My Mania

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Gone are the days of hopping a plane to New York City to eat bread sticks with butter and drink beer in bars. It was so much easier staying in my nightgown.

You get used to the sound of your own breathing. You almost like the smell of your dirty body. He knows my deepest darkest secrets, and he likes me still, for who I am. Not very romantic, is it? Now, my sleep is like clockwork. There are no extremes anymore. Life is perfectly ho hum….

See a Problem?

I especially miss Regis Philbin who told me his deepest, darkest secret. I was so proud of knowing that. But, Regis has stopped talking to me through the TV. You must take care of business. Go out to lunch. Psychiatry has established a central set of criteria to diagnose mania. Just as episodes play out differently for different people, so does the course of episodes over time. For others, mania revisits despite the best interventions. It has taken Julianna years to find medication that keeps her relatively stable, but she still has manic episodes every couple of months.

Bipolar & Getting a Grip on Mania - bpHope : bpHope

Clayton consulted psychiatrists and counselors over the years as abrupt, disruptive mood shifts cost the chartered accountant two marriages and numerous jobs. The DSM lays out a list of core symptoms, starting with changes in mood and energy levels. Other diagnostic indicators include unrealistic self-confidence, a hyped-up buzz of ideas, talking more than usual, sleeping less than usual, and taking on lots of activities—including ones that are likely to have negative consequences.

That increased sensitivity can result in irritable reactions to noise. Cognitive changes— trouble with memory , obsessive thoughts —may also occur. Eating habits may veer toward voracious appetite or zero interest in food. The longer mania goes untreated, the greater the risk of psychosis. In a psychotic episode, you have difficulty distinguishing what is rational and real from what is not.

My Mania and Me

That may take the form of delusions—believing you have a special relationship with God, say—or hallucinations, either auditory or visual. One-third of people with bipolar I experience elevated mood episodes with mixed features—symptoms of mania and depression at the same time. Research shows that suicide risk is higher during such episodes.

Impaired judgment and impulsive behavior are hallmarks of mania, often leading to life-shattering consequences like losing jobs and deep-sixing relationships—sometimes due to the fallout from manic actions, sometimes simply by deciding to up and leave. In one hot-headed moment, Julianna walked out on her marriage. The couple has since reconciled, but fractures remain.

A variety of studies suggest that lower impulse control and greater responsiveness to rewards may be characteristic of people with bipolar.

For When You Miss Your Bipolar Disorder Mania

For example, a paper in the journal Comprehensive Psychiatry found youth with bipolar scored higher on an impulsivity scale than those with major depressive disorder and those without any mood disorder. Sheri Johnson, PhD, a professor at the University of California-Berkeley, leads research on the intersection between reward-driven activities and mania. Furthermore, the degree of sensitivity to rewards can predict increases in mania over time.

In turn, escalating mood intensifies the drive for pleasure and excitement. Deeply engrained moral codes may get swept away in the rush, and people may act completely out of character: Individuals who are normally responsible with money can find themselves leaping into dubious investment schemes, launching business projects, or spending beyond their means. Keely currently lives on disability insurance, so she can ill afford her mania-fueled shopping splurges.

It can be difficult for people on the upswing to detect changes in their own behavior—or to feel like their greater productivity and upbeat mood are signs of illness. In psychiatric terms, this is known as lack of insight. Friends, family or co-workers are better equipped to notice changes like increased activity, greater inclination to socialize, less need for sleep, heightened irritability, and a general speeding up in speech and movement.

Keely was working as a case manager in a psychiatric hospital when her manic symptoms emerged. Co-workers quickly diagnosed the episode based on her ramped-up restlessness and unusual liveliness.


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For safety, a full-blown manic episode may require hospitalization because thinking becomes so distorted. With current treatments you can reduce the frequency, severity and duration of episodes. Enns recommends formulating a plan of action with your treating practitioner that goes into effect when symptoms first surface. You can work together on adjusting medications to address mood issues, sleep problems, and anxiety. Jajune rated it really liked it Jan 24, Notty rated it really liked it Jan 24, Nookkizy Love rated it it was amazing Jan 24, Thichakorn rated it it was amazing Jan 24, NariTa rated it really liked it Jul 30, Boong rated it really liked it Nov 14, Pim Garaipoom rated it it was amazing Aug 18, Lottae Nutdanai rated it really liked it Jan 25, Sorasak Boonsom rated it it was amazing Oct 08, Mtp Meen rated it it was amazing Jan 22, Pangpond rated it it was amazing Dec 29, Jeepqr rated it it was amazing Jan 24, Nu Noisopa rated it it was amazing Jan 24, Tok rated it really liked it May 10,