Time：2023-04-01 09:13:38 source：psychiatricethics.com author：Relax Read：332次

Irritability, hyperactivity, out of control emotions, bad temper, or mania?

These descriptions are all from people in real life - "often being grumpy, irritable, very moody, moody, and I also realize it's not good, want to change but can't do anything. And do things in pursuit of perfection, will I was annoyed by a little thing, and then became very excited and aggressive." "I am impulsive and irritable, and now I feel that it is difficult to control my emotions, I can't help losing my temper, and the desire to destroy is very strong." , I can do anything, I couldn’t control myself at the time, and I regretted it afterwards. I couldn’t hold my breath for small things, and when I got angry, I would curse people, smash things, and even hit people.” Each of our emotions will follow There are ups and downs under the influence of life events, sometimes expressing or singing because of happiness, sometimes feeling depressed or even lazy when encountering setbacks. Such mood changes, if not excessively ups and downs and persistent, are normal. On the contrary, if a person has been in excessive mood swings for a long time, and has reached a certain degree of severity for a certain period of time, he was not a grumpy person before, but becomes grumpy during such a period of time, it is not just an emotional vent , but because of the disease, unable to control their behavior, may be suffering from mania. Manic episode is a kind of mood disorder, mostly acute onset, mainly with high mood, which can be manifested in various forms such as happiness and ecstasy. In mild cases, there is no damage to social functions or mild damage; In severe cases, mental symptoms such as hallucinations and delusions may occur. Specific clinical manifestations of mania 1. Symptom criteria: Elevated mood or irritability is the main feature, and the symptoms last for at least one week. During the period of high mood, there are at least three of the following symptoms: 1. Speech is more pronounced than usual 2. The association is accelerated, or the concept is erratic, or the self-perceived speech cannot keep up with the speed of the thinking activities; 3. The attention is not focused, or the situation is shifted; 4. The self-evaluation is too high, reaching the level of delusion; 5. Feeling good about oneself, such as particularly flexible mind, or particularly healthy body, or particularly energetic; 6. Reduced need for sleep without feeling tired; 7. Increased activity, or psychomotor arousal; 8. Reckless behavior or pursuit of pleasure, regardless of Consequences, or risk-taking; 9. Obvious hypersexuality. 2. Severity standard, at least one of the following conditions: 1. Impaired ability to work, study and housework; 2. Impaired social skills; 3. Caused danger or adverse consequences to others. 3. Exclusion criteria: 1. Does not meet the organic mental disorders of the brain, physical diseases and mental disorders caused by psychoactive substances and non-dependent substances; 2. There may be some schizophrenic symptoms, but it does not meet the diagnosis of schizophrenia standard. If the diagnostic criteria for symptoms of schizophrenia are met at the same time, the differential diagnosis can refer to the diagnostic criteria for schizoaffective psychosis. A manic episode seriously interferes with the physical and mental health of the patient, seriously affects the patient's social function, and may cause damage or influence to others. It is one of the serious mental illnesses. If a manic episode is suspected, timely treatment is recommended. Early intervention, early treatment.

How is mania treated?

Adherence to comprehensive treatment: patients have biological, psychological and sociological characteristics, and the occurrence and development of mania are related to specific biological, psychological and social factors. Therefore, comprehensive consideration should be given to treatment. , to take comprehensive measures of physical device therapy, drug therapy, mental or behavioral therapy, family or environmental therapy, only in this way can it conform to the bio-psycho-social treatment model.

The following four points should be paid attention to in the prevention and treatment of mania

1. Early identification, early treatment, sufficient amount and full course of treatment, and the whole process Treatment; 2. Adopt comprehensive treatment, physical therapy + psychosocial intervention and crisis intervention to improve treatment compliance; 3. Long-term treatment, the recurrence rate of manic episodes is very high, and the concept of long-term treatment needs to be established; 4. Patients and their families jointly Participating in treatment requires family support and help.

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