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Re: What Do You Think Of All the New Types of Bipo

Posted by SLS on June 3, 2006, at 9:05:32

In reply to Re: What Do You Think Of All the New Types of Bipo, posted by Meri-Tuuli on June 3, 2006, at 6:56:31

> I also forgot to add, that I tend to think that people use the term 'mania' pretty liberally too. I think that people tend to describe highly auguished, highly stressed, and distraught episodes as 'mania'. I often wonder if they really are.

I agree with you.

> Now, I have never had a manic episode, but if you're having one, aren't you just feeling really absoulately great, not sleeping much, not eating much, talking more, full of energy...

Mania can be euphoric or dysphoric or of a mixed-state. Euphoria feels great. Dysphoric and mixed-states are uncomfortable and usually present with agitation and irritability. Anhedonia frequently exists. These states are sometimes conceptualized as being a combination of mania and depression. It is often difficult to identify mixed-states because they present so differently interindividually. I think Kraepelin proposed a mixed-state spectrum that included six subtypes.

> I wonder if you're going to really pick up on the fact that you're manic at the time of the episode?

In the past, I have failed to recognize my manic reactions to antidepressants. I refused to acknowledge them, even when they were identified accurately by others. Some people with hypomania recognize and acknowledge it, but it probably depends on the degree of mania and personality temperament.

> I don't know if this is a useful observation or not.

It definitely is.


- Scott

 

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