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Bipolar disorder is characterized by significant mood swings, including manic or hypomanic episodes and depressive episodes. According to the DSM-5, the diagnostic criteria for Bipolar I Disorder include manic episode, hypomanic episode, and major depressive episode. The patient reported mood swings and an incident where self-harm triggered a manic episode. However, the duration and severity of these symptoms were not clearly documented to meet the criteria for a manic episode lasting at least 1 week. The DSM-5 requires the manic episode to last at least 1 week. The patient's reported manic episode triggered by self-harm did not provide sufficient information to confirm this duration. The patient's symptoms, while severe and indicative of significant mood instability, did not fully align with the DSM-5 criteria for Bipolar I Disorder. Specifically, the lack of documented duration and severity of manic episodes, as well as the absence of marked impairment or psychotic features, led to the conclusion that the criteria for Bipolar I Disorder were not met.
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