Chapter 10
Mood (Affective) Disorders
49
, Chapter 10: Mood (Affective) Disorders
ICD-10 classification
1. Manic episode
A. Hypomania.
B. Mania without psychotic symptoms.
C. Mania with psychotic symptoms.
2. Bipolar affective disorder
A. Bipolar affective disorder, current episode hypomanic.
B. Bipolar affective disorder, current episode manic without psychotic symptoms.
C. Bipolar affective disorder, current episode manic with psychotic symptoms.
D. Bipolar affective disorder, current episode mild or moderate depression.
i. Without somatic syndrome.
ii. With somatic syndrome.
E. Bipolar affective disorder, current episode severe depression without psychotic symptoms.
F. Bipolar affective disorder, current episode mixed.
G. Bipolar affective disorder, currently in remission.
3. Depressive episode
A. Mild depressive episode.
i. Without somatic syndrome.
ii. With somatic syndrome.
B. Moderate depressive episode.
i. Without somatic syndrome.
ii. With somatic syndrome.
C. Severe depressive episode.
i. Without psychotic symptoms.
ii. With psychotic symptoms.
4. Recurrent depressive disorder
A. Recurrent depressive disorder, current episode mild.
i. Without somatic syndrome.
ii. With somatic syndrome.
B. Recurrent depressive disorder, current episode moderate.
i. Without somatic syndrome.
ii. With somatic syndrome.
C. Recurrent depressive disorder, current episode severe without psychotic symptoms.
D. Recurrent depressive disorder, current episode severe with psychotic symptoms.
E. Recurrent depressive disorder, currently in remission.
5. Persistent mood (affective) disorders
A. Cyclothymia.
B. Dysthymia.
1. Manic episode
A 32 year old woman is unable to remain seated in a chair for an assessment. Her speech is rapid and difficult to
interrupt. She stated that she has been sleeping for two hours per night over the past week and is unable to watch
television due to reduced concentration. She reported that yesterday, she ordered €10,000 worth of new
furniture and carpets for her house despite the fact that she had replaced the household furniture and carpets
four months ago. As the interview progresses, she rushes over to the male doctor to hug him.
ICD-10 criteria
All of the subdivisions of this category should be used only for a single manic episode.
If previous or subsequent affective episodes (depressive, manic or hypomanic), the disorder should be coded
under bipolar affective disorder.
A. Hypomania (the episode should last for at least several days on end)
Lesser degree of mania.
No hallucinations or delusions.
Persistent mild elevation of mood.
Increased energy and activity.
Marked feelings of well-being.
Increased sociability and talkativeness.
Over-familiarity.
Increased sexual energy.
Decreased need for sleep.
Decreased concentration and attention.
Irritability may take the place of the more usual euphoric sociability.
Considerable interference with work or social activity is consistent with a diagnosis of hypomania but if
50
Mood (Affective) Disorders
49
, Chapter 10: Mood (Affective) Disorders
ICD-10 classification
1. Manic episode
A. Hypomania.
B. Mania without psychotic symptoms.
C. Mania with psychotic symptoms.
2. Bipolar affective disorder
A. Bipolar affective disorder, current episode hypomanic.
B. Bipolar affective disorder, current episode manic without psychotic symptoms.
C. Bipolar affective disorder, current episode manic with psychotic symptoms.
D. Bipolar affective disorder, current episode mild or moderate depression.
i. Without somatic syndrome.
ii. With somatic syndrome.
E. Bipolar affective disorder, current episode severe depression without psychotic symptoms.
F. Bipolar affective disorder, current episode mixed.
G. Bipolar affective disorder, currently in remission.
3. Depressive episode
A. Mild depressive episode.
i. Without somatic syndrome.
ii. With somatic syndrome.
B. Moderate depressive episode.
i. Without somatic syndrome.
ii. With somatic syndrome.
C. Severe depressive episode.
i. Without psychotic symptoms.
ii. With psychotic symptoms.
4. Recurrent depressive disorder
A. Recurrent depressive disorder, current episode mild.
i. Without somatic syndrome.
ii. With somatic syndrome.
B. Recurrent depressive disorder, current episode moderate.
i. Without somatic syndrome.
ii. With somatic syndrome.
C. Recurrent depressive disorder, current episode severe without psychotic symptoms.
D. Recurrent depressive disorder, current episode severe with psychotic symptoms.
E. Recurrent depressive disorder, currently in remission.
5. Persistent mood (affective) disorders
A. Cyclothymia.
B. Dysthymia.
1. Manic episode
A 32 year old woman is unable to remain seated in a chair for an assessment. Her speech is rapid and difficult to
interrupt. She stated that she has been sleeping for two hours per night over the past week and is unable to watch
television due to reduced concentration. She reported that yesterday, she ordered €10,000 worth of new
furniture and carpets for her house despite the fact that she had replaced the household furniture and carpets
four months ago. As the interview progresses, she rushes over to the male doctor to hug him.
ICD-10 criteria
All of the subdivisions of this category should be used only for a single manic episode.
If previous or subsequent affective episodes (depressive, manic or hypomanic), the disorder should be coded
under bipolar affective disorder.
A. Hypomania (the episode should last for at least several days on end)
Lesser degree of mania.
No hallucinations or delusions.
Persistent mild elevation of mood.
Increased energy and activity.
Marked feelings of well-being.
Increased sociability and talkativeness.
Over-familiarity.
Increased sexual energy.
Decreased need for sleep.
Decreased concentration and attention.
Irritability may take the place of the more usual euphoric sociability.
Considerable interference with work or social activity is consistent with a diagnosis of hypomania but if
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