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How long must symptoms persist to meet the criteria for a manic episode according to DSM-V?

  1. One day

  2. One week

  3. Three days

  4. Two weeks

The correct answer is: One week

To meet the criteria for a manic episode according to the DSM-V, symptoms must persist for a duration of at least one week. This period of one week is essential for clinicians to differentiate a manic episode from a hypomanic episode, which requires a minimum duration of four consecutive days. The requirement for at least one week of symptoms ensures that the episode represents a significant deviation from the individual's usual functioning. During this time, the individual may exhibit abnormally elevated mood, increased activity or energy, and other associated symptoms such as grandiosity, decreased need for sleep, and distractibility. This clear demarcation of time is crucial in clinical settings to guide appropriate diagnosis and treatment. A duration shorter than one week would not fulfill the criteria for a manic episode, supporting the need for careful assessment in psychiatric evaluations.