manic episode


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Related to manic episode: hypomanic episode, Psychotic episode

episode

 [ep´ĭ-sōd]
a single noteworthy happening in the course of a longer series of events, such as one critical period of several during a prolonged illness.
hypomanic episode a period of elevated, expansive, or irritable mood similar to a manic episode but not as severe; see also bipolar disorders and mood disorders.
major depressive episode a period of daily and day-long depressed mood or loss of interest or pleasure in virtually all activities. Also present is some combination of altered appetite, weight, or sleep patterns, psychomotor agitation or retardation, difficulty thinking or concentrating, lack of energy and fatigue, feelings of worthlessness, self-reproach, or inappropriate guilt, recurrent thoughts of death or suicide, and plans or attempts to commit suicide. See also bipolar disorders and mood disorders.
manic episode a period of predominantly elevated, expansive, or irritable mood accompanied by some of the following symptoms: inflated self-esteem, decreased need for sleep, talkativeness, flight of ideas, distractibility, hyperactivity, hypersexuality, and recklessness. See also bipolar disorders and mood disorders.
mixed episode a period during which the criteria are met both for a major depressive episode and for a manic episode nearly every day, with rapidly alternating moods and with symptoms characteristic of each type of episode. See also bipolar disorders and mood disorders.

man·ic ep·i··so·de

1. a manifestation of major mood disorder involving enduring periods of persistent and significant elevated, expansive, or irritable mood, and associated symptoms including decreased sleep, psychomotor speeding, racing thoughts, flight of ideas, grandiosity, and poor judgment leading to behavior that may later be regretted. Synonym(s): mania
2. a DSM construct with specified criteria.

manic episode

A manifestation of bipolar disorder which:
• Is characterised by elevated, expansive or irritable mood, lasting for at least one week, which is severe enough to cause difficulty or impairment in occupational, social, educational or other important functioning;
• Is not better explained by a mixed episode;
• Is not attributable to abuse substances (e.g., alcohol or drugs) or medications with psychoactive effects;
• Is not caused by a general medical condition.

manic episode

Psychiatry A period characterized by a persistently elevated, expansive, or irritable mood, with ↑ energy, ↓ sleep, distractibility, impaired judgement, grandiosity, flights of ideas, and so on, most often affecting Pts < age 25; MEs are seen in those with primary–idiopathic affective illness or bipolar I disorder, in which Pts vacillate between hypermania and abject depression.
Manic Episode-criteria  
A A distinct period of abnormally or persistently elevated, expansive, or irritable mood of ≥ 1 week or less if hospitalization is required
B During the period, ≥ 3 of following symptoms
 
1. Grandiosity or inflated self-esteem
.
2. ↓ Need for sleep
.
3. ↑ Talkativeness
 .
4. Flight of ideas, or impression that thoughts are 'racing'
 .
5. Distractibility
.
6. ↑ Goal-oriented activity–socially, work- or school-related or psychomotor agitation
 .
7. Involvement in activities with potentially dire consequences, eg buying sprees, sexual indiscretions, inappropriate business transactions
C Symptoms do NOT meet criteria of a mixed episode
D The mood disturbance may markedly impair occupational or social function
E Symptoms are unrelated to the direct physiological effects of a substance–of abuse, medication, or other therapy or to a general medical condition–eg hyperthyroidism
DSM-IV, American Psychiatric Association, Washington, DC, 1994
.

man·ic ep·i·sode

(man'ik ep'i-sōd)
Manifestation of a major mood disorder in which there is a distinct period during which the predominant mood of the person is either elevated, expansive, or irritable, and there are associated symptoms of the excited or manic phase of the bipolar disorder.
See: affective disorder, endogenous depression

Patient discussion about manic episode

Q. One of my friend`s son in the manic episode. I have seen people in manic episode to be happy. What could be the reason for their happiness. One of my friend`s son in the manic episode, is generally seen with high euphoria, but often he gets in to different episodes, where he seems to be happy but at the same time aggressive, which is a symptom of depression. Please clarify?

A. Yes Waylon, all bipolar in manic episode are happy for no reasons. All Bipolar with depressions are depressed continuously with aggression and agitation. These two episodes of bipolars are at different poles, but a bipolar with mixed episodes is also found among some. Your friend’s son may also be in the mixed episode where bipolars have mania and depression as well at the same time.

More discussions about manic episode
References in periodicals archive ?
The fact that varenicline leads to manic episode in bipolar disorder and in healthy individuals as observed in this case suggests that this may be related with its causing to dopamine release and its potential antidepressant efficiency.
The family environment improved, and though Kevin was only sporadically compliant with his medication, the reduced stress at home and improved coping skills drove him less often to use marijuana for "self-medication," which decreased his manic episodes.
For preventing recurrence of Manic Episodes in patients who have been receiving ABILIFY, continue therapy at the same dose.
The median duration of mixed episodes might be close to a year, compared to 20-25 weeks for pure depressive and 10 weeks for pure manic episodes.
Treatment is more challenging because some therapies that are effective in one phase of the illness may be counterproductive in another, such as the observation that treatment with an antidepressant alone can precipitate manic episodes.
Patients With Bipolar Disorder Who Had At Least One Relapse to a Manic Episode Aripiprazole 12% Placebo 28% Note: Based on a randomized study of 66 patients for 100 weeks.
PITTSBURGH -- Lamotrigine and lithium perform similarly well in preventing depressive or manic episodes in patients with bipolar disorder, but neither drug remains effective as monotherapy beyond 5 years, Dr.
With this approval, Zyprexa will become the first medication approved to treat acute manic episodes and prevent recurrence of mania, mixed mania and depression since carbamazapine and lithium became available decades ago.
The average age at diagnosis for a first manic episode is the early 20s,(3) although children and adolescents can show symptoms of the illness.
The researchers at Stanford University School of Medicine and Lucile Packard Children's Hospital say determining the correct medication for these children is crucial because standard drug therapies, such as antidepressants and stimulants, may in fact trigger manic episodes, exacerbating their underlying condition.
The patients experienced a mean of 13 of the prodromal symptoms, which preceded the first full manic episode by nearly 1 year.
An overexcited or joyful state is called a manic episode and an extremely hopeless or sad state is called a depressive episode.