Clinical features

The components of the manic mood disorder include:

• mood changes:
  • elation/euphoria/cheerful
  • irritable/quick to anger
  • optimistic/enthusiastic
  • grandiose
    
    
• activity:
  • boundless energy
  • poor concentration
    
    
• speech changes:
  • conversation is rapid and cheerful
  • the stream of speech may be pressured
  • the patient skips rapidly between topics of conversation
  • topics may be only casually related or be related by a pun or rhyme e.g. "look at the branches of the trees; I don't like bees"
    
    
• delusions:
  • the severity ranges from an overoptimistic view of the world to full blown grandiose delusions
    
    
• somatic disturbances:
  • insomnia
  • increased apetite without weight gain
  • increased libido and sexual activity
  • increased desire for alcohol or other drugs