of the symptoms, look into anxiety disorders, major depression, ADHD, and/or schizophrenic disorders.