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BIPOLAR DISORDER

Mania & Hypo-mania

Mania

 

  1. The main feature of mania is a sense of being revved up or energised.
  2. There is usually an over inflated sense of confidence or excessive planning.
  3. Mood is often said to be elevated but actually the person may feel awful (dysphoricis the technical name). A manic person may be bubbling with joy and enthusiasm or highly irritable.
  4. Thoughts are often sped up with lots of different ideas.
  5. Speech can be quite fast or ‘pressured’.
  6. Because of feeling overconfident, less cautious, and over friendly, many peopledo things they later regret or feel embarrassed about, e.g. ringing friends in the middle of the night, buying expensive or unnecessary things, beginning ventures they can’t manage.
  7. Sexual interest can be heightened and lead to problems.
  8. The need for sleep is reduced significantly, sometimes very markedly – and yet the person seems to have energy the next day.
  9. These symptoms may become severe and psychotic symptoms develop, e.g. a woman may believe that she is ‘earth mother’ to all the worlds’ children, or that she is the best singer in the world or that her ideas for business will make her a millionaire by Christmas.

Hypomania

 

Hypo – means less of something.

Hypomania is a less marked form of mania.

It is not severe enough to result in a person needing hospitalisation, but nevertheless it can be very disruptive for a person – particularly in their relationships.

Both mania and hypomania can go on for weeks or even months.


Mixed mood states

 

This occurs when there is a mixture of the symptoms of depression and mania/hypomania occurring in the same day.

It can be very confusing both for the sufferer and those around them.

It can be very difficult for a doctor to recognise (and diagnose). It can appear like an agitated depression. In fact there is alot of debate among psychiatrists about the overlap of these conditions

It is a state that needs proper assessment and treatment.