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Topic: Dysphoric mania

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Manic depression

Hypomanic

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	Mania - Wikipedia, the free encyclopedia
		Mania is most usually associated with bipolar disorder, where episodes of mania may cyclically alternate with episodes of depression.
		Mania can be experienced at the same time as depression, in a mixed state.
		Dysphoric mania is primarily manic and a depressive mixed state is primarily depressed.
	en.wikipedia.org /wiki/Mania (621 words)

	Dysphoric Mania or Hypomania
		The presence of a depressed or unpleasant mood during an episode of Mania produces a clinical picture called Dysphoric Mania.
		Dysphoric features are statistically salient in patients with mania, and the bimodal distribution of the dysphoria factor is consistent with the possibility that mixed bipolar disorder is a distinct state.
		Dysphoric mania with atypical features may be induced by mirtazapine, providing support for a common hypothesis such as 'central norepinephrine hyperactivity' as the basis for development of mania with mirtazapine.
	www.depression-guide.com /dysphoric-mania.htm (437 words)

	dysphoric mania - BrainTalk Communities
		I said that I understood dysphoria to be mania in the form of agitation, anger, etc. She said no, that is just mania.
		Dysphoric depression, which many people think of as a mixed episode, consists of "intrusions of hypomanic symptoms or hyperthymic traits into a retarded major depressive episode" (Merck).
		In the context of bipolar disorder, a mixed state is a condition during which symptoms of mania (or hypomania) and clinical depression occur simultaneously (for example, agitation, anxiety, fatigue, guilt, impulsiveness, insomnia, disturbances appetite, irritability, morbid and/or suicidal ideation, panic, paranoia, psychosis, pressured speech, indecisiveness and rage).
	brain.hastypastry.net /forums/showthread.php?t=10875 (822 words)

	Wikinfo \| Mania (Site not responding. Last check: 2007-11-01)
		Mania, considered as it applies to an individual is a psychiatric condition characterised by severely elevated mood.
		By definition mania considered as a psychiatric disease excludes persons such as Hitler and many other less notorious individuals who display hyperactivity, but whose projects have a social component.
		She was said to be the mother of ghosts and the undead, as well as the Lares and the Nanes.
	www.wikinfo.org /wiki.php?title=Mania (392 words)

	Mixed state (psychiatry) - Wikipedia, the free encyclopedia
		In the context of mental illness, a mixed state (also known as dysphoric mania, agitated depression, or a mixed episode) is a condition during which symptoms of mania and depression occur simultaneously (e.g., agitation, anxiety, fatigue, guilt, impulsiveness, insomnia, irritability, morbid and/or suicidal ideation, panic, paranoia, pressured speech and rage).
		A dysphoric mania consists of a manic episode with depressive symptoms.
		Alcohol, drug abuse, and some antidepressant drugs may trigger dysphoric mania in susceptible individuals.
	en.wikipedia.org /wiki/Agitated_depression (595 words)

	PlanetPapers - Mania In Bipolar Depression
		In some cases people never experience euphoria during mania, but go directly to a dysphoric state where their energy is boosted so they feel pressured in an uncomfortable state of mind.
		During mania it is also not uncommon to forget small details of an ordinary behavior such as hanging up the telephone.
		Someone experiencing mania may make many different plans for one day, but has full intention of accomplishing all of them (and probably will.) However, during mania, one may have an extreme desire to do something random that may seem odd, such as paint their house pink.
	www.planetpapers.com /Assets/4529.php (995 words)

	THE MERCK MANUAL, Sec. 15, Ch. 189, Mood Disorders
		This presentation is referred to as dysphoric mania, ie, prominent depressive symptoms superimposed on manic psychosis.
		Dysphoric mania often develops in women and in persons with a depressive temperament.
		Patients with a depressive mixed state and those with dysphoric mania are at high risk of suicide and require expert clinical management.
	www.merck.com /pubs/mmanual/section15/chapter189/189d.htm (3131 words)

	Mixed States / Atypical Depression -- Neurotransmitter.net
		Although awareness of dysphoric features during mania continues to grow, standard mania rating instruments do not adequately assess mixed states and there is a striking disparity between the dysphoric signs and symptoms emphasized in research studies and the commonly employed DSM criteria.
		Our aim is to establish the validity of dysphoric mania along a "spectrum of mixity" extending into mixed mania with subthreshold depressive manifestations; to demonstrate the feasibility of obtaining clinically meaningful data on this entity on a national level; and to characterize the contribution of temperamental attributes and gender in its origin.
		Blind, a priori clinical classification into classic and mixed mania (mania plus depression) showed that all of the patients in the depressed cluster, and about 40% of those in the nondepressed cluster, were in a mixed state according to clinical criteria.
	www.neurotransmitter.net /bipolarmixed.html (16751 words)

	bipolar mania - bipolar mania
		Mania is most bipolar illness 'bipolar' mania depression usually associated with bipolar disorder, where episodes of mania may cyclically alternate with episodes of depression.
		Although "severely elevated mood" sounds pleasant, the experience of mania is usually unpleasant and sometimes frightening for the person involved bipolar bipolar and mania mania and may lead to impulsive behavior provigil and bipolar mania that may later be regretted.
		Because mania frequently encourages high energy and decreased perception of need or ability to sleep, within a few days of a psychotic features in bipolar mania manic cycle, sleep-deprived psychosis may appear further complicating the ability to think clearly.
	www.medicalgeo.com /Med-Topics-in-the-News-As---B/bipolar-mania.html (646 words)

	MANIA
		This mania is usually described as either euphoric/expansive mania or dysphoric mania also referred to as mixed mania.
		Dysphoric manias also exhibit high energy, racing thoughts, poor judgment and restlessness, but there is no sense of well being.
		Mania is very tricky and makes you think that you will stay happy forever so you give into the mania and let it continue.
	www.bipolarcentral.com /articles/MANIA.asp (2399 words)

	Understanding Mania
		Mania is an abnormal condition of elevated mood which affects about 1% of the population, and which usually occurs in association with episodes of depression to constitute bipolar disorder or manic-depressive illness.
		Mania is characteristic of BPI, while mild mania or hypomania (not requiring hopitalisation) is characteristic of BPII.
		Although late-onset cases of mania do occur, the likelihood of organic causation should always be considered, especially in the absence of a past or a family history of affective disorder.
	www.bipolarhome.org /mania.html (2593 words)

	Mania
		Although "severely elevated mood" sounds pleasant, the experience of mania is usually unpleasant and sometimes frightening for the person involved and may lead to impulsive behavior that may later be regretted.
		Sometimes when beyond hypomanic it may be necessary to temporarily hold the patient involuntarily due to his lack of insight until the mania phase passes either as part of the bipolar cycle or through medication.
		When the symptoms of mania have gone, long-term treatment then focuses on prophylactic treatment to try to stabilize the patient's mood, typically through a combination of medication and talk therapies.
	www.mrsci.com /Mood-Disorders/Mania.php (989 words)

	Bipolar Disorder Treatment (Site not responding. Last check: 2007-11-01)
		The treatment of mania and hypomania has two phases: an acute phase, in which the acute syndrome is quelled and social and occupational impairment is improved; and a maintenance phase, in which medications are administered long term to prevent the recurrences of the condition.
		The type of patient most likely to respond to lithium carbonate is someone with a classic presentation and euphoric mania (rather than dysphoric mania) and a pattern of mania followed by a depression and then a well interval.
		This research indicates that valproic acid seems to be the treatment of choice for dysphoric mania or mixed states as well as those patients with rapid-cycling types of bipolar disorder.
	www.depression-doctor.com /bipolar-disorder-treatment.htm (842 words)

	Bipolar Disorder by Anonymous
		The hospital physicians assured me that if I attempted to leave the hospital "AMA," or against medical advice, then they would promptly go to court to have me civilly committed (although they were happy to see other patients leave the hospital when their insurance coverage ran out).
		and I also often have so-called "mixed states" and/or "dysphoric manias" in which symptoms of mania are present simultaneously with symptoms of major depression and/or anxiety.
		I also have been diagnosed as having generalized anxiety disorder, although I ordinarily do not suffer the symptoms of GAD except when I am in a mixed state or a dysphoric mania.
	www.rxmarihuana.com /shared_comments/bipolar21.htm (644 words)

	Clinical Trial: Six Month Trial of Lamotrigine Vs. Sodium Valproate for Treatment of Mixed Mania
		Mixed mania is a clinically distinct affective state which is likely to be more severe than classical euphoric mania and to have longer episode duration.
		Patients with depressed mania (30% of all patients with mania) were as manic as patients with euphoric mania and also met criteria for the Major depressive disorder.
		Patients with dysphoric mania were less manic and less depressed, but more irritable than both depressed and euphoric manic patients.
	clinicaltrials.gov /ct/show/NCT00206778 (2423 words)

	Entrez-PubMed
		Based on the case report of a patient who developed mania with higher than recommended dosage of mirtazapine, we review the literature on the atypical nature of manic symptoms with mirtazapine.
		Eight subjects, including those in our study, were identified as having developed mirtazapine-induced mania with atypical features, consisting of dysphoria, irritability, insomnia, psychomotor agitation and abnormal gait.
		Dysphoric mania with atypical features may be induced by mirtazapine, providing support for a common hypothesis such as 'central norepinephrine hyperactivity' as the basis for development of mania with mirtazapine.
	www.antidepressantsfacts.com /remeron-dysphoric-mania.htm (180 words)

	i-Newswire.com - Press Release And News Distribution - Geodon Improves Depressive Symptoms in Patients With Bipolar ... (Site not responding. Last check: 2007-11-01)
		These symptoms are often experienced by patients who have schizophrenia or bipolar disorder with dysphoric mania.
		[iv] Depressive symptoms associated with dysphoric mania in bipolar patients are potentially severe and difficult to treat.
		An analysis was conducted of pooled data from three, double-blind studies involving Geodon use by patients with bipolar mania who also had dysphoria or depressive symptoms.
	i-newswire.com /pr24872.html (897 words)

	Bipolar Spectrum Disorders: Diagnosis and Pharmacologic Treatment by John Preston, Psy.D., ABPP
		When mania occurs in pre-pubertal children, it almost always presents as a form of dysphoric mania with rapid cycling and marked irritability.
		In general, the medications used to treat mania are considered to be very effective for most people experiencing a manic episode (Note: this is true for bipolar mania seen in patients who have a late adolescent or adult-onset illness.
		In the treatment of mania, benzodiazepines are generally used only for the first few days of treatment to reduce agitation; only rarely are these drugs used beyond a couple of weeks.
	continuingedcourses.net /active/courses/course001.php?... (10871 words)

	Geodon Improves Depressive Symptoms in Patients With Bipolar Disorder and Schizophrenia, Studies (Site not responding. Last check: 2007-11-01)
		Data from two separate studies conducted with Pfizer Inc's atypical antipsychotic Geodon® (ziprasidone HCl) showed the medication improved depressive symptoms in patients with bipolar disorder who had dysphoric mania [i] (a condition involving both manic and depressive symptoms) and in patients with schizophrenia.
		Treatment response to Geodon, defined by a 50 percent or greater improvement on the depression scale used in this study, was achieved by 60 percent of patients who previously were taking conventional antipsychotics and 63 percent of patients who formerly used olanzapine or risperidone.
		Approved in the United States in February 2001 for the treatment of schizophrenia and in 2004 for acute bipolar mania, Geodon is licensed in 73 countries, and more than 5 million prescriptions have been written worldwide.
	www.pharma-lexicon.com /medicalnews.php?newsid=25826 (827 words)

	Fifth International Conference on Bipolar Disorder
		The global group with psychotic mania was characterized by a younger age of disorder onset (26-27 years vs 30 years in Non Psychotic (NP) mania, p<0,05) and of seeking help (27-29 vs 32 years, p<0,05).
		On the contrary, the mixed mania sub-group was characterized by higher rate of prior diagnoses toward anxiety disorders (23,8% vs 16,1% in pure mania, p=0,005) and personality disorders (36,6% vs 26,9%, p=0,003).
		Conclusion: In this largest population of manic patients ever conducted, we showed that acute mania belongs to a rich phenotypic spectrum, in which non euphoric pure forms, psychotic and mixed, are not easily recognized as bipolar disorders, and adequate treatments instituted with long delays.
	www.wpic.pitt.edu /stanley/5thbipconf/Abstracts/posters1.htm (7829 words)

	Psychiatric Times (Site not responding. Last check: 2007-11-01)
		Nonclassic patients (for example, rapid-cyclers, patients with mixed and dysphoric mania, and those with comorbid substance abuse) seem even less likely to respond adequately to lithium.
		Open studies have indicated that olanzapine is efficacious for patients with mania and treatment-resistant BD (McElroy et al., 1998; Zarate et al., 1998).
		This treatment should be considered for acute mania and bipolar depression in patients who require a rapid response, cannot tolerate or be exposed to medication, or do not respond to medication.
	users3.ev1.net /~drtony/BD3kp2.htm (1865 words)

	Phenomenology of Mania: Evidence for Distinct Depressed, Dysphoric, and Euphoric Presentations -- Dilsaver et al. 156 ...
		Phenomenology of Mania: Evidence for Distinct Depressed, Dysphoric, and Euphoric Presentations -- Dilsaver et al.
		Departure from normality of distribution was estimated by using the Kolmogorov-Smirnov test (d=0.16, p<0.05 for depression factor; d=0.15, p<0.05 for sleep disturbance; d=0.06, n.s., for mania; d=0.05, n.s., for irritability/paranoia).
		McElroy SL, Keck PE Jr, Pope HG Jr, Hudson JI, Faedda GL, Swann AC: Clinical and research implications of the diagnosis of dysphoric or mixed mania or hypomania.
	ajp.psychiatryonline.org /cgi/content/full/156/3/426 (2342 words)

	California Lawyer Olanzapine Southern (Site not responding. Last check: 2007-11-01)
		This analysis focused on a dysphoric subgroup with baseline Hamilton Rating Scale for Depression (HRSD) total scores of 20 or over contrasted with non-dysphoric olanzapine patients.
		RESULTS: In the dysphoric subgroup (n=85) mean HRSD total score improvement was significantly greater in olanzapine co-therapy patients than in those receiving placebo plus lithium or valproate (P 0.001).
		CONCLUSIONS: In patients with acute dysphoric mania, addition of olanzapine to ongoing lithium or valproate monotherapy significantly improved depressive symptom, mania and suicidality ratings.
	agonistic30.t35.com /california/lawyer-olanzapine-southern.html (599 words)

	Ziprasidone (Geodon) Effective in Treating Dysphoric Mania: Presented at ECNP (Site not responding. Last check: 2007-11-01)
		"In this subpopulation of patients with dysphoric mania, ziprasidone showed rapid and sustained efficacy for manic and depressive symptoms," he said.
		On the SADS-C Mania Rating Scale Manic Syndrome subscale, significant improvement was seen with ziprasidone, but not with haloperidol, in comparison with placebo (P less than or equal to.01) on days 2, 7, and 14 as well as at the study's end.
		"In contrast to ziprasidone, improvement in the HAM-D score was not significant for haloperidol at the end of the study, suggesting that ziprasidone may be superior to haloperidol in the treatment of dysphoric mania," Dr. Zajecka stated.
	www.pslgroup.com /dg/2544b6.htm (650 words)

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