Mania

Mania can occur in a variety of clinical manifestations, including a classic, euphoric form, a dysphoric or irritable form, a mixed state, a mild form (hypomania), or a subsyndromal form (hyperthymia), often referred to as Temperament. A general feeling of wellness and eutonia is quite common in the euphoric forms but not in dysphoric mania.

Mania causes impaired judgment and poor impulse control. A manic patient might seek out dangerous, risk-taking behaviors, including impulsive spending, sexual promiscuity, aggressive driving and speeding, substance abuse, and violent or criminal behavior.

While most forms of mania are polysymptomatic -- many signs and symptoms occur at the same time, it is possible to observe manic phases with very few symptoms.

Manic symptoms are:
-"High," extremely happy or euphoric mood
-Irritable mood - provocative, explosive
-Self-importance - attention-seeking behavior, grandiosity
-Increased energy, restlessness or increased activity level
-Little need for sleep - up for a couple of nights straight
-Talkative, uninterrupted, vulgar or loud speech
-Need to use dramatic language/gestures - theatrical
-Lots of thoughts and ideas or projects
-Aggressive - verbally or physically violent
-Short attention span - distractibility and poor concentration
-Risky activities - speeding, gambling, substance abuse
-Poor judgement with impulsive behavior - overspending
Inability to recognize change from baseline - denial of illness
-Increased sexual drive, desire and/or activity

MANIA SIGNS SYMPTOMS
ACTIVITY HYPERACTIVE RESTLESS/RUSHED
PRESSURED SPEECH TALKATIVE/CHATTY
ANIMATED MULTIPLE ACTIVITIES
LITTLE NEED FOR SLEEP INSOMNIA
PROMISCUITY HIGH SEXUAL DRIVE

COGNITION DISTRACTIBLE RACING THOUGHTS
POOR CONCENTRATION CONFUSION
CREATIVE CREATIVE
PUNS/JOKES NEED TO SOCIALIZE

MOOD ELATED EUPHORIC
LAUGHS/SMILES A LOT LAUGHS/SMILES A LOT
GRANDIOSE SELF-CONFIDENT