MANIA PPT Psychiatric Nursing Mental Health Nursing

1. Dr. Rahul Sharma
Associate Professor
H.O.D. of Mental Health
Nursing
Ph. D Coordinator
Seedling School of Nursing,
Jaipur National University,
Jaipur

3. Definition
• It is a psychiatric medical condition In which client manifest a clinical
syndrome characterized by; extremely mood, energy, hyperactivity,
unusual thought process with flight of ideas and acceleration in
speaking purposes.

4. TYPES
1) Hypomania:-
It is a lowered state of mania that does little to impair
function or decrease the quality of life that is less need for sleep and
both goal motivated behaviour and metabolism increase.
Episode will be at least for 5 days,
Euphoria or expensive mood, abnormal mood elevation, cheerful,
extremely happy and sometime suicidal tendency.
The ability to function become much better and marked increase in
productivity and creativity.

6. 2) Mixed State:- (Agitated depression)
Individual has co-occuring manic and depressive features.
Mixed State can put a pt. at greater suicide risk, but when occupied
with increase energy,agitation, the pt. is more likely to engage in
dangerous behaviour, including self injury or suicide.

8. 3) Acute mania:-
Euphoria, elation (stage-2nd), exaltation of mood (stage- 3rd).

10. 3) Delirium Mania:-
Rare; client will be out of contact with external world and client will be
active without any aim or goal .

11. Sign and symptoms
• Euphoria.
• Irritable mood.
• Grandiosity.
• Decrease need for sleep
• Flight of ideas.
• Distractibility and attention deficit.
• Pressured speech;Rapid talking.
• Speaks louder.
• Poor judgement.
• Suicidal tendency.
• Over active.

12. Sign and symptoms
• Social embarassing behaviour.
• Difficulties at work or social relationship.
• Increase stress in personal relationship.
• Distribute money to unknown person.
• Hallucination, delusion.
• Increased in sexual intrest.
• Word salad.

15. Causes
1) Genetic factors:-
a)Twin studies:- Identical twins>fraternal twins.
b) Family studies:- more chances if any family member is suffering from
manic disorders.
2) Biochemical factors:-
a)Biogenic amines:- increased level of nor-epinephrine and dopamine.
b)Electrolyte imbalance:-increased level of intracellular sodium and
calcium.

16. Causes
3) Physiological factors:-
a) Brain lesions:-lesion in right fronto-temporal or left parieto- occipital
is associated with Mania.
b) S/E of medications:-
Levodopa,
Antidepressants,
Corticosteroids,
Bromicriptine,
c) Neurological disorders:-
Brain tumors,
Head injuries,
encephalitis, Multiple sclerosis.

17. Diagnosis
• Mental status examination.
• History collection.
• Physical examination.

18. Treatment
D/O/C – Lithium.
1) pharmacotherapy:-
a) Anticonvulsants:- Valporic acid,Lamotregine.
b) Calcium channel blockers:- Nifedipine,Nimodipine.
c) Antipsychotics.
d) Benzodiazepines:- alprazolam, diazepam, lorazepam.
2) ECT.
3) psychotherapy:-
Marital therapy.
Family therapy.
Behaviour therapy.
Cognitive behavior therapy.