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Symptoms of Mania



List of symptoms of Mania:

The list of signs and symptoms mentioned in various sources for Mania includes the 22 symptoms listed below:

Note that Mania symptoms usually refers to various symptoms known to a patient, but the phrase Mania signs may refer to those signs only noticable by a doctor.

More ways to research these symptoms: To research other symptoms use the symptom center, or to research causes of more than one symptom in combination, try our multi-symptom search.

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Do I have Mania?

Home Diagnostic Testing

Home medical tests related to Mania:

Wrongly Diagnosed with Mania?

The list of other diseases or medical conditions that may be on the differential diagnosis list of alternative diagnoses for Mania includes:

See the full list of 40 alternative diagnoses for Mania

More about symptoms of Mania:

More information about symptoms of Mania and related conditions:

Other Possible Causes of these Symptoms

Click on any of the symptoms below to see a full list of other causes including diseases, medical conditions, toxins, drug interactions, or drug side effect causes of that symptom.

Medical Books Online about Mania

Medical Books Excerpts Excerpts of published medical book chapters related to Mania are available from published medical books for more detailed information about Mania.

Medical Books Excerpts
  • "Algorithmic Diagnosis of Symptoms and Signs"
  • "Professional Guide to Diseases (Eighth Edition)"
  • "Handbook of Diseases"

Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.

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Patient Surveys for Mania

Symptoms of Mania: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the symptoms of Mania.


Bipolar disorders: Signs and symptoms
(Professional Guide to Diseases (Eighth Edition))

Signs and symptoms vary widely, depending on whether the patient is experiencing a manic or a depressive episode.

During the assessment interview, the manic patient typically appears grandiose, euphoric, expansive, or irritable with little control over his activities and responses. He may describe hyperactive or excessive behavior, including elaborate plans for numerous social events, efforts to renew old acquaintances by telephoning friends at all hours of the night, buying sprees, or promiscuous sexual activity. He seldom hesitates to start projects for which he has little aptitude.

The patient’s activities may have a bizarre quality, such as dressing in colorful or strange garments, wearing excessive makeup, or giving advice to passing strangers. He commonly expresses an inflated sense of self-esteem, ranging from uncritical self-confidence to marked grandiosity, which may be delusional.

Note the patient’s speech patterns and concentration level. Accelerated and pressured speech, frequent changes of topic, and flight of ideas are common features of the manic phase. The patient is easily distracted and responds rapidly to external stimuli, such as background noise or a ringing telephone.

Physical examination of the manic patient may reveal signs of malnutrition and poor personal hygiene. He may report sleeping and eating less as well as being more physically active than usual.

Hypomania, more common than acute mania, can be recognized during the assessment interview by three classic symptoms: euphoric but unstable mood, pressured speech, and increased motor activity. The hypomanic patient may appear elated, hyperactive, easily distracted, talkative, irritable, impatient, impulsive, and full of energy but seldom exhibits flight of ideas. Delusions and other symptoms of psychotic intensity are never present.

The patient who experiences a depressive episode may report a loss of self-esteem, overwhelming inertia, social withdrawal, and feelings of hopelessness, apathy, or self-reproach. He may believe that he’s wicked and deserves to be punished. His growing sadness, guilt, negativity, and fatigue place extraordinary burdens on his family.

During the assessment interview, the depressed patient may speak and respond slowly. He may complain of difficulty concentrating or thinking clearly but is usually not obviously disoriented or intellectually impaired.

Physical examination may reveal reduced psychomotor activity, lethargy, low muscle tonus, weight loss, slowed gait, and constipation. The patient may also report sleep disturbances (falling asleep, staying asleep, or early morning awakening), sexual dysfunction, headaches, chest pains, and a heaviness in the limbs. Typically, symptoms are worse in the morning and gradually subside as the day goes on.

His concerns about his health may become hypochondriacal: He may worry excessively about having cancer or some other serious illness. In an elderly patient, physical symptoms may be the only clues to depression.

Suicide is an ever-present risk, especially as the depression begins to lift. At that point, a rising energy level may strengthen the patient’s resolve to carry out suicidal plans.

The suicidal patient may also harbor homicidal ideas — for example, thinking of killing his family either in anger or to spare them pain and disgrace.

READ BOOK EXCERPT ONLINE »

Bipolar disorders: Signs and symptoms
(Handbook of Diseases)

Signs and symptoms vary widely, depending on whether the patient is experiencing a manic or a depressive episode.

Manic features

The manic patient typically appears euphoric, expansive, or irritable with little control over his activities and responses. He may describe hyperactive or excessive behavior, including elaborate plans for numerous social events, efforts to renew old acquaintances by telephoning friends at all hours of the night, buying sprees, or promiscuous sexual activity. He seldom hesitates to start projects for which he has little aptitude.

The patient’s activities may have a bizarre quality, such as dressing in colorful or strange garments, wearing excessive makeup, or giving advice to passing strangers. He often expresses an inflated sense of self-esteem, ranging from uncritical self-confidence to marked grandiosity, which may be delusional. Common features of the manic phase are accelerated speech, frequent changes of topic, and flight of ideas. The patient is easily distracted and responds rapidly to external stimuli, such as background noise or a ringing telephone.

Physical examination of the manic patient may reveal signs of malnutrition and poor personal hygiene. He may report sleeping and eating less than usual.

Hypomania can be recognized during the assessment interview by three classic symptoms: elated but unstable mood, pressured speech, and increased motor activity. The hypomanic patient may appear elated, hyperactive, easily distracted, talkative, irritable, impatient, impulsive, and full of energy but seldom exhibits flight of ideas, delusions, or an absence of discretion and self-control.

Depressive features

The patient who experiences a depressive episode may report a loss of self-esteem, overwhelming inertia, social withdrawal, and feelings of hopelessness, apathy, or self-reproach. He may believe that he’s wicked and deserves to be punished. His growing sadness, guilt, negativity, and fatigue place extraordinary burdens on his family.

During the assessment interview, the depressed patient may speak and respond slowly. He may complain of difficulty concentrating or thinking clearly but usually isn’t obviously disoriented or intellectually impaired.

Physical examination may reveal reduced psychomotor activity, lethargy, low muscle tonus, weight loss, slowed gait, and constipation. The patient also may report sleep disturbances (falling asleep, staying asleep, or awakening in the early morning), sexual dysfunction, headaches, chest pains, and a heaviness in the limbs. Typically, symptoms are worse in the morning and gradually subside as the day goes on.

His concerns about his health may become hypochondriacal: He may worry excessively about having cancer or some other serious illness. In an elderly patient, physical symptoms may be the only clues to depression.

Suicide is an ever-present risk, especially as the depression begins to lift. At that point, a rising energy level may strengthen the patient’s resolve to carry out suicidal plans.

The suicidal patient may also harbor homicidal ideas, for example, thinking of killing his family either in anger or to spare them pain and disgrace.

READ BOOK EXCERPT ONLINE »

Article Excerpts About Symptoms of Mania:

Let's Talk About Depression: NIMH (Excerpt)

When You're Manic... (Source: excerpt from Let's Talk About Depression: NIMH)

Medications: NIMH (Excerpt)

When people are in a manic "high," they may be overactive, overly talkative, have a great deal of energy, and have much less need for sleep than normal. They may switch quickly from one topic to another, as if they cannot get their thoughts out fast enough. Their attention span is often short, and they can be easily distracted. Sometimes people who are "high" are irritable or angry and have false or inflated ideas about their position or importance in the world. They may be very elated, and full of grand schemes that might range from business deals to romantic sprees. Often, they show poor judgment in these ventures. Mania, untreated, may worsen to a psychotic state. (Source: excerpt from Medications: NIMH)

Mania as a symptom:

For a more detailed analysis of Mania as a symptom, including causes, drug side effect causes, and drug interaction causes, please see our Symptom Center information for Mania.

Medical articles and books on symptoms:

These general reference articles may be of interest in relation to medical signs and symptoms of disease in general:

Full list of premium articles on symptoms and diagnosis

About signs and symptoms of Mania:

The symptom information on this page attempts to provide a list of some possible signs and symptoms of Mania. This signs and symptoms information for Mania has been gathered from various sources, may not be fully accurate, and may not be the full list of Mania signs or Mania symptoms. Furthermore, signs and symptoms of Mania may vary on an individual basis for each patient. Only your doctor can provide adequate diagnosis of any signs or symptoms and whether they are indeed Mania symptoms.


 » Next page: Diagnostic Tests for Mania

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