You or someone you know may be diagnosed with bipolar disorder, or manic depression. Most people experience happy and sad moods, but those with bipolar have extreme mood swings for no apparent reason. There are several symptoms associated with bipolar illness, one of which is manic attacks.
When someone with bipolar disorder has impaired judgment and a decreased need for sleep, a manic attack can occur. During manic times it is not uncommon for the person to go days without sleep. There are many ways in which a manic episode can manifest itself; often they include an excessive amount of energy or restlessness. The person may speak at a fast pace bouncing around from subject to subject; their voice may be louder than normal. For the working person, a manic attack can exert itself by working excessive hours. Since judgment is impaired, manic attacks often lead to excessive spending, risky behavior, gambling, violence, etc. In some cases, delusions, paranoia, and hallucinations take place.
The good news for bipolar disorder is that it can be treated. Psychotherapy and mood-stabilizing medications are effective in treating both the depressive and the manic phases. There are support groups available for patients, families and loved ones. Have a plan of action in place if you notice a manic episode coming on. This action may be as simple as taking slow, deep breaths or finding a place to be alone for a few minutes. Do not give up; while the diagnosis may be permanent, the symptoms do not have to have to be.

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