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Mental or physic hyperactivity, disorganization of activity and elevation of mood. Manic episodes typically begin suddenly, with rapid escalation of symptoms over a few days. A distinctive period of abnormally and persistently elevated, or irritable mood, lasting at least 1 week. The disturbance causes marked impairment with occupation, social activities or relationships.

Three or more symptoms present to a significant degree:

  • Inflated self-esteem or grandiosity
  • Decreased need for sleep
  • More talkative than usual
  • Flight ideas or racing thoughts
  • Distractibility to irrelevant issues
  • Increase in goal-directed activity
  • Psychomotor activity
  • Excessive involvement in activities likely to cause painful consequences
  • Unrestrained buying sprees
  • Foolish business investments
  • Sexual indiscretions

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