Mania history

Question 1

What are the core symptoms for mania?

Answer 1

Think MANIC

1. Mood: elated, excited, enthusiastic
2. Activity increased
3. Naughty: spending, alcohol, drugs, sex
4. Insomnia
5. Confidence increased

Question 2

What questions would you ask to elicit symptoms suggestive of a manic episode?

Answer 2

1. Mood: how wold you describe your mood?
2. Increased activity: how would you describe your energy levels?
3. Sleep: how is your sleep, when do you go to sleep? Would you say your need for sleep has changed recently?
4. Increased libido: has your sex interest changed recently?
5. Disinhibition: Would you describe yourself as impulsive?
6. Self-worth: how do you see yourself compared to other people?
7. Concentration: do you have any difficulties concentrating on things like reading books or watching TV?

Question 3

What is important to ask for mania?

Answer 3

INSIGHT!

Do they have insight into their disease?

“Do you think everything is okay right now?” “What do you think is causing your change in behaviour?”

Question 4

What are differential diagnoses for mania?

Answer 4

1. Psychosis: “do you have any special powers” “Do you hear things that cannot be explained?”
2. Physical causes: drugs, health problems (frontal love disease)

Question 5

What is the definition of a manic episode?

Answer 5

Distinct period of persistently elevated, expansive and irritable mood. Most last for at least one week and features include:

1. Increased self esteem and grandiosity
2. Decreased need for sleep
3. Talkative
4. Flight of ideas and racing thoughts
5. Distractibility
6. Increased goal-directed activity and psychomotor agitation
7. Excessive involvement in pleasurable activities

Question 6

How would you distinguish mania from hypomania?

Answer 6

Hypomania typically lasts a couple days and does not require hospitalisation. Symptoms are less extreme and often do not impair an individual’s ability to function in. everyday life as much