Bipolar mania

Marked drop in sleep time with overactivity, feeling energised

UrgentReview due

At a glance

Watch forPsychosissevere disinhibitionmixed statedangerous impulsivity

Sleep disturbance sits inside a broader syndrome. Reduced need for sleep is one of the most decisive bipolar bedside clues.

Separates the Sleep Disturbance / Insomnia / Reduced Need for Sleep group. It is not specific to Bipolar mania.

Rows marked “Whole group”: Applies to the Sleep Disturbance / Insomnia / Reduced Need for Sleep group — not specific to Bipolar mania

Marked drop in sleep time with overactivity, feeling energised

Key features

Psychosis, severe disinhibition, mixed state, dangerous impulsivity.

High-risk causes4 causes

Applies to the Sleep Disturbance / Insomnia / Reduced Need for Sleep group.

Sleep disturbance sits inside a broader syndrome. Reduced need for sleep is one of the most decisive bipolar bedside clues.

Helpful clues

Applies to the Sleep Disturbance / Insomnia / Reduced Need for Sleep group.

None listed

Priority steps

Applies to the Sleep Disturbance / Insomnia / Reduced Need for Sleep group.

None listed

Core tests

Applies to the Sleep Disturbance / Insomnia / Reduced Need for Sleep group.

None listed

Consider

Clinical reference — not validated decision support. Review before use.