Symptoms
Signs and symptoms of mania include discrete periods of:

• Increased energy, activity, restlessness, racing thoughts, and rapid talking
  
• Excessive "high" or euphoric feelings
  
• Extreme irritability and distractibility
  
• Decreased need for sleep
  
• Unrealistic beliefs in one's abilities and powers
  
• Uncharacteristically poor judgment
  
• A sustained 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
  

Signs and symptoms of depression include discrete periods of:

• Persistent sad, anxious, or empty mood
  
• Feelings of hopelessness or pessimism
  
• Feelings of guilt, worthlessness, or helplessness
  
• Loss of interest or pleasure in ordinary activities, including sex
  
• Decreased energy, a feeling of fatigue or of being "slowed down"
  
• Difficulty concentrating, remembering, making decisions
  
• Restlessness or irritability
  
• Sleep disturbances
  
• Loss of appetite and weight, or weight gain
  
• Chronic pain or other persistent bodily symptoms that are not caused by physical disease
  
• Thoughts of death or suicide; suicide attempts
  

Last updated: 01-Jan-00