What Is Mania, and What Does It Mean to Have a Manic Episode? Here's What Experts Say

Mania is strongly associated with bipolar disorder.


The terms “mania” and “manic episode” describe a state of mind characterized by high energy, excitement, and euphoria over a sustained period of time, typically followed by feelings of depression. It's an extreme change in mood and cognition that can interfere with school, work, or home life. Mania is also the main feature of bipolar disorder, which used to be known as manic depression.

“Mania is the linchpin; you can't have a diagnosis of bipolar disorder without mania,” Ken Duckworth, MD, chief medical officer at the National Alliance on Mental Illness (NAMI), tells Health. Here's everything you need to know about mania, including all the signs, what a manic episode feels like, how it's linked to bipolar disorder, and how it can be treated.

bipolar disorder, Ken Duckworth, MD, Michael Roeske, PsyD, Unprotected sex, Daniel Winarick, PhD, NAMI, less extreme version of mania, mental health, NIMH, at least one week, states NAMI, research, Healthy Living

Signs and symptoms of mania

Mania is often detected when a person goes to their doctor seeking help for depression. While mania can feel good sometimes, depression can feel bad, and so you may be more apt to seek help when down. Here are the main signs:

High energy or an “expansive” mood

You may suddenly have a big idea that's goal-directed but unrealistic, such as starting a business on a whim with all your family's life savings, says Dr. Duckworth.

Fast talking

This is more than just speaking quickly. “It's almost as if they can't get the words out fast enough. It's called pressure of speech,” Michael Roeske, PsyD, licensed clinical psychologist with Newport Academy and adjunct professor with the University of San Francisco, tells Health. For someone talking to a person in a manic episode “you feel it—it almost presses you against the wall,” he says.

Lack of sleep

Sleeping may stop or the person may run on very little sleep. “People with mania often don't need any sleep at all,” says Roeske.

Distraction

Racing thoughts may lead you to become easily distracted and start “multitasking on steroids,” says Roeske. This might also look like taking on numerous complex tasks and not doing them to completion.

Risky behavior

Spending reckless amounts of cash during a manic episode is not uncommon. “I've had patients who have bought three or four vehicles in a weekend,” says Roeske. Unprotected sex, gambling, or a drug or alcohol binge may also occur, Daniel Winarick, PhD, a licensed clinical psychologist in New York City, tells Health. Because of this tendency to seek out risky behavior, “mania is serious and dangerous,” Winarick explains. “A person can potentially do something to hurt themselves or someone else.”

Psychosis

Severe manic episodes may also involve psychosis, which includes having hallucinations or delusions, according to NAMI.

Mania vs. hypomania

Mania and hypomania are both characterized by sudden mood swings that make a person feel super energetic, wired, and euphoric and then depressed. But hypomania is defined as a less extreme version of mania, according to the Mayo Clinic. Both can lead to issues functioning at work and in your personal life, but hypomania episodes are less likely to cause noticeable problems.

Bipolar disorder and mania

Bipolar disorder is a mental health condition where there are shifts between high moods (or mania) and low moods (aka, depression), according to NAMI. Genetics or family history, stress, and differences in brain function may all play a role in the development of bipolar disorder (and therefore mania). An estimated 2.8% of adults in the US have bipolar disorder, per the NIMH, split equally among men and women. The disorder is most prevalent among young adults, particularly from ages 18 to 29.

For mania to be a sign of bipolar disorder, this elevated and energetic mood and behavior has to last for at least one week and happen most of every day. “To be diagnosed with bipolar disorder, a person must have experienced at least one episode of mania or hypomania,” states NAMI. “To determine what type of bipolar disorder a person has, mental health care professionals assess the pattern of symptoms and how impaired the person is during their most severe episodes.”

The warning signs of a manic episode

If you've already been diagnosed with bipolar disorder, know your own warning signs of mania, says Dr. Duckworth. For example, you (or someone you're with) may start:

  • Driving faster than usual
  • Having agitated mannerisms
  • Singing a certain song or using certain phrases (will be entirely unique to the individual)

“One thing we've learned is that people have predictable episodes of mania. If you can recognize patterns and allow people in your life to give you feedback without activating your own defensiveness, then you can participate in collaborative problem-solving,” says Dr. Duckworth.

Also, realize that early manic episodes can be “seductive,” says Dr. Duckworth. “Some people prefer it because they feel that they're more open, funnier, and interesting. The experience can be reinforcing in the beginning,” he says. However, mania can also lead to extreme agitation or irritability, which ultimately won't feel good.

How mania is treated

Medication

During a manic episode, a person is a danger to themself. The risky behavior can lead to losing your job or being kicked out of school, arrested, or hospitalized in a psychiatric emergency room, says Winarick. It's also important to know that for bipolar disorder, in general, the risk of suicide is 10 to 30 times higher than in the general population, according to research.

The first line of treatment might involve using an atypical antipsychotic to stop mania. A long-term a mood stabilizer (like lithium) will then be prescribed to help prevent the recurrence of mania, says Roeske.

One challenge in treating bipolar disorder is that antidepressants may be used in the treatment of depression. However, “antidepressant use is a known risk for mania,” says Dr. Duckworth. These medications may activate a manic episode if not used carefully under close supervision and alongside other medications such as mood stabilizers.

If you have a family history of bipolar disorder, then taking an antidepressant alone is a risk. Duckworth points out that clinicians have also seen mania triggered by other therapies for depression, such as light therapy for seasonal affective disorder (SAD). In this case, proper diagnosis and understanding family history is critical in mental illness treatment, whether it's for depression or bipolar disorder.

Therapy and lifestyle changes

While medication is needed to treat bipolar disorder and prevent manic episodes, psychotherapy and lifestyle modifications are also critical.

“One of the advantages we have is that lifestyle makes a big difference,” says Dr. Duckworth. This is both about the general structure of your life and your daily habits. Sleep is one of the most important things you need to manage bipolar disorder—and it may also be one of the first disruptions that mania is developing. Practicing good sleep hygiene and having a consistent sleep and wake time that allows for a full night's sleep will help. Minimize stress, too, which can result in or exacerbate manic episodes.

Your psychotherapist can help you become more organized and accomplish tasks, assist you with medication compliance, get healthy habits in place, and develop self-awareness to pinpoint your early warning signs of mania, adds Winarick.

Though about 83% of people with bipolar disorder deal with serious impairment because of their illness, according to the NIMH, many people learn to live with the mania caused by bipolar disorder without significant disruption to their lives, says Roeske.

To get our top stories delivered to your inbox, sign up for the Healthy Living newsletter

Internet Explorer Channel Network
News Related

OTHER NEWS

Is it even possible to regulate Facebook effectively? Time and again, attempts have led to the same outcome

© Provided by InterAksyon The Australian government’s recent warning to Facebook over misinformation is just the latest salvo in the seemingly constant battle to hold the social media giant to ... Read more »

Turns Out, Tea Is Even Healthier For You Than We Thought

© Provided by Eat This, Not That! Sweet tea may have a bad rep because of all the added sugars, but research shows that brewed tea offers a range of ... Read more »

Family of vulnerable man found dead in Dorset prison demand reforms

Photograph: Anthony Devlin/PA The family of a vulnerable prisoner found hanged in his cell have called for improvements in how inmates with mental health issues are looked after after an ... Read more »

Isko Moreno told: Prioritize airflow over barriers in classrooms as classes start

© Provided by InterAksyon Ventilation and good airflow were pushed after Manila Mayor Isko Moreno Domagoso showed pictures of an elementary classroom with desk barriers and helmets in preparation for ... Read more »

Two Victorian police officers forced to postpone wedding after alleged crook tests positive to Covid

Two Victorian police officers due to get married on Thursday have had to delay their wedding because an alleged crook tested positive to coronavirus. Ocean Grove couple Steve and Arissa, ... Read more »

Gwyneth Paltrow reveals the sex advice she gives her children, and how she approaches it with them

Gwyneth Paltrow is just like any parent when it comes to talking to her teens about sex. She is happy to do it, but knows they would rather gnaw their ... Read more »

4 Foods That Cause Constipation, According to Experts

© Provided by Health Getty Images Unless you’ve been blessed with a perfectly regular digestive system regardless of what you eat, you probably know that what goes into your body ... Read more »

The 10 Best Phthalate-Free Cosmetics, According to Shoppers and Editors

© Provided by Health Getty Images There are countless science-backed reasons to avoid phthalates: The plasticizers are often added to makeup and personal care products to help them maintain their ... Read more »

Can Stress Cause Diarrhea? Here's What to Know—And How to Prevent It

When the butterflies in your stomach go haywire, you may find yourself rushing to the nearest bathroom. Although we think of diarrhea only as a sickness—something that happens because you ... Read more »

Cases of Leptospirosis Have Surged in New York City—What to Know About This Infectious Disease Spread by Rats

New York City’s health department has reported an unusually high number of cases of a rare and potentially fatal bacterial disease often spread by rats. © Provided by Health Getty ... Read more »

Another inmate dies in DOC custody, 14th so far this year

Anthony Scott, 58, died after hanging himself inside a holding cell and ending up on life support. Christopher Sadowski A Big Apple inmate who attempted to kill himself and later ... Read more »

Paris Hilton calls on Biden, Congress to take action against the ‘troubled teen industry'

Paris Hilton wipes her eyes after speaking at a committee hearing at the Utah State Capitol, on Feb. 8, 2021, in Salt Lake City. AP Photo/Rick Bowmer Paris Hilton is calling ... Read more »

New cancer treatment may reawaken the immune system

By combining chemotherapy, tumor injury, and immunotherapy, researchers show that the immune system can be re-engaged to destroy tumors in mice. Read more »

The wealthiest Americans now own almost all of the stock market - 89% to be exact

© Provided by Business Insider US politicians often place major bets on Wall Street. Angela Weiss/Getty Images The top 10% of Americans now hold 89% of corporate equities and mutual ... Read more »

How a federal push to stop Chinese scientists from stealing U.S. secrets has failed in court

WASHINGTON — The federal government brought the full measure of its legal might against Anming Hu, a nanotechnology expert at the University of Tennessee. Investigators secretly surveilled him for more ... Read more »

Brain-zapping helmet could ‘cure' dementia in major breakthrough

The helmet works by encouraging blood flow so the brain gets more oxygen. Durham University/North News & Pictures Zapping the brain with infrared light could boost dementia patients’ memory and ... Read more »

Easy At-Home Tips To Prevent Under-Eye Wrinkles, By A Dermatologist

Jelly rolls, crow’s feet, laughter lines… Whatever you call them, wrinkles around the eye area are part and parcel of growing older. Though there’s absolutely nothing wrong with them, fine ... Read more »

Jeannette woman to remain in custody as mental health is evaluated

Oct. 19—A Jeannette woman will remain jailed while she awaits trial for possession of a weapon of mass destruction after utility workers were injured as they attempted to restore water ... Read more »

The big idea: Is it your personality, or a disorder?

It takes around 30 seconds to diagnose Holden Caulfield. Sixty, maybe, if you look at more than one website. The unhappy protagonist of The Catcher in the Rye has post-traumatic ... Read more »

Our sense of wellbeing has been in decline for years – here's how to turn it around

Looking for light. David East/Unsplash, CC BY-SA People’s sense of wellbeing took a dive in the first year of the pandemic, according to new data published by the UK’s Office ... Read more »

Infrared brain treatment could help dementia patients in future, researchers say

Infrared light therapy could have the potential to help people living with dementia, researchers have said. A pilot study using a helmet to beam infrared light into healthy volunteers’ brains ... Read more »

Former FDA Chief Scott Gottlieb, MD, Calls for Research into UK Surge of New Delta Plus Variant, AY.4.2

© Provided by Health Getty Images When public health officials talk about COVID-19 variants, people pay attention. And that’s exactly what happened after former Food and Drug Administration Commissioner Scott ... Read more »

Artificial networks learn to smell like the brain

When asked to classify odors, artificial neural networks adopt a structure that closely resembles that of the brain’s olfactory circuitry. Read more »

Colin Powell Has Died of Complications of COVID-19—But Is That Different Than Dying of the Disease Itself?

© Provided by Health Brooks Kraft LLC/Corbis via Getty Images The family of Colin Powell announced on Monday that the former US Secretary of State has died from complications of ... Read more »

Ronda Rousey Shares Intimate Breastfeeding Photo and Calls Out the Stigma Around Nursing in Public

Ronda Rousey is fighting to normalize breastfeeding. The former UFC champion and body confidence advocate, who welcomed her first child with fellow mixed martial arts fighter husband Travis Browne on ... Read more »

Betrayal Trauma Can Having Lasting Mental Health Effects—Here's What to Know

© Provided by Health Getty Images If someone you’ve depended on for survival has violated your trust or well-being, either during a one-time incident or over time, you may have ... Read more »

Patients waiting almost 50 hours for a bed in crowded A&E departments

Patients are waiting almost 50 hours for a bed in accident and emergency departments – including children with serious mental health problems – amid warnings a winter crisis in the ... Read more »

How the brain navigates cities

We seem to be wired to calculate not the shortest path but the “pointiest” one, facing us toward our destination as much as possible. Read more »

What Is Vagus Nerve Stimulation?

Everyone is a big bundle of nerves. No, that’s not a description of the current pervasive sense of anxiety many people in America feel these days; rather, it’s an anatomical ... Read more »

Morning mail: NSW wakes up to new freedoms, Haiti kidnapping, and vintage Melbourne

Photograph: Bianca de Marchi/EPA Good morning. A group of 17 US missionaries have been kidnapped by an armed criminal gang in Haiti. Schools are reopening in New South Wales, as ... Read more »

Mother who lost four-year-old son to brain tumour campaigns for research funding

A mother whose four-year-old son died four months after being diagnosed with a brain tumour is campaigning for more funding and research into the disease. Nadia Majid said she does ... Read more »

'Crying Room' in Spain breaks mental health taboo

Welcome to the Crying Room Location: Madrid, Spain or “La Lloreria” The project aims to remove stigma from mental health and seeking help HEAD OF MARKETING AT THERAPY CHAT, MARTYNA ... Read more »

How marsh grass protects shorelines

As climate change brings greater threats to coastal ecosystems, new research can help planners leverage the wave-damping benefits of marsh plants. Read more »

Ex-Prime Minister Kevin Rudd drops F-bomb during run playing cupid

Former Prime Minister Kevin Rudd has turned love guru for a “serious sheila”, urging a woman’s pal not to “f*** around” if they want to win her hand. Vision of ... Read more »

Psychosis cases soar in England as pandemic hits mental health

Photograph: Alamy Cases of psychosis have soared over the past two years in England as an increasing number of people experience hallucinations and delusional thinking amid the stresses of the ... Read more »

4 Timeless Tips for Coping With Job Search Anxiety

The “Great Resignation” has a lot of people contemplating looking for a new job. Yet, looking for a job can be stressful and produce a lot of anxiety. This can lead ... Read more »

Spain's 'Crying Room' seeks to banish mental health taboo

By Michael Gore MADRID (Reuters) – “Enter and cry,” one sign tells visitors. “I too have anxiety,” glows another notice in pink. There are phones in one corner with the ... Read more »

‘At once intolerable and addictive': five wellbeing courses and apps, road-tested

Australians are the world’s biggest consumers of health and wellness apps, punching well above our per capita weight in our quest for peak physical and mental condition, according to research ... Read more »

Experts urge booster shot ASAP for Johnson & Johnson vaccine

Recipients of the Johnson & Johnson vaccine are urged to get their booster shot as soon as possible following a study regarding the Delta variant surge. dpa/picture alliance via Getty ... Read more »

Nearly 20,000 pounds of trash removed from Great Pacific Garbage Patch

In the Pacific Ocean between Hawaii and California floats a massive collection of debris that has long been accumulating trash — from fishing nets to microplastics — known to be ... Read more »
On free-english-test.com you will find lots of free English exam practice materials to help you improve your English skills: grammar, listening, reading, writing, ielts, toeic