28 frequently asked questions about mania

In daily life, some people like to talk big, some people like to splurge, and some people, moody. In fact, manic patients are right next to us.

What is mania?

There are five levels of emotion: Depression, depression, normalcy, hypomania, mania.

Depression and mania are two extremes of a person’s emotions: people with depression are depressed and depressed, while people with mania tend to get excited, but these experiences are morbid. Patients who have a history of both depression and mania are known as bipolar disorder. Bipolar disorder can be diagnosed if the patient has a current manic episode but a previous history of depression.

But because simple manic episodes are rare in the clinic, only 1%, the average manic episode is diagnosed as bipolar mania, given that the term bipolar disorder is not well known to the general public. Here we simply equate mania with bipolar disorder.

How to distinguish a person from mania or a true genius?

As the saying goes, genius is on the left and mad is on the right. It seems that genius and mental illness are only one step away.

After some investigations, genius has five different characteristics from the average person: loneliness, lonely childhood, mild personality division, paranoia, and sexual concept disorder.

These seem to prove the sentence just now.

Genius is often rich in imagination, excellent creativity, and agile thinking.

These become the elements of genius, and the maddening patients also have, but why is mania not a genius? Mainly because of the following two points:

  • The self-evaluation is too high, and there is no objective judgment on his current situation. Some of the whimsy are inconsistent with reality or cannot be realized.
  • Patients tend to be unable to concentrate, not to last, and lack the spirit of perseverance and concentration.

Why do people get mania?

No definite cause of mania has been identified, but these factors increase the likelihood of mania:

  • Genetic factors: the closer the relationship, the more susceptible to disease.
  • Biological factors: neurotransmitter disorder; neuroendocrine dysfunction; damage to neural plasticity; drug induced.
  • Socio-psychological factors: life and work hit, such as divorce, unemployment, bereavement, etc.; personality characteristics.

Are optimists more likely to develop mania?

There is no hard evidence to support a direct link between optimists and mania, and people with these personality traits are more likely to suffer from mania.

If there is a family history of mania, and suffered a serious blow, it is necessary to be vigilant, reasonable regulation of their emotions and behavior, to avoid excessive optimism.

Does seasonal change cause the relapse of mania easily?

There has always been a saying among the Chinese people: “the cauliflower turns yellow, and the crazy child goes mad.”

Some evidence does support the idea that the onset of winter and spring, at which time the relapse of mental illness peaks, especially in April when the cauliflower blooms, may be linked to changes in neurotransmitters in the brain that regulate mood. Such as 5-HT.

From autumn to winter, 5-HT secretion began to decrease, people’s mood began to low; when from winter to spring, 5-HT secretion began to increase, people’s mood began to become excited and happy.

What are the main manifestations of mania?

Mania is mainly manifested as “three high”: mood high; thinking hyperactive; speech and activity increased, but at the same time with “three high” symptoms of patients are not many.

High spirits:

Manic subjective experience is very good, in normal people do not seem to be happy, but also feel their very happy and excited. Manic patients, because of their high state of mind, often infect others around them, but some patients are emotionally unstable and may turn from joy to anger.

Active thinking:

This refers to the patient’s quick and agile thinking, which is easily influenced by his or her surroundings, and suddenly jumps from one topic to another.

Increase in speech and activities:

Some patients sleep only 3-4 hours a day, but still feel that their energy, busy all day, but mediocrity; patients like to meddle, and poor self-control, impulsive destruction behavior; to their own behavior lack of judgment. Do things without considering the consequences, like to attract other people’s attention, love to brag.

If there is a manic in the home to spend money indiscriminately, how to do?

Due to a lack of insight, patients always do what they want, and lack control over their own behavior and speech. They often spend money at will, such as giving away their TV sets to neighbors and buying high-class cigarettes and alcohol to strangers.

At this time, family members need to strictly control the funds in the hands of patients, and persuade patients to be hospitalized for timely treatment.

Need to beware of bipolar disorder mania suicide?

Although mania does not have the same high suicide risk as depression, the number of patients with only mania in clinical practice is very low, and most manic patients also suffer from depression, commonly referred to as bipolar disorder.

When patients go from mania to depression at the other end of the spectrum, suicidal behavior needs to be prevented.

So manic patients need to be on the lookout for suicides, too, with the emphasis on looking at their behavior and whether they are turning to depression; especially if the patient has a history of depression before.

How do you take a family member suspected of mania to a doctor?

Because manic people feel super good about themselves, they tend to deny the fact that they are sick, coupled with the manic characteristics of irritability, which may irritate the patient into damaging behavior, but if the family members choose to compromise. That would delay the patient’s condition.

To persuade a patient to see a psychiatrist, there are three steps:

  • The patient condition is not serious, can judge own illness partly, persuades its admission; the patient listens to / trusts the family member’s decision, then can smoothly see the doctor.
  • Patients strongly denied that they may be ill, do not want to be hospitalized, family members can say that they are ill, so that patients with registration, in general, patients are willing to accompany their families to see a doctor.
  • If unable to persuade or deceive patients to see a doctor, patients show emotional, there is a strong tendency to hurt people and damage, you can request the assistance of local police stations or community police, forced patients into the hospital.

What is hypomania?

Hypomania is more common in the clinic, because of social dysfunction is not obvious, it is often not easy to detect.

The main core of the performance is emotional upsurge, irritability, upsurge and irritation to an abnormal state for at least 4 days.

There are a number of other manifestations that have a certain impact on daily life or work:

Activities increased, sitting and lying restless;

  • Talking more and more;
  • It’s hard to concentrate;
  • Decreased sleep requirement;
  • Increased sexual function;
  • Mild extravagance;
  • Too intimate with people.

What’s the difference between mania and schizophrenia?

Some manifestations of mania are easily confused with schizophrenia. The main differentiating point between the two is whether the emotion and behavior of the patient are in harmony.

In short, whether what you do and what you say is in tune with your emotions, manic, schizophrenic, for example, when a manic speaks to his or her surroundings about his wife’s infidelity. People with schizophrenia should be depressed, and people with schizophrenia should be giddy and cheerful.

In addition, what manic patients say and do has a certain logic and appeal, can drive the emotions of others around, while schizophrenics, speech and behavior disorder, it is difficult to ponder.

Can the patient judge for himself whether it is depression or bipolar disorder?

To judge whether a person is depressed or has a bipolar depressive episode, it is necessary to know whether the patient has a history of hypomania or manic episodes, especially hypomania, which is difficult to detect by oneself, let alone a family member. So it is easy to cause clinical misdiagnosis and delay the disease.

As family members or individual patients, they need some basic knowledge of depression, hypomania and manic episode to judge whether their words and deeds are obviously different from those in the past. When doctors ask for treatment, they can provide an effective and adequate medical history.

If the patient has a depressive episode in the present tense but has a history of hypomania or mania in the past, it is diagnosed as a bipolar depressive episode.

The family has mania, need exorcism?

Because some patients have severe manic symptoms, they may experience hallucinations and delusions, such as seeing shadows dancing on the walls and hearing other people’s voices when they are quiet.

For manic patients using exorcism for treatment, the lack of scientific basis, can not solve the symptoms of patients, and even angered patients.

At this point, the family needs to do, is an emergency to send the patient to a psychiatric specialist for treatment.

What does the remedial measure of bipolar disorder symptom of mania have?

The main treatments for mania are medication (mood stabilizers and antipsychotics) and physiotherapy.

  • Mood Stabilizer: is the treatment of manic episodes of choice, including lithium, anti-epileptic drugs.
  • Antipsychotics: mainly used to control the excitement of patients.
  • Physiotherapy: modified electroconvulsive therapy (MECT),) is primarily used in patients with acute severe manic episodes or who have no response to lithium salt.
  • Antidepressant treatment: antidepressants should be used with caution, and doctors need to weigh carefully whether to use them according to the characteristics of an individual’s illness.

Will electrotherapy hurt the patient?

Many patients and their families associate modified electric convulsions with electric shocks as a punishment, but patients treated with modified electric convulsions do not experience pain and their safety is widely recognized. There is no such thing as injury.

When the condition requires, patients and family members should not worry.

What do you need to pay attention to when mania patients receive treatment?

According to the doctor’s advice, do not add or subtract drugs at will. Even if the symptoms are much better, do not reduce or stop the medicine by yourself.

To have enough patience with the treatment, to a sufficient number of courses of treatment, so as to increase the chances of symptom elimination, reduce the risk of recurrence.

If the family member is manic, need to give the patient enough psychological support.

Manic patients lack insight and do not believe that they are ill, so they refuse to take medicine. If the patient is not hospitalized for treatment, family members need to remind and supervise the patient to take the medicine regularly. As the condition improves, the insight recovers. Patients can gradually take the initiative to accept drug treatment, but family members still can not relax.

Taking anti-mania drugs, not harming the brain?

Antimanic drugs do not harm the brain, and many studies have shown that antimanic drugs at therapeutic doses are safe and effective, helping to stabilize the mood of patients, prevent the recurrence of disease, and prevent patients from committing suicide.

It is understandable that patients have such doubts, because patients with mania brain quickly, resulting in obvious abnormal words and deeds, and the aim of anti-manic drug treatment is to return to normal patients. So the slow brain is the drug effect, the patient’s normal recovery phenomenon, patients or their families do not worry about this, if the patient is still as before thinking too agile, the brain overwork, doctors have to consider the continued increase or change of medicine.

What are the common side effects of antimanic drugs?

The main side effects of antimanic drugs are nausea, vomiting, hand tremors, sedation, fatigue, polydipsia, polyuria, etc., when the patient presents with lithium poisoning (disturbance of consciousness, high fever, coma, decreased blood pressure, oliguria or anuria). Need to stop the medication immediately and rescue.

Can you get pregnant with mania?

Antimanic drugs have a greater impact on the fetus, so pregnancy is not recommended during the medication period. If the patient’s condition is stable and stable, talk to the doctor ahead of time when planning to conceive and gradually reduce and stop the medication under the guidance of the doctor.

How does postpartum mania relapse do?

If breast-feeding, because the medicine may pass through the breast milk to enter the baby body, but the baby each organ has not developed completely, can cause the very big influence to the baby, therefore should consider the non-drug treatment first in the treatment way, if the effect is not good; Then consider medication, at this time, it is best not to use breast feeding.

Which manic patients need hospitalization?

In general, hypomania and moderate mania patients, if you can do on time medication, regular review, that is, the so-called good compliance, not necessarily need to be hospitalized, can be treated in the outpatient service.

If the patient is in the acute phase of mania, the symptoms are serious, and may go out, impulsive injury damage, or even hallucinations, delusions, the need for timely hospital treatment.

Is manic symptom much better can oneself reduce drug or discontinue drug?

Can not, a lot of patients relapse is due to self-drug reduction and withdrawal.

Psychiatric disease is not like other departments, symptoms easy to repeat, with each recurrence, treatment will become more and more intractable, medication time will become longer and longer, even lifelong medication.

So eliminating symptoms and preventing recurrence is equally important, which requires the full cooperation of doctors and patients in order to maximize the elimination of symptoms, prevention of recurrence. So follow your doctor’s instructions.

Does mania patient need to undertake psychological rehabilitative treatment?

If the economic conditions permit, under the control of drugs, after the condition is stable, it is very necessary for patients to receive assisted psychotherapy. First, it can solve the problem of patients’ compliance to a certain extent. Secondly, it can solve the problem of patients’ compliance to a certain extent. It can also help to change many of the patients’ unreasonable beliefs, such as impractical overestimation of themselves.

Many studies have also shown that the use of psychotherapy can also enhance the effectiveness of treatment, reduce the risk of recurrence, even in the absence of medication, can also have a lasting protective effect.

Will anti-mania drugs become addictive?

Generally speaking, the duration of treatment for psychiatric diseases ranges from a few months to a few years or even a lifetime. Some patients and family members worry that taking anti-manic drugs for so long will not cause addiction.

In fact, anti-manic drugs are not like alcohol, marijuana, older generation hypnotics, not addictive.

What should the diet of mania patient notice?

Because mania is characteristic, the patient talks and works too much, always because talk much and thirst, because the activity is much and oneself energy consumption is too big, need to pay attention to make up for water and add nutrition, prevent the appearance of disease of the body; Because manic patients are not easy to absorb group B vitamins, they need to be properly supplemented.

For the disease itself, magnesium, similar to lithium, also has a manic effect, and can be eaten in moderation with magnesium-containing vegetables and fruits; foods containing unsaturated fatty acids can promote blood circulation in the brain and thus promote the patient’s recovery. But remember, don’t overdo it.

What are the causes of the recurrence of mania?

  • Unauthorized reduction or withdrawal of drugs leads to incomplete treatment.
  • The life is hit.
  • Lack of social and family support.
  • The economic situation is poor.
  • Can not adapt to society after rehabilitation.

Can mania be cured?

First of all, mania patients are mostly bipolar disorder, some studies show that only 5% of patients with bipolar disorder will not come back, 40% of patients will relapse within one year, 60% of patients will relapse within two years; And up to 73% of patients will relapse within 5 years, and each time the disease will continue for longer and longer.

Therefore, it is recommended that patients, in the treatment must adhere to a sufficient course of treatment, do not reduce drugs and discontinuation of drugs without authorization, to have enough patience for the treatment.

As a family member of mania, what should I do?

  • Master common knowledge of mania, reserve knowledge for treatment and prevention.
  • Treat patients with respect and don’t treat them in a discriminatory manner.
  • Try to avoid the factors that induce manic episodes.
  • Communicate with patients to understand their inner world.
  • Acute phase, the need to take strict care of patients and timely hospital treatment, to prevent the behavior of damage or injury.
  • Patients like to spend money, need to take good care of the family property.
  • One of the characteristics of manic symptoms is impulsive irritability, in daily life, try to avoid irritating patients, if necessary to be restrained, not only to protect others, but also protect the patient itself, and then admitted to hospital.
  • Create a warm and harmonious family atmosphere, is conducive to the rehabilitation of patients.
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