2/5 present most of the day, nearly every day. During this period, three (or more) of the following (four if mood is only irritable) must be present and represent a noticeable change from usual behavior: Inflated self-esteem or grandiosity.
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3/5 Decreased need for sleep (e.g., feels rested after 3 hours). More talkative than usual or pressure to keep talking. Flight of ideas or racing thoughts. Distractibility. Increase in goal-directed activity (social, work, sexual) or psychomotor agitation.
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4/5 Excessive involvement in risky activities (e.g., shopping sprees, sexual indiscretions, foolish investments). Note: The episode must be observable by others, but not severe enough to cause marked impairment, hospitalization, or psychosis. If psychosis is present, the episode is by
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5/5 definition manic (i.e., Bipolar I). The second Criterion is a Major Depressive Episode. Over Trump's 79 years a MD episode is not hard to hypothesize. Given his severe personality disorders there would be events to thwart his Id, hence sending him into MD.
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