Mania is an emergency. It can cause long term psychiatric issues as well as a variety of legal, financial and social situations that can be extremely distressing. As such, you should seek to intervene as early as possible to prevent longer episodes.
Problems can develop in your social life, work/school functioning and home life when you have symptoms of mania, which include mood swings and an abnormal level of energy and activity. You may require hospitalization if you have severe hallucinations or delusions, or to prevent you from harming yourself or others.
Emergency help: If people have severe symptoms, or a manic episode is continuing for a long period, people may need immediate medical treatment in a hospital. People can go to their nearest emergency room or call 911.
When left untreated, the symptoms of Bipolar Disorder will often increase in severity and may lead to suicide; there is a high suicide rate for people with the disorder. When treated, it's possible to control the symptoms of Bipolar Disorder and enjoy a more stable and fulfilling life.
A bipolar depression crash is usually the emotional fallout of a hypomanic or manic episode. It can also occur when something triggers bipolar depression or as a result of chemical or hormonal changes in the brain.
In the manic phase of bipolar disorder, it's common to experience feelings of heightened energy, creativity, and euphoria. If you're experiencing a manic episode, you may talk a mile a minute, sleep very little, and be hyperactive. You may also feel like you're all-powerful, invincible, or destined for greatness.
Bipolar psychosis happens when a person experiences an episode of severe mania or depression, along with psychotic symptoms and hallucinations. The symptoms tend to match a person's mood. During a manic phase, they may believe they have special powers. This type of psychosis can lead to reckless or dangerous behavior.
Sometimes, if caught early enough, people experiencing mania can be kept out of the hospital. However, most episodes of mania require hospitalization in a psychiatric hospital for safety and stabilization.
There are three stages of mania: hypomania, acute mania and delirious mania. Classifications of mania are mixed states, hypomania and associated disorders. Mania can occur in cycles over several weeks or months with no predictable triggers.
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 in 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 percent, in my experience.
Most people with bipolar disorder can receive most of their treatment without having to stay in hospital. But hospital treatment may be needed if your symptoms are severe or you're being treated under the Mental Health Act, as there's a danger you may self-harm or hurt others.
Kraepelin, however, divided the “manic states” into four forms—hypomania, acute mania, delusional mania, and delirious mania—and noted that his observation revealed “the occurrence of gradual transitions between all the various states.” In a similar vein, Carlson and Goodwin, in their elegant paper of 1973, divided a ...
Psychosis — experiencing hallucinations and delusions (in the most severe manic episodes).
During manic episodes, people experience euphoria, high energy, and racing thoughts. They're easily distracted, unusually irritable, and prone to risky behavior like shopping sprees and reckless driving. They'll often find themselves talking quickly about many things at once and will go without sleeping.
If you have thoughts of self-harm or harming others, inpatient treatment is necessary for safety reasons. If there is any question of safety or lack of ability to care for yourself, seeking a mental health evaluation at the emergency room is crucial.
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.
During episodes of mania and depression, someone with bipolar disorder may experience strange sensations, such as seeing, hearing or smelling things that are not there (hallucinations). They may also believe things that seem irrational to other people (delusions).
The occurrence of manic symptoms can have a traumatic impact on a patient unaware of her/his diagnosis, especially during symptom remission. The present work describes a clinical case of a woman with type-1 bipolar disorder and PTSD secondary to previous manic episodes characterized by hypersexuality.