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296 Affective psychoses
Mental disorders, usually recurrent, in which there is a severe disturbance of
mood [mostly compounded of depression and anxiety but also manifested as
elation and excitement] which is accompanied by one or more of the following:
delusions, perplexity, disturbed attitude to self, disorder of perception and
behavior; these are all in keeping with the patient's prevailing mood [as are
hallucinations when they occur]. There is a strong tendency to suicide. For
practical reasons, mild disorders of mood may also be included here if the
symptoms match closely the descriptions given; this applies particularly to
mild hypomania.
Excludes: neurotic depression (300.4)
reactive depressive psychosis (298.0)
reactive excitation (298.1)
296.0 Manic-depressive psychosis, manic type
Mental disorders characterized by states of elation or excitement out of
keeping with the patient's circumstances and varying from enhanced liveliness
[hypomania] to violent, almost uncontrollable excitement. Aggression and
anger, flight of ideas, distractibility, impaired judgement, and grandiose
ideas are common.
Hypomania NOS Manic psychosis
Hypomanic psychosis Manic-depressive psychosis or reaction:
Mania (monopolar) NOS hypomanic
Manic disorder manic
Excludes: circular type, if there was a previous attack of depression
(296.4)
296.1 Manic-depressive psychosis, depressed type
An affective psychosis in which there is a widespread depressed mood of gloom
and wretchedness with some degree of anxiety. There is often reduced activity
but there may be restlessness and agitation. There is a marked tendency to
recurrence; in a few cases this may be at regular intervals.
Depressive psychosis Manic-depressive psychosis or reaction
Endogenous depression Monopolar depression
Involutional melancholia Psychotic depression
Excludes: circular type, if previous attack was of manic type (296.3)
depression NOS (311)
296.2 Manic-depressive psychosis, circular type but currently manic
An affective psychosis which has appeared in both the depressive and the manic
form, either alternating or separated by an interval of normality, but in
which the manic form is currently present. [The manic phase is far less
frequent than the depressive.]
Bipolar disorder, now manic
Excludes: brief compensatory or rebound mood swings (296.8)
296.3 Manic-depressive psychosis, circular type but currently depressed
Circular type (see 296.2) in which the depressive form is currently present.
Bipolar disorder, now depressed
Excludes: brief compensatory or rebound mood swings (296.8)
296.4 Manic-depressive psychosis, circular type, mixed
An affective psychosis in which both manic and depressive symptoms are present
at the same time.
296.5 Manic-depressive psychosis, circular type, current condition not
specified
Circular type (see 296.2) in which the current condition is not specified as
either manic or depressive.
296.6 Manic-depressive psychosis, other and unspecified
Use this code for cases where no other information is available, except the
unspecified term, manic-depressive psychosis, or for syndromes corresponding
to the descriptions of depressed (296.1) or manic (296.0) types but which for
other reasons cannot be classified under 296.0-296.5.
Manic-depressive: Manic-depressive psychosis:
reaction NOS NOS
syndrome NOS mixed type
296.8 Other
Excludes: psychogenic affective psychoses (298.-)
296.9 Unspecified
Affective psychosis NOS
Melancholia NOS
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