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In bipolar disorder, a mixed state is an episode during which symptoms of both mania and depression occur simultaneously. [49] Individuals experiencing a mixed state may have manic symptoms such as grandiose thoughts while simultaneously experiencing depressive symptoms such as excessive guilt or feeling suicidal. [49]
Symptoms of a manic episode can include: Impaired or poor judgment (doing things you wouldn’t normally do while in a stable mood), recklessness, and impulsivity Feeling like you don’t need sleep
Mixed affective state – a state with traits of both mania and depression (e.g. irritability, low mood, suicidality, and racing thoughts at the same time) Hypomania – an episode of elevated mood, similar to mania with milder symptomatic severity; Major depressive episode – a mood episode with major depressive symptoms
Mania is a syndrome with multiple causes. [6] Although the vast majority of cases occur in the context of bipolar disorder, it is a key component of other psychiatric disorders (such as schizoaffective disorder, bipolar type) and may also occur secondary to various general medical conditions, such as multiple sclerosis; certain medications may perpetuate a manic state, for example prednisone ...
Typically, these manic episodes can last at least 7 days for most of each day to the extent that the individual may need medical attention, while the depressive episodes last at least 2 weeks. [ 3 ] It is a type of bipolar disorder and conforms to the classic concept of manic-depressive illness, which can include psychosis during mood episodes.
[19] [20] During a typical hypomanic episode, patients may present as upbeat, may show signs of poor judgment or display signs of increased energy despite lack of sleep, but do not meet the full criteria for an acute manic episode. [17] Patients may display elevated confidence, but do not express delusional thoughts as in mania.
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