DCR-10 Criteria

A. Mood must be predominantly elevated, expansive or irritable, and definitely abnormal for the individual concerned. The mood change must be prominent and sustained for at least 1 week (unless it is severe enough to require hospital admission)
B. At least three of the following signs must be present (four if the mood is merely irritable), leading to severe interference with personal functioning in daily living:

1. increased activity or physical restlessness
2. increased talkativeness
3. flight of ideas or the subjective experience of thoughts racing
4. loss of normal social inhibitions, resulting in behaviour that is inappropriate to the circumstances
5. decreased need for sleep
6. inflated self-esteem or grandiosity
7. distractibility or constant changes in activity or plans
8. behaviour that is foolhardy or reckless and whose risks the individual does not recognize, e.g. spending sprees, foolish enterprises, reckless driving
9. marked sexual energy or sexual indiscretions