SCID-I (for DSM-IV-TR) *CURRENT MANIC EPISODE*
Current Manic
(NOV 2011)
Mood Episodes A. 18
MANIC EPISODE CRITERIA
A82
IF THOROUGH OVERVIEW OF PRESENT ILLNESS PROVIDES NO BASIS FOR SUSPECTING A CURRENT MANIC, MIXED, OR HYPOMANIC EPISODE, CHECK HERE ____ AND GO TO *PAST MANIC EPISODE,* A. 28. In the last month has there been a period of time when you were feeling so good, high, excited, or hyper that other people thought you were not your normal self? IF YES: What was it like? (Was that more than just feeling good?) IF NO: In the last month, have you had a period of time when you were feeling irritable or angry most of the day, every day, for at least several days? (Was that different from the way you usually are?) What was it like? How long did that last? (As long as 1 week?) (Did you have to go into a hospital?) ? lasting at least 1 week (or any duration if hospitalization is necessary). NOTE: IF ELEVATED MOOD LASTS LESS THAN 1 WEEK, CHECK WHETHER IRRITABLE MOOD LASTS AT LEAST 1 WEEK BEFORE SKIPPING TO A. 24. 1 2 3 A. A distinct period [lasting at least 4 days] of abnormally and persistently elevated, expansive, or irritable mood, Check if: ___ elevated, expansive mood ___ irritable mood ? 1
GO TO *PAST MANIC EPISODE* A. 28
A83
A84 A85
A86
GO TO *CURRENT HYPOMANIC EPISODE* A. 24
?=inadequate information
1=absent or false
2=subthreshold
3=threshold or true
SCID-I (for DSM-IV-TR) During that time . . . did you do anything that could have potentially caused trouble for you or your family? (Buying things you didnt need?) (Anything sexual that was unusual for you?) (Reckless driving?)
Current Manic
(JAN 2010)
Mood Episodes A. 20
(7) excessive involvement in pleasurable activities which have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments) AT LEAST THREE B SXS ARE CODED 3 (FOUR IF MOOD ONLY IRRITABLE) Note: DSM-IV criterion C (i.e., does not meet criteria for a Mixed Episode) has been omitted from the SCID.
A95
1
GO TO *PAST MANIC EPISODE,* A.28
A96
IF NOT KNOWN: At that time did you have serious problems at home, or at work (school) because you were (SYMPTOMS) or did you have to go into a hospital?
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. DESCRIBE:
A97
GO TO *CURRENT HYPOMANIC CRITERION C* A. 25
?=inadequate information
1=absent or false
2=subthreshold
3=threshold or true
SCID-I (for DSM-IV-TR)
Current Hypomanic
(JAN 2010)
Mood Episodes A. 24
*CURRENT HYPOMANIC EPISODE*
HYPOMANIC EPISODE CRITERIA
A107a
IF CRITERIA ARE MET FOR A CURRENT MANIC EPISODE, CHECK HERE ___ AND GO TO THE NEXT MODULE. (When you were [HIGH/IRRITABLE/ OWN WORDS], did it last for at least 4 days?) ? 1 A. A distinct period of persistently elevated, expansive or irritable mood, lasting throughout at least 4 days, that is GO TO clearly different from the usual *PAST nondepressed mood. MANIC Check if: ___ elevated, expansive mood ___ irritable mood Have you had more than one time like that in the past month? (Which one was the most extreme?) FOCUS ON THE MOST EXTREME PERIOD IN THE PAST MONTH OF THE CURRENT EPISODE FOR THE FOLLOWING QUESTIONS. (During this time . . .) how did you feel about yourself? (More self-confident than usual?) (Any special powers or abilities?) did you need less sleep than usual? (How much sleep did you get?) IF YES: Did you still feel rested? were you much more talkative than usual? (Did people have trouble stopping you or understanding you? Did people have trouble getting a word in edgewise?) were your thoughts racing through you head? (What was that like?) were you so easily distracted by things around you that you had trouble concentrating or staying on one track? (Give me an example of that.) (3) more talkative than usual or pressure to keep talking ? 1 2 3 (2) decreased need for sleep (e.g., feels rested after only 3 hours of sleep) ? 1 2 3 (1) inflated self-esteem or grandiosity ? 1 2 3 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:
EPISODE* A. 28
A108
A109 A110
A111
A112
A113
(4) flight of ideas or subjective experience that thoughts are racing (5) distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli)
A114
A115
?=inadequate information
1=absent or false
2=subthreshold
3=threshold or true
SCID-I (for DSM-IV-TR) . . how did you spend your time? (Work, friends, hobbies?) (Were you especially productive or busy during that time?)
Current Hypomanic
(JAN 2010) ?
Mood Episodes A. 25 1 2 3
A116
(6) increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation Check if: ___ increase in activity ___ psychomotor agitation A117
(Did you find yourself more enthusiastic at work or working harder at your job?)(Did you find yourself more engaged in school activities or studying harder?) (Were you more sociable during that time, such as calling on friends or going out with them more than you usually do or making a lot of new friends?) (Did you find yourself thinking more about sex than you usually do or being more active sexually?) IF NO INCREASED ACTIVITY: Were you physically restless? (How bad was it?) . . did you do anything that could have potentially caused trouble for you or your family? (Buying things you didnt need?) (Anything sexual that was unusual for you?) (Reckless driving?)
A117 A118
(7) excessive involvement in pleasurable activities which have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments) AT LEAST THREE B SXS ARE CODED 3 (FOUR IF MOOD ONLY IRRITABLE).
A119
1
GO TO *PAST MANIC EPISODE* A. 28
A120
*CURRENT HYPOMANIC CRITERION C*
IF NOT KNOWN: Was this very different from the way you usually are (when youre not depressed?) (How were you different? At work? With friends?)
1 C. The episode is associated with an ? unequivocal change in functioning that is uncharacteristic of the person when GO TO not symptomatic. *PAST
MANIC EPISODE* A. 28
A121
?=inadequate information
1=absent or false
2=subthreshold
3=threshold or true
SCID-I (for DSM-IV-TR) *PAST MANIC EPISODE* NOTE: IF CURRENTLY ELEVATED OR IRRITABLE MOOD BUT FULL CRITERIA ARE NOT MET FOR A MANIC EPISODE, SUBSTITUTE THE PHRASE Has there ever been another time . . . IN EACH OF THE SCREENING QUESTIONS BELOW.
Past Manic
(Nov 2011)
Mood Episodes A. 28
MANIC EPISODE CRITERIA
Have you ever had a period of time when you were feeling so good, high, excited, or hyper that other people thought you were not your normal self? IF YES: What was it like? (Was that more than just feeling good?) IF NO: Have you ever had a period of time when you were feeling irritable or angry for most of the day, every day, for at least several days? (Was that different from the way you usually are?) What was it like? When was that? How long did that last? (As long as 1 week?) (Did you need to go to the hospital?) ? lasting at least 1 week (or any duration if hospitalization is necessary). NOTE: IF ELEVATED MOOD LASTS LESS THAN 1 WEEK, CHECK WHETHER IRRITABLE MOOD LASTS AT LEAST 1 WEEK BEFORE SKIPPING TO A. 33.. NOTE: IF THERE IS EVIDENCE FOR MORE THAN ONE PAST EPISODE, SELECT THE WORST ONE FOR YOUR INQUIRY ABOUT PAST MANIC EPISODE. IF THERE WAS AN EPISODE IN THE PAST YEAR, ASK ABOUT THAT EPISODE EVEN IF IT WAS NOT THE WORST. 1 2 3
A129
? A. A distinct period [lasting at least 4 days] of abnormally and persistently elevated, expansive or irritable mood. . . Check if: ___ elevated, expansive mood ___ irritable mood
1
GO TO *DYSTHYMIC DISORDER* A. 38
A126
A127 A128
Have you had more than one time like that? (Which time was the most extreme?) IF UNCLEAR: Have you had any times like that in the past year?
GO TO *PAST HYPOMANIC EPISODE* A. 33
?=inadequate information
1=absent or false
2=subthreshold
3=threshold or true
SCID-I (for DSM-IV-TR) During that time . . . did you do anything that could have potentially caused trouble for you or your family? (Buying things you didnt need?) (Anything sexual that was unusual for you?) (Reckless driving?)
Past Manic
(JAN 2010)
Mood Episodes A. 30
(7) excessive involvement in pleasurable activities which have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments)
A138
AT LEAST THREE B SXS ARE CODED 3 (FOUR IF MOOD ONLY IRRITABLE). IF NOT ALREADY ASKED: Has there been any other time when you were (high/irritable/OWN WORDS) and had even more of the symptoms that I just asked you about? IF YES: RETURN TO *PAST MANIC EPISODE,* A. 28, AND INQUIRE ABOUT WORST EPISODE. IF NO: GO TO *DYSTHYMIC DISORDER,* A. 38. NOTE: DSM-IV criterion C (i.e., does not meet criteria for a Mixed Episode) has been omitted from the SCID.
A139
CONTINUE BELOW
IF NOT KNOWN: At that time, did you have serious problems at home or at work (school) because you were (SYMPTOMS) or did you have to go into a hospital?
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.
1 1
22
A140
IF NOT ALREADY ASKED: Has there DESCRIBE: been any other time when you were (high/irritable/OWN WORDS) and had (ACKNOWLEDGED MANIC SYMPTOMS) and you got into trouble with people or were hospitalized?
IF YES: RECODE CRITERION D as 3 IF NO: GO TO *PAST HYPOMANIC CRITERION C,* A. 35
CONTINUE ON NEXT PAGE
?=inadequate information
1=absent or false
2=subthreshold
3=threshold or true
SCID-I (for DSM-IV-TR) During that time
Past Hypomanic
(JAN 2010)
Mood Episodes A. 34
were you so easily distracted by things around you that you had trouble concentrating or staying on one track? . . how did you spend your time? (Work, friends, hobbies?) (Were you especially productive or busy during that time?) (Did you find yourself more enthusiastic at work or working harder at your job?)(Did you find yourself more engaged in school activities or studying harder?) (Were you more sociable during that time, such as calling on friends or going out with them more than you usually do or making a lot of new friends?) (Did you find yourself thinking more about sex than you usually do or being more active sexually?) IF NO INCREASED ACTIVITY: Were you physically restless? (How bad was it?) . . did you do anything that could have potentially caused trouble for you or your family? (Buying things you didnt need?) (Anything sexual that was unusual for you?) (Reckless driving?)
(5) distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli) (6) increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation Check if: ____ increase in activity ____ psychomotor agitation
A152
A153
A153a A153b
(7) excessive involvement in pleasurable activities which have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments) AT LEAST THREE B SXS ARE CODED 3 (FOUR IF MOOD ONLY IRRITABLE).
A154
IF NOT ALREADY ASKED: Has there been any other time when you were (high/irritable/OWN WORDS) and had even more of the symptoms that I just asked you about?
NOTE: BECAUSE OF THE DIFFICULTY OF DISTINGUISHING NORMAL PERIODS OF GOOD MOOD FROM HYPOMANIA, REVIEW ALL ITEMS CODED 3 IN CRITERIA A AND B AND RECODE ANY EQUIVOCAL JUDGMENTS.
CONTINUE ON NEXT PAGE
IF YES: RETURN TO *PAST HYPOMANIC EPISODE, * A. 33, AND INQUIRE ABOUT THAT EPISODE. IF NO: GO TO *DYSTHYMIC DISORDER, * A. 38. ?=inadequate information 1=absent or false 2=subthreshold
3=threshold or true
