Bipolar disorder manic episode12/2/2023 ![]() ![]() ![]() Impaired judgment in bipolar mania is relatively common. It typically occurs within the most severe conditions.Įarly warning signs of psychosis can include changes in sleep patterns, increased energy and activity levels, racing thoughts or rapid speech, irritability or agitation, grandiosity or inflated self-esteem, poor judgment or impulsivity, delusions, or hallucinations. ![]() Though not exclusive to bipolar disorder, psychosis can occur during a manic episode. It can include symptoms like delusions (e.g., false beliefs), hallucinations (e.g., seeing, hearing, or feeling imaginary things), disordered thinking, and abnormal behavior. Psychosis is a mental state characterized by a break from reality. For those in treatment or who are self-aware, early warning signs serve as a call to action to reduce the severity of said manic symptoms. Individuals with bipolar mania may experience a wide range of thought pattern changes, including racing thoughts, grandiosity, flight of ideas, reduced need for sleep, distractibility, impulsivity, irritability, and psychosis. The manic sensation is deemed more enjoyable than periods of significant depression. Said changes may be noticeable to the individual experiencing them but ignored or even welcomed in some cases. More expanded descriptions of common symptoms are as follows: Changes in Thought Patternsīipolar mania presents notable changes that may appear gradual at first or seemingly come on suddenly. Excessive involvement in activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments)” 1.Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation (i.e., purposeless, non-goal-directed activity).Distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli), as reported or observed.Flight of ideas or subjective experience that thoughts are racing.More talkative than usual or pressure to keep talking.Decreased need for sleep (e.g., feels rested after only 3 hours of sleep).Per the DSM-5, During the period of mood disturbance and increased energy or activity, 3 or more symptoms are present to a significant degree and represent a noticeable change from usual behavior. It is also present in cyclothymia, postpartum psychosis, schizoaffective disorder, and seasonal affective disorder. The DSM-5 defines the primary criterion of mania as being “a distinct period of abnormally and persistently elevated, expansive, or irritable mood” and “abnormally and persistently increased goal-directed activity or energy.” 1 Mania is oftentimes a symptom of bipolar disorder but is not exclusive to this diagnosis. Cyclothymic disorder: Lesser understood than bipolar I and II, cyclothymic disorder shares similarities with bipolar I and II as well as major depressive disorder but is met with less severe manic and depressive cycles.Bipolar II: Though individuals diagnosed with bipolar II are less likely to experience psychosis, they are not immune. ![]()
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