Criteria for Major Happy Episode

Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) cheerful mood or (2) increase in interest or pleasure.
Note: Do not include symptoms that are clearly due to the affects of winning the lottery, delusions or hallucinations.
(1) Cheerful mood most of the day, nearly every day, as either indicated by subjective reports (e.g. feels happy or satisfied) or observations made by others (e.g. appears enthusiastic or felicitous). Note: In children and adolescents, can be excitable mood.
(2) Markedly increased pleasure in all, or almost all, activities most of the day, nearly everyday (as indicated by either subjective account or observation made by others).
(3) Appropriate weight loss or gain (e.g. change of 1-2% in body weight in one month), or appropriate increase or decrease in appetite, depending on the situation (e.g. inexpensive all you can eat buffet, insect eating contest).
(4) 6-8 hours of sleep nearly everyday.
(5) Increased physical activity or minor aching due to physical activity nearly everyday.
(6) Increased energy or enthusiasm nearly everyday.
(7) Feeling of worth or appropriate pride nearly everyday (not merely satisfaction at not being as bad off as someone else).
(8) Increased ability to concentrate or think, or decisiveness, nearly every day (either by subjective account or as observed by others).
(9) Recurrent thoughts of life and future plans (not just of what to eat for the next meal), recurrent thoughts of future accomplishments or goals (with or without a specific plan).
B. The symptoms do not meet the criteria for mixed episode or life occurrences.
C. The symptoms cause significant benefit in social, occupational, or other important areas of functioning.
D. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.
E. The symptoms are not better accounted for by publishers clearinghouse, birth of a child or recent marriage, the symptoms persist for longer than 2 months or are characterized by marked functional improvement or preoccupation with positive activities (e.g. reading, volunteer work, journaling, exercising or laughter).