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Q: symptoms of a manic episode?
asked by: retrospect on October 6th, 2008
New User
I have suffered from depression for quite a while and am thankful to say I don't suffer from it too badly anymore. I still get off days but I am mostly content and happy.

My question is, how can one differ a 'manic' episode opposed to just getting excited? I am scared I could be experiencing manic episodes because sometimes when I am really happy about something I act differently than I would on a normal day. I always assumed this was just normal behaviour, but with the looming fact of depression on my should it makes me wonder.

So what are symptoms of a manic episode and how can I tell if i'm just a bit excited or am actually experiencing an episode.

thanks for any help
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leewiz
replied on October 7th, 2008
Experienced User
Technically, bipolar is diagnosed only for those who experience symptoms without awareness of them. So the very fact that you are asking in self-awareness about your emotional and cognitive state of mind predisposes me to think that you are experiencing another type of mood disorder. I think that bipolar disorder is overdiagnosed at the moment...however, this is simply my opinion. Have you gotten a diagnosis from a psychiatrist?
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MandMs
replied on October 7th, 2008
Extremely eHealthy
Diagnosing bipolar can be tricky even for experts, because most people with bipolar disorder spend much more time depressed than they do manic (having several bouts of depression before experiencing any sign of mania).

How old are you?
Do you have close family member with bipolar disorder?
Have you been experiencing optimism, increased energy, reduced need for sleep, promiscuity and overconfidence, prior to onset of depression?
Do you think you have lack of response to antidepressant therapy?
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MandMs
replied on October 7th, 2008
Extremely eHealthy
I agree with leewhiz about bipolar disorder being overdiagnosed.
Bipolar patients when experiencing manic or hypomanic symptoms, don't think at all they need help, perceiving the symptoms in a positive manner.
Most of the patient seek help when depressed or being hospitalized when experiencing destructive full blown manic episode.
Bipolar spectrum can be seen in patients with atypical depression and in patients with treatment-resistant depression.
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soucie
replied on October 7th, 2008
Experienced User
When I am in a hypomania phase (I'm a BP II), I experience the following:

I take on WAY too much all at once. For instance, all of a sudden I'll decide that I want to learn how to crochet. Then I'll want to start practicing the piano again. And then I'll say that I am going to work out every morning at 6:00 am. Then I'll see someone playing the guitar and go... Wow - I'm going to take guitar lessons! Then I'll say that I am going buy a skateboard so I can do that. And then decide that I want to get back into yoga again. And start cooking all of my meals. And so on.

The problem is that I honestly, truly and wholly confidentally believe that I CAN do all of the things above - all at once. I have signed up for classes/activities for every single day/night of the week, and truly believe that I could handle it all. I will book my calendar solid without a second thought. What? Clean the house? Do laundry? Pay my bills? Uh... later... I have astrology class tonight. That's mania for me.

Usually the big sign for me that the mania is starting is that all of sudden, I'll get motivated to clean up the entire house. I might stay up late, until 1:00 am on a Tuesday just cleaning up and organizing the very house I neglected for the last three months while I was too depressed to do anything about it.

The other thing I'll do is I will be overly and excessively and perhaps inappropriately flirtatious with people. I'll do some from a judgement standpoint that I later regret, but it was something I couldn't seem to control at the time.

My thoughts are racing, I can't focus, think straight, I have too many ideas, thoughts or things in my head all at once. I can't focus on what other people are saying to me (I literally forget it as they say it). I barely can keep track of what in the world I am saying. I sound scattered, unfocused, etc.

I can tell it's mania because other people think I am insane/delusional to take on as much as I am doing all at once. They question how I am able to do so much. When you keep hearing that, you start wondering if you're doing something out of the ordinary. It's like I'm addicted to activity or distraction - whatever it may be.

And when you are manic, you start everything and finish absolutely nothing. If you're getting stuff done, you're probably just excited. With mania, I get massively distracted by the next interesting, shiny thing. I'll drop crocheting to go roller skating in a second.

Now with meds, I get excited about stuff and I'm able to get something done. I even finished crocheting a blankie!

I had my first pdoc appt when I was approaching a hypomania phase and I almost, almost cancelled it because I "didn't need her after all!". I felt so good, life felt so good that I knew it was all good from here on out. I forced myself to go, just because I promised my tdoc I would go to see if there really was a problem... And thank god I did.

Mania was literally the juice and soul of my life. It has you on a high that you don't ever want to get off of. It's like a drug. It wasn't a normal happiness or excitedness. I felt like Wonderwoman. When you are excited or have passion, you tend to follow through, passion is oftentimes linked with a commitment to the thing you have passion towards. Hypomania (for me) was about desperately trying to find something through any "shiny object" - there is no passion, just desperate and rapid searching through anything that might possibly "fulfill" you. Any one thing might give me a short term high, but it never lasts, so I move on to the next shiny thing as fast as I can.

I don't know if that helps at all... This is only my experience with it; yours may be very different.
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sarrah_jessica
replied on October 8th, 2008
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soucie
hey soucie,

it was great reading your post and you have been very descriptive with your symptoms..thats for that..it has really helped me understand what a mania episode might be like..am currently dating a guy who has BDP Type I and he just recently had a hypomania episode and had to be hospitalized for 17 days..since this is a long distance relationship and that too very very new am here in this forum trying to gather as much info as i can..cuz i really like the dude..do you think the attraction he has for me is just a passing phase or the shiny ball you say attracts him at the moment..i dont know about that..he asks me to trust him..and am trying hard..but i cant help being cautious
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mishapshappening
replied on May 15th, 2009
New User
Rage
I have been diagnosed with mania I, I used to rage uncontrolably, and injure whoever and myself as well, im still not sure how I could have done something like that because it is not me at all. with my meds I am completely fine, Now im just trying to repair my relationship, do you think i have a chance. I am aware that she will need counseling after everything that i have done. i just feel like a horrible person.
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eccentricnotinsane
replied on May 19th, 2009
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Soucie - can I ask something?
I severely doubt my diagnosis of Bipolar II but recognise SOME things you've said - Just yesterday I decided I was going to write a play, two sketch shows, make a band, do stand-up, make one documentary, three fiction shorts, get into acting....and having been awake for 20 hours I'm writing that play...I also plan out my week on a spreadsheet trying to fill every moment with yoga, writing, anything. The thing is - I don't actually do any of this stuff. I just obsess about it. I do some stuff. I used to do EVERYTHING and work 16 hours a day (for a year until I suffered extreme exhaustion and lost a huge amount of weight - though I should point out I wasn't happy). But now I just try to make myself do it out of a need or urge to. I just wondered (and I'm sorry to gatecrash someone else's question) would you say that is hypomania or would you say it was anxiety (from your experience)

Thank you
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