Mania, or a manic episode, is defined when a person shows the mentioned symptoms over a period of at least 7 days. Signs of a manic episode are:
- High energy and acute activity
- Excessively good mood
- Irritability for impatience
- Erratic talking
- Inability to concentrate
- Little need for sleep
- Feelings of power
- Poor judgment
- Heavy careless spending
- High sex drive
- Alcohol or drug abuse
Having bipolar disorder does not mean you are broken, it means you are strong and brave to confront your condition.
Mr. Ranjeet, a 46-year-old married male, currently separated from his wife was brought for hospitalization by his family.
They gave a history for the last 4 months where Ranjeet was restless, over-talkative, and felt a decreased need for sleep. He was also suspicious, over-religious, and showed aggressive behavior. A detailed clinical assessment was done which revealed, that there have been similar episodes in the past. With reference to his past and current psychiatric history. He was diagnosed with Bipolar affective disorder currently manic episodes with psychotic symptoms.
In the ward, Ranjeet revealed auditory hallucinations (where he would hear voices), and persecutory delusions (he believed that “some people are trying to conspire against me and kill me. They are constantly following me”).
For these symptoms, mood stabilizers and antipsychotic medications were started. A reduction in irritability, aggression, and suspiciousness was noted in 1 month. During the active treatment phase, education about the illness was given, which brought about awareness and understanding. Interpersonal and social rhythm therapy was given with the aim, to improve treatment and drug compliance. Ranjeet was also taught how to manage stress while at the same time working towards relapse prevention.
During the end of the second month, a significant reduction was observed in the manic-psychosis symptoms. Interpersonal disturbances due to illness and related aggression were addressed through family intervention. The patient attained complete recovery by the end of treatment and resumed his job. He is currently coming for follow-ups for the past 5 months and drug compliance is good.