3. The Mania Diagnosis According to the NIMH, signs and symptoms of mania (or a manic episode) include: - Increased energy, activity, and restlessness - Excessively "high," overly good, euphoric mood - Extreme irritability - Racing thoughts and talking very fast, jumping from one idea to another - Distractibility, can't concentrate well - Little sleep needed - Unrealistic beliefs in one's abilities and powers - Poor judgment - Spending sprees - A lasting period of behavior that is different from usual - Increased sexual drive - Abuse of drugs, particularly cocaine, alcohol, and sleeping medications - Provocative, intrusive, or aggressive behavior - Denial that anything is wrong
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