Mania

Question 1

What is mania

Answer 1

Pathological, inappropriate elevated mood

Question 2

Classification of mania

Answer 2

Hypomania

Mania without psychotic symptoms

Mania with psychotic symptoms

Other manic episodes

Manic episode, unspecified

Question 3

Presentation of hypomania

Answer 3

Lesser degree of mania, no psychosis

• Life can be disrupted but can still function

Mild elevation of mood for >4 days

Increased energy and activity, marked feeling of wellbeing

Increased sociability, talkativeness, overfamiliarity, increased sexual energy, decreased need for sleep

May be irritable

Concentration reduced, new interest, mild overspending

Question 4

Presentation of mania

Answer 4

1 week severe enough to disrupt ordinary work and social activities

Elevated mood, increased energy, overactivity, pressure of speech, decreased need for sleep

Disinhibition

Grandiosity

Alteration of senses

Extravagant spending

Can be irritable rather than elevated

Question 5

Pneumonic for remembering mania symptoms

Answer 5

DIGFAST

• Distractibility
• Impulsivity
• Grandiosity
• Flight of ideas
• Activity/Agitation
• Sleep
• Talkativeness

Question 6

Differenital diagnosis of mania

Answer 6

Psychiatric

• Mixed affective state
• Schizoaffective disorder
• Schizophrenia
• Cyclothymia
• ADHD
• Drugs & alcohol

Medical

• Stroke, MS, tumour, epilepsy, AIDS, neurosyphilis
• Endocrine – Cushing’s, hyperthyroidism
• SLE

Question 7

management of mania

Answer 7

Antipsychotics

• Olanzapine
• Risperidone
• Quetiapine

Mood stabilisers

• Sodium valproate
• Lamotrigine
• Carbamazepine

Lithium

ECT