Don't criticise or accuse, and stay calm and non-confrontational. Explain that you've noticed changes in their behaviour and why it concerns you, and ask if they've noticed it too. If this has happened before, gently remind them of this and explain the pattern you see.
Symptoms of a manic episode
Feeling extremely happy or excited — even euphoric. Not sleeping or only getting a few hours of sleep but still feeling rested. Having an inflated self-esteem, thinking you're invincible. Being more talkative than usual.
There isn't any clinical evidence that links bipolar disorder with lying, though some anecdotal accounts suggest there may be a connection. It's thought that some people with bipolar disorder may lie as a result of: racing thoughts and rapid speech.
Yes, some people who have bipolar disorders may have hallucinations and see or hear things that are not present. This can occur during an episode of mania or depression.
It's just one of your mood swings
Accusing somebody of being manic when they are genuinely excited about something can be quite painful. Accusing somebody of just having a mood swing when they seem down can be even worse if you then find out that something bad actually happened.
Possible causes of hypomania or mania include: high levels of stress. changes in sleep patterns or lack of sleep. using recreational drugs or alcohol.
There are three stages of mania: hypomania, acute mania and delirious mania. Classifications of mania are mixed states, hypomania and associated disorders.
In the same sense, positive life events such as goal attainment, falling in love, or winning an award, can also trigger an episode of mania. This is because individuals with bipolar disorder have a higher “reward response” chemically speaking, which can manifest with consequences.
dilated pupils. “sparkling” eyes, or eyes that appear more liquid than usual. eyes that change color or become black. widened or narrowed gaze, depending on the type of mania (Some say dysphoric mania, or a mood episode with mixed features of mania and depression, leads to a narrowed or squinting gaze.)
Bipolar I disorder is defined by manic episodes that last at least 7 days (most of the day, nearly every day) or when manic symptoms are so severe that hospital care is needed. Usually, separate depressive episodes occur as well, typically lasting at least 2 weeks.
Signs a Manic Episode Is Ending
Slowing down and feeling less urgent and pressured all the time. Feeling more tired and getting more sleep. Being able to think more clearly, even if your memories of the manic episode are fuzzy. Making fewer impulsive decisions.
Mania in particular tends to trigger aggressive emotions and anger. The racing thoughts and high energy levels you experience can leave you feeling angry, irritable, and frustrated. Those angry emotions, in turn, can cause aggressive and inappropriate behaviors.
Untreated, an episode of mania can last anywhere from a few days to several months. Most commonly, symptoms continue for a few weeks to a few months. Depression may follow shortly after, or not appear for weeks or months. Many people with bipolar I disorder experience long periods without symptoms in between episodes.
Signs of a Manic Episode
Feeling wired, jumpy, or buzzed. Irritability. Not needing sleep, or feeling energetic despite getting little to no sleep for days at a time. Loss of appetite, and having lots of energy despite eating little food.
During a manic or hypomanic episode, you might feel: Happy, joyful or a sense of wellbeing. Very excited or uncontrollably excited.
But don't argue or debate with a person during a manic episode. Avoid intense conversation. Don't take comments or behaviour personally. During periods of high energy, a person often says and does things that he or she would not usually say or do.
It's often incoherent with a few words and sentences scattered about and all of it incredibly loud. The loudness of it all makes it an extremely intense experience, like being at the cinema with the sound booming all around you.
There can be “voices that are more thought-like,” says Jones, “voices that sound like non-human entities, voices that are perceived as the direct communication of a message, rather than something you're actually hearing.” Voices aren't always voices, either. They can sound more like a murmur, a rustle or a beeping.
When a person is in a full-blown manic and psychotic episode, memory is greatly affected. In fact, it is rare for someone who is is a deep episode to remember all that happened. This is why it's called a blackout. The average person in this situation remembers maybe 50% in my experience.
Detection of mania, or at least of brief hypomania, is required for diagnosis of bipolar disorder. This diagnosis is often missed or not remembered as an illness. People close to the patient may recall episodes, however, and patients who do not remember episodes of affective disturbance may recall their consequences.
if you experience hypomania or mania as part of another mental health problem, such as bipolar disorder or schizoaffective disorder, you may find that the episode is followed by a period of depression.