DSM-5 Criteria for Bipolar I Disorder Manic Episode

Adapted Guidelines for Single-Tweet Analysis: Euphoria Group

Inflated self-esteem or grandiosity

Tweet expresses inflated self-esteem or grandiosity.

Decreased need for sleep (e.g., feels rested after only 3 hours of sleep)

Cannot interpret in a tweet.

More talkative than usual or pressure to keep talking

Cannot interpret in a tweet.

Flight of ideas or subjective experience that thoughts are racing

Cannot interpret in a tweet.

Distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli), as reported or observed.

Tweet lacks a central focus or describes several unrelated topics.

Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation

Tweet expresses indication of goal-directed activity.

Excessive involvement in activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments).

Cannot interpret in a tweet.

During the period of mood disturbance and increased energy or activity, three (or more) of the following symptoms have persisted (four if the mood is only irritable) are present to a significant degree and represent a noticeable change from usual behavior:

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently goal-directed behavior or energy, lasting at least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary).

Tweet expresses abnormally elevated mood or indication of goal-directed activity.

The mood disturbance is sufficiently severe to cause impairment in social or occupational functioning or to necessitate hospitalization to prevent harm to self/others, or there are psychotic features.

Cannot interpret in a tweet.

The episode is not attributable to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, or other treatment) or another medical condition.

Cannot interpret in a tweet.