10) Relative to "pure" mania without mixed symptoms, mixed mania
occurs more frequently in women than men, and those with mixed mania
had a hospitalization at a younger age.
And rather than the classic grandiosity and elation characteristic of adult mania, children with bipolar disorder tend to present with mixed mania
marked by irritability; agitation; and, sometimes, aggression.
This mixed mania
, as it is called, appears to be accompanied by a greater risk of suicide and is more difficult to treat.
Electroconvulsive therapy (electroshock) is often helpful in the treatment of severe depression and/or mixed mania
that does not respond to medications.