However, there will be no hallucinations or detachment from reality. You might experience distraction and restlessness. Moreover, you are likely to feel detached from reality. You might experience delusions and hallucinations as severe symptoms. The severity is lower and might not prevent you from continuing your usual routine. The symptoms can isolate you from your work and daily routine. Assumptions or labels can sometimes get in the way of understanding.Mania causes a highly energised mood and shift in the mental state. In fact, it may be most accurate to think of bipolar disorder not as a condition of alternating too-high and too-low moods, but rather as a condition of recurring depressive periods punctuated by periods of hyperactivation-and sometimes these periods of hyperactivation alternate with slowed down, depressed periods, but at other times they overlap.īecause many people think that bipolar disorder can only be “bi-polar”, they may not talk to mental health providers about feeling both depressed and sped up. Overall, then, it is not surprising that mood in hypomania or mania can sometimes be depressed. It is also notable that DSM-5 has taken the same approach to recognizing anxiety features in hypomanic, manic, or depressive episodes. In DSM-IV, mixing of manic and depressive symptoms was barely recognized, appearing only in the very limited category of “mixed manic and depressive episodes.” More recent research guided the writers of DSM-5 to rethink this approach, and they came up with this more reasonable and accurate way of describing mixing of hypomanic/manic and depressive symptoms: Mood state is categorized as primarily hypomanic/manic or depressed, but clinicians can add the “modifier” of having depressive features (for hypomanic or manic episodes) or manic features (for depressive episodes). What does the DSM, the official naming system for the American Psychiatric Association, have to say about this? Well, there has been some improvement between DSM-IV and DSM-5. Thus what is common in mania or hypomania is the sense of hyperactivation, or being driven, but the mood can be variable. However, sometimes being hyperactivated simply is a sense that one’s “motor cannot be turned off.” This can lead to restless irritability, especially if one is confronted by reality or other individuals that do not match expectations. ![]() Many times this sense of hyperactivation is pleasant-when one is feeling particularly “on my game” the person is self-confident, more likely to act decisively, and often more likely to take risks. Racing thoughts, pressured speech, decreased need for sleep, starting lots of projects, and impulsive decision-making all derive from being overly activated, overly driven. But what always appears in manic or hypomanic episodes is a sense of being “sped up” physically and/or mentally. The mood, as many people have experienced, can either be elevated or irritable. ![]() How can this be?Īlthough bipolar disorder has been classified as a “mood” disorder, ample research shows that the core symptom of hypomania and mania is not high mood, but rather hyperactivation. The very name, bi– polar disorder is probably less accurate than the older term, manic-depressive disorder. ![]() In fact, the classic picture of bipolar disorder having a course alternating between the poles of high and low moods is an over-simplification. Is it possible to be hypomanic and depressed at the same time?Ĭertainly! Some studies, the most common mood state in bipolar disorder is a mixture of hypomanic/manic and depressed symptoms.
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