Dysphoric mania is a mixed bipolar state where patients experience symptoms of both mania and depression. Patients can be diagnosed and treated with medications and psychotherapy. Symptoms vary from patient to patient and can include changes in appetite, trouble sleeping, and suicidal thoughts.
Dysphoric mania, or a mixed bipolar state, is a condition that some patients with bipolar disorder experience when they have symptoms of mania and depression at the same time. Bipolar disorder affects a patient’s brain and typically causes mood episodes that can shift between manic episodes and depressive episodes and may include episodes of dysphoric mania. Patients with bipolar disorder can be diagnosed and treated by doctors in many cases. Many patients with bipolar disorder can lead productive and full lives with continued effective treatment of this condition.
People with dysphoric mania may have symptoms such as changes in appetite, trouble sleeping, or agitation. Feelings of deep sadness or hopelessness may combine with an extreme level of energy during some episodes of dysphoric mania. In some cases of dysphoric mania, impulsivity and irritability may develop, as well as suicidal thoughts. Episodes of dysphoric mania can be very dangerous for patients because the risk of substance abuse and suicide attempts tends to increase during this mixed bipolar state.
Patients with bipolar disorder may also experience separate manic episodes or depressive episodes. Manic episodes can include manic symptoms such as long periods of restlessness, nervousness, or an unusually outgoing and happy mood. Racing thoughts, fast talking, and being easily distracted are common symptoms of mania. People may also notice a decreased need for sleep and an increase in high-risk or impulsive behaviors related to sex and money during a manic episode.
Depressive episodes often develop in patients with bipolar disorder and usually include symptoms of depression such as loss of interest in activities a patient used to enjoy, feelings of tiredness, and long periods of emptiness and worry. Problems with decision making, memory, and concentration can also occur during depressive episodes. Thoughts of suicide and suicide attempts may also increase during depressive episodes. The combinations of manic, depressive, and dysphoric episodes, as well as their specific symptoms, tend to vary from patient to patient.
Doctors typically conduct physical exams, mental health evaluations, and medical tests to help diagnose patients with bipolar disorder. In many cases, patients with bipolar disorder are given medications such as lithium or other mood-stabilizing drugs to control symptoms. Some patients may take antipsychotic or antidepressant medications to help control episodes of this illness. In some cases, doctors may recommend psychotherapy for patients with bipolar disorder to help them with their daily functioning and social interactions.
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