1. Manic episode:the critical clinical feature of a manic episode is a mood that is elevated, expansive, or irritable. Associated symptoms include part of or all of the followings:

1. Excessively active in activities which often take the form of sexual promiscuity, political involvement, and religious concern.
   rapid in speech - the patient’s speech is pressured to a point of being impossible to interrupt.


2. Difficulty in concentrating that thinking and speech move quickly from one idea to the next.


3. Reducing in sleeping hours- often sleeps a few hours each night and yet has unlimited energy.


4. Increased self-esteem to the point of grandiosity - the individual feels on top of the world, and being capable in achieving everything.


5. Easily get distracted by surrounding sounds, people or smells.


6. Short attention span


7. Poor judgment - may lead to buying sprees, bad business decision, or dangerous behavior such as abusing drugs or alcohol.

having delusion which center on themes of unlimited power and influence.

8. Having hallucination such as hearing voices or seeing flashing colors and lights which may occur at the peak of the manic episode.

1. Loss of interest in people, work and activities


2. Loss of energy or fatigue


3. Appetite change leading to either weight gain or weight loss feelings of uselessness, hopelessness and excessive guilt


4. Disturbed sleeping habits-sleeping too little or too much


5. Slowed thinking, forgetfulness, difficulty in concentrating and in making decisions


6. Low self-esteem and feelings of inadequacies


7. Loss of interest in sex


8. Crying easily; or feeling like crying but cannot


9. Thinking about death or suicide