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How To Recognize a Manic Episode

By Kimberly Read & Marcia Purse, About.com

Updated: February 21, 2008

About.com Health's Disease and Condition content is reviewed by Steven Gans, MD

If someone you know has or may have bipolar disorder, you need to know the signs that point to a manic episode. If you see a group of these behaviors, you or the individual in question should contact a doctor.
Difficulty: Average
Time Required: 10 minutes to read

Here's How:

  1. Make note of changes in sleeping patterns, especially if your friend or loved one has lots of energy on just a few hours of sleep.

  2. Is he restlessly searching for ways to work off extra energy? Washing the car every day? Make note of this.

  3. Be alert to increased talkativeness. If her mouth runneth over, this could be another symptom, especially if the talk seems pressured.

  4. Be aware if someone starts making "clang" associations, i.e., gets distracted by the sounds of words - such as going on about microphones, xylophones and ice cream cones.

  5. If your spouse/partner is suddenly more sexually demanding, it could be a symptom.

  6. Check your phone bill for calls to 900 sex numbers. This, unfortunately, is another symptom of bipolar hypersexuality.

  7. Study your credit card bills diligently! Mania can cause disastrous spending sprees. Consider taking the cards and checkbook away.

  8. Notice if he complains that his thoughts are racing uncontrollably.

  9. Be on the alert if she starts having delusions of grandeur - for example, making exaggerated plans like "I'm going to quit my job and write a novel" or "Let's move to Yemen this weekend!"

  10. Watch out for unreasonable irritability and/or hostility. This is not just a symptom - it can be dangerous. Be cautious!

  11. Increased religious zeal or involvement can be another sign of mania. Make note of this if you see it.

  12. If she describes auditory or visual hallucinations or shows paranoid behavior, contact her psychiatrist immediately. These are serious symptoms.

  13. During a manic episode, a person is likely to wear brightly colored or flamboyant clothing. Note this if it occurs with other symptoms.

  14. If manic symptoms occur following a change in medications, contact the prescribing doctor promptly.

Tips:

  1. Make a pact with your friend that if you bring these behaviors to his attention, he will contact his doctor.

  2. If your spouse/partner has a pattern of manic spending sprees, keep money in your name only.

  3. This is not an exhaustive list of symptoms. You will learn more by observation and from the links below. Be sure to add your friend or loved one's specific red flags to this list!

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