UNCONTROLLED WHEN PRINTED

A disorder characterised by significant mood variations ranging from depressed mood to mania.

Common features include:

  • Depression symptoms
  • Mania symptoms
  • Inflated self-esteem or grandiosity
  • Decreased need for sleep
  • Pressured speech
  • Distractibility
  • Excessive involvement in pleasurable activities

Tips for management:

  • Communication during a manic episode may be difficult, due to distraction
  • If conversation is one-sided due to pressured speech, be firm, clear and interrupt if needed
  • If patient presents with psychomotor agitation and wants to pace, jiggle or tap legs, allow them as controlling them may increase agitation
  • Encourage eye contact and breaths between bursts of speech
  • Maintain clear professional boundaries, as highly sexualised behaviour may occur

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