The DSM also required now that the symptoms should be associated with clinically significant distress -- there should be some kind of disturbance in work or school or social relationships -- and that symptoms and symptom severity should now be documented by keeping a daily log for at least two cycles in a row.
Također DSM sada propisuje da simptomi trebaju biti povezani sa klinički značajnim neraspoloženjem -- treba postojati neka vrsta smetnje u radu ili u školi ili socijalnim vezama -- i ti simptomi i jakost simptoma sada trebaju biti dokumentirani vodeći dnevnik za najmanje dva ciklusa zaredom.