The recent development of validated screening instruments for Accepted 11 January hypomania, such as the Hypomania Checklist HCL , may help to improve the detection Available online 2 February of bipolar disorder. All rights reserved. Introduction being correctly diagnosed Berk et al. A key factor is the under-recognition of hypomanic symptoms by both clinicians Distinguishing between major depressive disorder MDD and patients Ghaemi et al. The correct diagnosis of BD and bipolar disorder BD is a common problem in clinical rather than MDD has important implications for long-term practice.
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In fact, everyone should be aware of some of the signs of mania and hypomania in case they see a friend, family member, or even a co-worker experiencing these symptoms.
Recognizing the symptoms of mania is not simply academic. Symptoms of mania or even hypomania can be a medical emergency, just as symptoms of shortness of breath, chest pain, or bleeding are.
Instead, we will take a look at some of the more common and obvious signs you may witness if you should have a friend or family member develop mania. Then, depending on the severity of the symptoms, you may suggest to your loved one that they call their doctor, or call yourself for emergency medical assistance.
Here is a brief checklist of some of the common behaviors associated with mania or hypomania—behaviors that you may likely easily observe—so you can recognize the need for help. A decreased need for sleep is common during the emergence of mania symptoms.
Being Engaged in Many Activities at Once Is your loved one restlessly searching for ways to work off extra energy? This could be another symptom, especially if their talk seems pressured. Some people talk faster than others, but if someone who usually carefully chooses their words and speaks slowly begins to talk rapidly, be aware.
Clang associations may at first sound like poetry, or at least a mediocre rap song. Yet with bipolar disorder, they are out of context of out of character for the person with manic symptoms. Clang Associations in Bipolar Disorder Increased Desire for Sex If your partner is suddenly more sexually demanding, it could be a symptom of mania. Rapid Thinking Notice if your friend or family member complains that their thoughts are racing uncontrollably.
An example is, "I wonder what the weather will be like tomorrow. What is the purpose of life? Oh, I forgot to feed the cat. Again, context is important.
But the same words spoken by someone who does not enjoy writing and has never commented about writing a novel before is suspect. This is not just a symptom—it can be dangerous.
Be cautious and get help if you see this type of behavior. Do not try to handle the situation on your own. Excessive Religious Dedication Increased religious zeal or involvement can be another manic symptom. Bright Clothing During a manic or hypomanic episode, a person is likely to wear brightly colored or flamboyant clothing. This is a subtle clue and can be helpful if it occurs with other manic or hypomanic symptoms.
A change in dress may be related to hypersexuality as well if your loved one begins wearing skimpy or revealing clothing. Mania in Children Sometimes people may notice symptoms in a child. Unfortunately, with children, the diagnosis of bipolar disorder is usually not known and the behaviors may be thought of as a behavioral disorder alone. If you are concerned about a child in your life, talk to your pediatrician.
You may wish to talk to a mental health professional first for ideas on how to approach the topic without sounding judgmental.
What You Should Know About Mania vs. Hypomania
In fact, everyone should be aware of some of the signs of mania and hypomania in case they see a friend, family member, or even a co-worker experiencing these symptoms. Recognizing the symptoms of mania is not simply academic. Symptoms of mania or even hypomania can be a medical emergency, just as symptoms of shortness of breath, chest pain, or bleeding are. Instead, we will take a look at some of the more common and obvious signs you may witness if you should have a friend or family member develop mania.
Hypomanic Episode Symptoms
Please note that this is not a formal diagnostic test. The results are intended for your use in talking to a doctor about your mental state. Hypomania Self-Test Keep count of the number of questions where your answer is "Yes" in each group. Do you feel abnormally happy, even though nothing in your life can account for it? The happiness may have begun with something special, but the happiness has lasted longer than normal. Is your mood abnormally expansive? Are you abnormally irritable for no real reason?
Reducing the Hypomania Checklist (HCL-32) to a 16-item version.
A hypomanic episode is not a psychiatric disorder or diagnosis in itself, but rather is a description of a part of a condition called bipolar II disorder. While once thought to be a less severe form of bipolar disorder, bipolar II disorder with hypomanic episodes is now recognized that it can be just as debilitating and difficult to live with as bipolar I disorder with manic episodes. What is a Hypomanic Episode? A hypomanic episode is an emotional state characterized by a distinct period of persistently elevated, expansive, or irritable mood, lasting throughout at least four 4 consecutive days, according to the American Psychiatric Association The mood must be present for most of the day, nearly every day. During the time a person experiences a hypomanic mood episode, three 3 or more of the following symptoms need to be present 4 if the mood is only irritable , and have been present to a significant degree: Inflated self-esteem or grandiosity Decreased need for sleep e. For example, the individual may be far more productive or outgoing and sociable than they usually are.