Clinical features

Mania and Hypomania

• Elevated, euphoric mood.
• Inflated sense of self importance.
• Decreased need for sleep.
• Increasing activities.
• Talkativeness, pressure of speech (accelerated & disjointed speech).
• Incoherent speech.
• Racing thoughts, flights of ideas.
• Grandiose ideas.
• Irritability.
• Easily distracted.
• Recklessness, unwise and unsafe activities.
• Dis-inhibited behaviour.
• Restlessness.
• Suspiciousness, paranoid delusions.
• Poor attention and concentration.
• Impaired insight.
• Auditory and visual hallucinations.
• Self neglect leading to exhaustion and dehydration.

Major Depression

• Very low mood for most of the time.
• Lack of interest in life.
• Loss of pleasure.
• Changes in appetite and weight.
• Sleep difficulties.
• Fatigue and lethargy.
• Feelings of worthlessness and inappropriate guilt.
• Poor concentration and attention.
• Impaired memory.
• Irritability.
• Restlessness.
• Delusions (related to guilt, bodily functions, paranoia).
• Impaired insight.
• Recurrent thoughts of death and suicide.

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More information about this condition:

• Frequency of relapses
• Prevalence of Bipolar Disorders
• Course and variant of bipolar
• Hospital admissions
• Section of Mental Health Act