<prompt> Minimum time for the diagnosis for manic illness is?1 week2 week3 week4 week  <response>: 1 week REF: Kaplan Sadocks Synopsis of Psychiatry: Behavioral SciencesClinical Psychiatry, 10th Edition, American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders. 4th editionTime frame of mood disorders:ConditionMinimum timeMajor depressive episode2 weeksMajor depressive disorder, Recurrent2 episodes separated by 2 monthsDysthymic disorder2 yearsCyclothymic disorder2 yearsManic episode1 weekMixed episode1 weekHypomanic episode4 daysRapid cycling bipolar IAt least 4 episodesyearSlow cyclers bipolar I1-3 episodesyearPostpaum mood disturbanceOnset within 4 weeks postpaum DSM-IV-TR Criteria for Manic EpisodeA distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week or any duration if hospitalization is necessary.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 grandiosityDecreased need for sleep e.g., feels rested after only 3 hours of sleepMore talkative than usual or pressure to keep talkingFlight of ideas or subjective experience that thoughts are racingDistractibility i.e., attention too easily drawn to unimpoant or irrelevant external stimuliIncrease in goal-directed activity either socially, at work or school, or sexually or psychomotor agitationExcessive involvement in pleasurable activities that have a high potential for painful consequences e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investmentsThe symptoms do not meet criteria for a mixed episode.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.The symptoms are not due to the direct physiological effects of a substance e.g., a drug of abuse, a medication, or other treatment or a general medical condition e.g., hypehyroidism. Note: Manic-like episodes that are clearly caused by somatic antidepressant treatment e.g., medication, electroconvulsive therapy, and light therapy should not count toward a diagnosis of bipolar I disorder. 