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Is this mania starting?
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<blockquote data-quote="smallworld" data-source="post: 208474" data-attributes="member: 2423"><p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'"><span style="font-family: 'OceanSansMM-403-397-'">Here is how Dr. Ellen Leibenluft at NIMH defines mania:</span></span></p><p></p><p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'"><span style="font-family: 'OceanSansMM-403-397-'">A distinct period of abnormally and persistently elevated,</span></span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'"><span style="font-family: 'OceanSansMM-403-397-'">expansive, or irritable mood, lasting at least 1 week (or any</span></span><span style="font-family: 'OceanSansMM-403-397-'"></span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'"><span style="font-family: 'OceanSansMM-403-397-'">duration if hospitalization is necessary).</span></span></p><p><span style="font-family: 'OceanSansMM-403-397-'"></span></p><p><span style="font-family: 'OceanSansMM-403-397-'"></span></p><p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">During the period of mood disturbance, three or more of</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">the following symptoms have persisted (four if the mood is</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">only irritable) and have been present to a significant</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">degree:</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">(1) inflated self-esteem or grandiosity</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">(2) decreased need for sleep (e.g., feels rested after only 3</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">hours of sleep)</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">(3) more talkative than usual or pressure to keep talking</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">(4) flight of ideas or subjective experience that thoughts are</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">racing</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">(5) distractibility (i.e., attention too easily drawn to</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">unimportant or irrelevant external stimuli)</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">(6) increase in goal-directed activity (either socially, at work</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">or school, or sexually) or psychomotor agitation</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">(7) excessive involvement in pleasurable activities that have</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">a high potential for painful consequences (e.g., engaging</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">in unrestrained buying sprees, sexual indiscretions, or</span></p><p><span style="font-family: 'OceanSansMM-403-397-'">foolish business investments)</span></p><p> </p><p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">The mood disturbance is sufficiently severe to cause</span></p> <p style="text-align: left"><span style="font-family: 'OceanSansMM-403-397-'">marked impairment in occupational functioning or in usual</span></p> <p style="text-align: left"><span style="font-size: 9px"><span style="font-family: 'OceanSansMM-403-397-'"><span style="font-size: 10px">social activities or relationships with others, or to</span></span></span><span style="font-size: 9px"></span></p> <p style="text-align: left"><span style="font-size: 9px"><span style="font-family: 'OceanSansMM-403-397-'"><span style="font-size: 10px">necessitate hospitalization to prevent harm to self or</span></span></span></p> <p style="text-align: left"><span style="font-size: 9px"><span style="font-family: 'OceanSansMM-403-397-'"><span style="font-size: 10px">others, or there are psychotic features.</span></span></span></p><p><span style="font-size: 9px"></span></p><p> <span style="font-size: 9px"></span></p><p style="text-align: left"><span style="font-size: 9px"><span style="font-family: 'OceanSansMM-403-397-'"><span style="font-size: 10px">The symptoms are not due to the direct physiological</span></span></p></span></p><p style="text-align: left"><span style="font-size: 9px"><span style="font-family: 'OceanSansMM-403-397-'"><span style="font-size: 10px">effects of a substance (e.g., a drug of abuse, a medication,</span></span></p></span></p><p style="text-align: left"><span style="font-size: 9px"><span style="font-family: 'OceanSansMM-403-397-'"><span style="font-size: 10px">or other treatment) or a general medical condition (e.g.,</span></span></p><p><span style="font-family: 'OceanSansMM-403-397-'"><span style="font-size: 10px">hypothyroidism).</span></span></span></p><p> <span style="font-size: 9px"></span></p><p><span style="font-size: 9px"></span></p><p>You should also be aware that both of your difficult child's medications can cause the mood to elevate. Lamictal is a wonderful medication for bipolar depression, but does very little for mania. Geodon can cause an odd kind of overarousal (seen more at lower doses than higher doses), according to The Bipolar Child book by Dimitri and Janice Papolos.</p></blockquote><p></p>
[QUOTE="smallworld, post: 208474, member: 2423"] [LEFT][FONT=OceanSansMM-403-397-][FONT=OceanSansMM-403-397-]Here is how Dr. Ellen Leibenluft at NIMH defines mania:[/FONT][/FONT][/LEFT] [LEFT][FONT=OceanSansMM-403-397-][FONT=OceanSansMM-403-397-]A distinct period of abnormally and persistently elevated,[/FONT][/FONT] [FONT=OceanSansMM-403-397-][FONT=OceanSansMM-403-397-]expansive, or irritable mood, lasting at least 1 week (or any[/FONT][/FONT][FONT=OceanSansMM-403-397-] [FONT=OceanSansMM-403-397-]duration if hospitalization is necessary).[/FONT][/FONT][/LEFT][FONT=OceanSansMM-403-397-] [/FONT] [LEFT][FONT=OceanSansMM-403-397-]During the period of mood disturbance, three or more of[/FONT] [FONT=OceanSansMM-403-397-]the following symptoms have persisted (four if the mood is[/FONT] [FONT=OceanSansMM-403-397-]only irritable) and have been present to a significant[/FONT] [FONT=OceanSansMM-403-397-]degree:[/FONT] [FONT=OceanSansMM-403-397-](1) inflated self-esteem or grandiosity[/FONT] [FONT=OceanSansMM-403-397-](2) decreased need for sleep (e.g., feels rested after only 3[/FONT] [FONT=OceanSansMM-403-397-]hours of sleep)[/FONT] [FONT=OceanSansMM-403-397-](3) more talkative than usual or pressure to keep talking[/FONT] [FONT=OceanSansMM-403-397-](4) flight of ideas or subjective experience that thoughts are[/FONT] [FONT=OceanSansMM-403-397-]racing[/FONT] [FONT=OceanSansMM-403-397-](5) distractibility (i.e., attention too easily drawn to[/FONT] [FONT=OceanSansMM-403-397-]unimportant or irrelevant external stimuli)[/FONT] [FONT=OceanSansMM-403-397-](6) increase in goal-directed activity (either socially, at work[/FONT] [FONT=OceanSansMM-403-397-]or school, or sexually) or psychomotor agitation[/FONT] [FONT=OceanSansMM-403-397-](7) excessive involvement in pleasurable activities that have[/FONT] [FONT=OceanSansMM-403-397-]a high potential for painful consequences (e.g., engaging[/FONT] [FONT=OceanSansMM-403-397-]in unrestrained buying sprees, sexual indiscretions, or[/FONT][/LEFT] [FONT=OceanSansMM-403-397-]foolish business investments)[/FONT] [LEFT][FONT=OceanSansMM-403-397-]The mood disturbance is sufficiently severe to cause[/FONT] [FONT=OceanSansMM-403-397-]marked impairment in occupational functioning or in usual[/FONT] [SIZE=1][FONT=OceanSansMM-403-397-][SIZE=2]social activities or relationships with others, or to[/SIZE][/FONT][/SIZE][SIZE=1] [FONT=OceanSansMM-403-397-][SIZE=2]necessitate hospitalization to prevent harm to self or[/SIZE][/FONT] [FONT=OceanSansMM-403-397-][SIZE=2]others, or there are psychotic features.[/SIZE][/FONT][/SIZE][/LEFT][SIZE=1] [LEFT][FONT=OceanSansMM-403-397-][SIZE=2]The symptoms are not due to the direct physiological[/SIZE][/FONT] [FONT=OceanSansMM-403-397-][SIZE=2]effects of a substance (e.g., a drug of abuse, a medication,[/SIZE][/FONT] [FONT=OceanSansMM-403-397-][SIZE=2]or other treatment) or a general medical condition (e.g.,[/SIZE][/FONT][/LEFT] [FONT=OceanSansMM-403-397-][SIZE=2]hypothyroidism).[/SIZE][/FONT] [/SIZE] You should also be aware that both of your difficult child's medications can cause the mood to elevate. Lamictal is a wonderful medication for bipolar depression, but does very little for mania. Geodon can cause an odd kind of overarousal (seen more at lower doses than higher doses), according to The Bipolar Child book by Dimitri and Janice Papolos. [/QUOTE]
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