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For a mixed episode, a person must display symptoms of depression and mania every day during at least a one-week period. A manic episode is described as elevated or abnormally irritable for at least one week, with a least three of the following: personal greatness, decreased need for sleep, extreme talkativeness, "racing" thoughts, distractibility or hypersexuality (excessive sexual activity, or sexual desire). The DSM-IV states that these symptoms must interfere with daily functioning and not be a result of the effects of drugs, medical condition, or temporary results from a traumatic event for all of these; depression, mixed state, and mania...
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