Bipolar Disorder

What is Mania?

Mania is a mood state in which the individual diagnosed with Bipolar Disorder displays particular behaviors, which may include the following symptoms:

• Excessively high or euphoric mood
• Extreme irritability
• Decreased need for sleep
• Increased activity level
• Provocative or aggressive behavior
• Excessive sexual activity
• Reckless spending
• Poor judgment and risky behavior
• Inflated self-esteem or unrealistic beliefs in one's abilities
• Distractibility and inability to focus
• Rapid and pressured speech

During a manic episode, an individual may experience symptoms of psychosis, such as hallucinations (hearing voices, seeing things that do not exist), or delusions (persistent, false beliefs such as being convinced that he or she has magical powers or is the leader of a country).

What happens when you are not Manic?

When someone comes down from their mania they may become extremely depressed. Often, while the person was in their manic episode, they may have spent all their money (credit cards, checking accounts, savings accounts), they may have ruined interpersonal relationships, or have other negative effects to confront. Individuals with Bipolar Disorder usually follow a manic episode with a depression, which may include the following symptoms:

• Feeling down or depressed much of the day
• Anhedonia (lack of interest in activities which they previously found pleasurable)
• Social withdrawal
• Loss of appetite, overeating
• Excessive sleeping, feeling fatigued throughout the day
• Insomnia or early morning awakening
• Loss of sexual desire
• Suicidal ideation (thoughts of death or suicide)
• Feelings of hopelessness, and worthlessness
• Guilt over feeling depressed
• Sadness over the end of a manic episode (sometimes individuals are excessively productive in certain areas when they are manic)
• Physical complaints or other unexplained pain/discomfort