Although "severely elevated mood" sounds somewhat desirable and enjoyable, the experience of mania is often quite unpleasant and sometimes disturbing if not frightening for the person involved and may lead to impulsive behavior that may later be regretted. It can also often be complicated by the sufferer's lack of judgment and insight regarding periods of exacerbation of symptoms. Manic patients are frequently grandiose, irritable, belligerent, and frequently deny anything is wrong with them. Because mania frequently encourages high energy and decreased perception of need or ability to sleep, within a few days of a manic cycle, sleep-deprived psychosis may appear, further complicating the ability to think clearly. Racing thoughts and misperceptions lead to frustration and decreased ability to communicate with others.
In addition to decreased need for sleep, other manic symptoms include irritability, anger or rage, delusions, hypersensitivity, hypersexuality, hyper-religiosity, hyperactivity, racing thoughts, talkativeness or rapid speech, and grandiose ideas and plans. In manic and less severe, hypomanic cases, the afflicted person may engage in out of character behaviour such as questionable business transactions, wasteful expenditures of money, risky sexual activity or highly vocal arguments uncharacteristic of previous behaviors. These behaviors increase stress in personal relationships, problems at work and increases the risk of altercations with law enforcement as well as being at high risk of impulsively taking part in activities potentially harmful to self and others.
A mnemonic used to remember the symptoms of mania is DIGFAST: [1]
* D = Distractibility
* I = Indiscretion (excessive pleasure activities) or Insomnia
* G = Grandiosity
* F = Flight of ideas
* A = Activity increased
* S = Sleep deficit
* T = Talkativeness (pressure speech) or Thoughtlessness (if insomnia above)
am i a maniac? fuck i think maybe i should go see a psychiatrist
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