“Mood swings” are not a diagnosis. They are a symptom description. In DSM-5-TR, Bipolar I and Bipolar II disorders are defined by the presence of distinct mood episodes with specific duration requirements, symptom clusters, and measurable change in functioning. Emotional variability alone does not meet diagnostic criteria. DSM-5-TR Diagnostic Framework Bipolar I Disorder Requires at least one manic episode, defined as: • A distinct period of abnormally and persistently elevated, expansive, or ir
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