Why it fits
Elevated/irritable mood, reduced need for sleep, overactivity, grandiosity, pressured speech
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Elevated/irritable mood, reduced need for sleep, overactivity, grandiosity, pressured speech
Psychosis, dangerous disinhibition, financial ruin, violence, exhaustion.
Sustained episodic activation plus decreased need for sleep are the key separators.
Separates the Mania / Hypomania / Mixed States group. It is not specific to Bipolar I mania.
Applies to the Mania / Hypomania / Mixed States group — not specific to Bipolar I mania
Rows marked “Whole group”: Applies to the Mania / Hypomania / Mixed States group — not specific to Bipolar I mania
Elevated/irritable mood, reduced need for sleep, overactivity, grandiosity, pressured speech
Psychosis, dangerous disinhibition, financial ruin, violence, exhaustion.
Applies to the Mania / Hypomania / Mixed States group.
Sustained episodic activation plus decreased need for sleep are the key separators.
Applies to the Mania / Hypomania / Mixed States group.
Sleep change is one of the highest-yield discriminators Hypomania is commonly found only on careful retrospective history One of the easiest high-risk states to miss Acute stimulant states can mimic both mania and psychosis Treat switching as diagnostically meaningful
Applies to the Mania / Hypomania / Mixed States group.
None listed
Applies to the Mania / Hypomania / Mixed States group.
None listed
Clinical reference — not validated decision support. Review before use.