This document describes hypomania and different types of mania. Hypomania is characterized by a persistent mild elevation of mood, increased energy and activity, and feelings of well-being. It can include increased sociability, talkativeness, and decreased need for sleep, but does not severely disrupt life. Mania involves an elevated mood out of keeping with circumstances, elation, decreased need for sleep, and inflated self-esteem. Mania with psychotic symptoms includes delusions or hallucinations in addition to manic symptoms.

2. HYPOMANIA
• A DISORDER CHARACTERIZED BY
• A PERSISTENT MILD ELEVATION OF MOOD,
• INCREASED ENERGY AND ACTIVITY,
• AND USUALLY MARKED FEELINGS OF WELL-BEING AND BOTH PHYSICAL AND MENTAL EFFICIENCY.

3. HYPOMANIA
• INCREASED SOCIABILITY,
• TALKATIVENESS,
• OVER-FAMILIARITY,
• INCREASED SEXUAL ENERGY,
• AND A DECREASED NEED FOR SLEEP
• ARE OFTEN PRESENT BUT NOT TO THE EXTENT THAT THEY LEAD TO SEVERE DISRUPTION OF WORK OR
RESULT IN SOCIAL REJECTION.

4. HYPOMANIA
• IRRITABILITY,
• CONCEIT,
• AND BOORISH BEHAVIOUR MAY TAKE THE PLACE OF THE MORE USUAL EUPHORIC SOCIABILITY.
• THE DISTURBANCES OF MOOD AND BEHAVIOUR ARE NOT ACCOMPANIED BY HALLUCINATIONS OR
DELUSIONS.

5. MANIA WITHOUT PSYCHOTIC SYMPTOMS
• MOOD IS ELEVATED OUT OF KEEPING WITH THE PATIENT'S CIRCUMSTANCES AND MAY VARY FROM
CAREFREE JOVIALITY TO ALMOST UNCONTROLLABLE EXCITEMENT.
• ELATION IS ACCOMPANIED BY INCREASED ENERGY, RESULTING IN OVERACTIVITY, PRESSURE OF SPEECH,
AND A DECREASED NEED FOR SLEEP.
• ATTENTION CANNOT BE SUSTAINED, AND THERE IS OFTEN MARKED DISTRACTIBILITY.

6. MANIA WITHOUT PSYCHOTIC SYMPTOMS
• SELF-ESTEEM IS OFTEN INFLATED WITH GRANDIOSE IDEAS AND OVERCONFIDENCE.
• LOSS OF NORMAL SOCIAL INHIBITIONS MAY RESULT IN BEHAVIOUR THAT IS RECKLESS, FOOLHARDY, OR
INAPPROPRIATE TO THE CIRCUMSTANCES, AND OUT OF CHARACTER.

7. MANIA WITH PSYCHOTIC SYMPTOMS
• IN ADDITION TO THE CLINICAL PICTURE DESCRIBED IN ABOVE
• DELUSIONS (USUALLY GRANDIOSE)
• OR HALLUCINATIONS (USUALLY OF VOICES SPEAKING DIRECTLY TO THE PATIENT) ARE PRESENT,
• OR THE EXCITEMENT, EXCESSIVE MOTOR ACTIVITY,
• AND FLIGHT OF IDEAS ARE SO EXTREME THAT THE SUBJECT IS INCOMPREHENSIBLE OR INACCESSIBLE TO
ORDINARY COMMUNICATION.

8. MANIA WITH PSYCHOTIC SYMPTOMS
• MANIA WITH:
• MOOD-CONGRUENT PSYCHOTIC SYMPTOMS
• MOOD-INCONGRUENT PSYCHOTIC SYMPTOMS
• MANIC STUPOR - EXCESSIVE MOTOR ACTIVITY WITH NO PURPOSE.

9. THE END
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