NURS 3130 Chapter Notes - Chapter 24: Bipolar I Disorder, Histrionic Personality Disorder, Borderline Personality Disorder

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Mania is one of the primary symptoms of bipolar disorders. It is recognized by an elevated, expansive, or irritable mood. Mania is easily recognized by the cognitive changes that occur. Elevated self-esteem is expressed as grandiosity (exaggerating personal importance) and may range from unusual self-confidence to grandiose delusions. Speech is pressured (push of speech); the person is more talkative than usual and at times is difficult to interrupt. There is often a flight of ideas (illogical connections between thoughts) or racing thoughts. Keyconcept mania is primarily characterized by an abnormally and persistently elevated, expansive, or irritable mood. In mania, the need for sleep is decreased and energy is increased. The individual often remains awake for long periods or wakes up several times at night full of energy. Initially, there is an increase in goal-directed activity that is purposeful (e. g. , cleaning the house), but it deteriorates into hyperactivity, agitation, and disorganized behavior.

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