Clinical and Research News  DOI: 10.1176/appi.pn.2013.7a20 DSM-5
Self-Exam: Bipolar and Related Disorders Psychiatric News Volume
48 Number 14 page 1-1  Based on new data available since DSM-IV,
some changes have been made to the criteria and the text for
bipolar disorder; however, the essential elements of the
clinical symptoms associated with the depressive and manic-
hypomanic components are relatively unchanged.  Given the long
delay from first symptoms to correct diagnosis of bipolar
disorder in the community, criteria now include an emphasis on
changes in activity and energy as well as mood in the context of
mania and hypomania in the hope that emphasis on this more
objective component of mania will lead to earlier detection. The
diagnosis of bipolar I disorder, mixed type, requiring that the
individual simultaneously meet full criteria for mania and for
major depressive episode, is removed. Instead, a new specifier
“with mixed features” has been added that can be applied to
episodes of mania or hypomani