Zhengzhou Spirit: What are the manifestations of mania?
What does mania look like?
- Common manifestations
Core Symptoms Unusual happy mood, light-hearted, carefree, smiling, high spirits, no difficulties (elevated emotion), some people show a little bit of trivial or casual tantrums (irritability), in severe cases Impulsive behavior may occur in irritable situations. Thinking association speeds up, words increase, one sentence after another, eloquent, eloquent, rich in content, humorous (thinking rush), the patient himself feels that the brain has become very sensitive, smart and quick to respond. Feeling good about oneself, exaggerating one's ability, money, and status, thinking that one has the ability to do great things and make a lot of money (delusions of exaggeration).
Patients are active, social, nosy, want to do big things, do a lot of things, keep busy (increased volitional behavior). High energy, less need for sleep, and tirelessness. Do things with no beginning and no end, easy to be attracted by what happens around you and divert attention (shift with the situation), overly optimistic about the outcome, act rashly, and ignore the consequences. Love to spend money, pursue pleasure, and spend freely. Easy to conflict with the surrounding, resulting in impulsive behavior. Increased libido, sexual indiscretion.
In a manic state, the patient feels good about himself, but usually has no ability to recognize his own illness, that is, he has no insight into his own disease. Elevated emotion or irritability is characteristic of a manic state, accompanied by racing thoughts and heightened volitional behaviour. It is manifested as coordinated psychomotor excitement, that is, the coordination between emotions, inner experience, and volitional behavior, and coordination with the surrounding environment. In severe cases, symptoms of incoordination, disorganized speech, disordered behavior, hallucinations, delusions and other psychotic symptoms may appear.
- Course characteristics and typical manifestations
The age of onset is early, mostly before the age of 45. The first manic episode often occurs in adolescence, the onset is rapid, and it can develop into a disease state within a few days. Adult patients need to carefully ask whether they have had atypical, mild and transient depression in the past. If so, they should be diagnosed as bipolar disorder. Typical attack performance: it is an episodic course of disease, the intermission is normal, and it is easy to relapse. Elevated emotion, increased speech, and increased activity during manic episodes, ie, coordinated psychomotor arousal
- Disease hazards
If manic disorder is not treated, it is prone to recurrent attacks, and long-term recurrent attacks will lead to chronic disease, personality changes and impaired social function in patients. Due to the impact of premorbid personality and disease symptoms, the incidence of alcohol dependence, substance abuse, and drug dependence is high. In a state of mania, due to irritability, weak impulse control ability, and impaired judgment, irrational behaviors may occur, and there may be reckless behavior, reckless behavior, random squandering, blind investment, promiscuous sex, hurting others, Destroy. Therefore, once the manic state is diagnosed, it should be actively treated to avoid adverse consequences.
