A. A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week (or any duration if hospitalization is necessary).
B. During the period of mood disturbance, three (or more) of the following symptoms have persisted (four if the mood is only irritable) and have been present to a significant degree:
inflated self-esteem or grandiosity
decreased need for sleep (e.g., feels rested after only 3 hours of sleep)
more talkative than usual or pressure to keep talking
flight of ideas or subjective experience that thoughts are racing
distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli)
increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation
excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments)
C. The symptoms do not meet criteria for a Mixed Episode.
D. The mood disturbance is sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relationships with others, or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.
E. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, or other treatments) or a general medical condition (e.g., hyperthyroidism). Note: Manic-like episodes that are clearly caused by somatic antidepressant treatment (e.g., medication, electroconvulsive therapy, light therapy) should not count toward a diagnosis of Bipolar I Disorder.
For More Information & Support...
If you suspect you may have a family member or loved-one who suffers from a personality disorder, we encourage you to learn all you can and surround yourself with support as you learn how to cope.
Five years ago, a photographer, an engineer, a writer, an office manager, a grandmother, a graphic artist, a law student, a husband, a librarian, and a stained-glass artisan came together to connect a diverse, isolated population in search of information, support, and growth as they strive to cope with a family members, spouses or partners who suffer from a personality disorder. Since its launch on November 1, 2007, Out Of The FOG has grown from a fledgling discussion group with 10 participants, to a vibrant community of over 4000 registered members world-wide, with new members joining every day.
On August 31 2012, the Out of the FOG Support Forum crossed two significant milestones - 100,000 member posts and 10,000 topics. Thanks to all who participate and contribute to the OOTF support board, which is a unique source of support to non-personality-disordered individuals all over the world.
