Subtyping Micromanic Episodes

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Letter to the Editor

Sir: I read with great interest Dr. McElroy’s conceptualization of the explosivity component in intermittent explosive disorder as containing the features of what she terms a “microdysphoric manic episode.” While the idea of re-visioning explosivity as a brief manic episode is, to me, a diagnostic breakthrough with important treatment implications, her categorization of these episodes as “dysphoric” seems imprecise.

The DSM-IV (1994) lists 3 synonyms to exemplify a dysphoric mood: sadness, anxiety, or irritability.

J Clin Psychiatry 2000;61(2):144-145