According to DSM-IV-TR,necessary symptoms for the diagnosis of Bipolar I disorder include:

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The correct answer is D) All of the above. According to the DSM-IV-TR, for a diagnosis of Bipolar I disorder, it is necessary that the individual is currently or has recently been in a manic episode, has had at least one previous major depressive, manic, or mixed episode, and that these mood episodes are not better explained by psychotic disorders.

According to DSM-IV-TR,necessary Symptoms for the Diagnosis of Bipolar I