Talk:Mania

Derivative words
I'm just a random person passing through, but this sections seems a bit, well, useless. It's unprofessional (all lower-case, no explanation. Even something as simple as "these are words that share an identical root meaning" would be good. I've never seen such things on other pages. I just think it doesn't really belong. --24.16.223.145 01:18, 4 January 2007 (UTC)

From http://www.theosociety.org/pasadena/sunrise/35-85-6/me-elo.htm : "The idea that the Pythia (priestess of the Oracle of Apollo at Delphi) was in a trance condition may have come from a misunderstanding of how the Greek words mania and pneuma were used in connection with oracles. While today the term mania refers to various forms of hysteria and insanity, to the ancient Greeks it meant ardor, rapture, enthusiasm, i.e., being infilled with a god. The word pneuma was used for "air," "vapor" and, philosophically, for "soul" and "spirit." When the Pythia mounted the tripod she received, according to Strabo, the pneuma, the divine "breath" or afflatus, a word defined as a divine imparting of knowledge and power and of inspiration, meaning in this case the divine wisdom or breath of Apollo." —Preceding unsigned comment added by Usbusi2 (talk • contribs) 16:18, 23 May 2011 (UTC)

Non-bipolar
Note: We need examples of non-bipolar causes of mania in this article.

I don't know if this is a country thing but in Canada the term mixed states is used not dysphoric mania. If you use some of the references in the article they say this. Could it be added in? I find it easier to understand and i know that is how its refered to in Canada (by Doctors as well).

If you are looking for a non-bipolar cause of mania you can find a similar effect (i'm not sure if its officially mania) sometimes in people that do too many stimulant drugs (amphetamines used not as prescribed, cocaine etc.) From what i know if this is the problem the person usually returns to normal once they have had sufficient time to recover from the effects of what they have taken. Also there is currently debate on how to classify mania that is induced by psychiatric drugs. Most anti-depressants have a tendency to induce mania in 1-5% of the people that take them. In some cases its decided they are bipolar but other doctors argue against this. I'm sensitive this way but actually it would always look like some normal prescription was causing the problem. I was taking Paxil which uses a common enzyme chain to get out of the body (and too much paxil induced hypomania in me). If i was given another prescription that used the same enzyme chain i would experience hypomania although it took a while to figure out what the problem was (i eventually caught the likely problem by looking through the pharmacists guide and comming across the reference to the enzyme chain. When i brought it to the attention of my doctor she switched me to another anti-depressant and the interaction problem mostly went away.--Marcie 19:29, 3 Oct 2004 (UTC)

Elevated
What does elevated mean? Hyacinth 02:15, 9 Mar 2005 (UTC)

Not depressed or down, not normal, but in the other direction towards euphoric, but euphoric is the wrong word when you consider the symptoms, thus they use "elevated". Jok2000 02:43, 9 Mar 2005 (UTC)


 * Thanks. Dysphoric then? I think using a metaphor in the definition is unclear, but I can't think of description that is not (speedy? cracked out?).
 * There is a premenstrual dysphoric disorder.
 * Apparently, "Dysphoria is the lack of ability to feel enjoyment at any activity." Hyacinth 03:18, 9 Mar 2005 (UTC)

No, I couldn't see the pros calling it dysphoric. See if you can find a case description in a text book for a manic episode. This article seems to be a pretty good summary of the dozen or so I have read. Jok2000 04:29, 9 Mar 2005 (UTC)


 * Actually, dysphoria refers to a dysfunction of emotion, while ahedonia refers to the inability to enjoy things. Mjformica 15:40, 27 January 2006 (UTC)

Separate hypomania?
Maybe we should separate hypomania. To imply that hypomaniacs are just mild maniacs may be somewhat taxonomically accurate, but it doesn't show that most hypomaniacs don't experience any visible level of these symptoms. They don't just beat their spouses less often; but are just people with an elevated mood for long periods of time with no side effects that the untrained professional can't see.

And there's a good article in today's NYTimes.

Violence
People with mania beat their spouses? That is not only untrue, but it is a hurtful stigma.


 * oh yeah, that's right, that's what people with personality disorders do, and should be denied clinical significance and treatment.


 * Some people are violent when in a manic state, but most people who experience mania are not violent. Violence is most prevalent in antisocial personality disorder, sadistic personality disorder and borderline personality disorder.


 * please sign your comments on talk pages, you do not auto sign, one can do so by typing in 4 tildes in a row or clicking on the four tildes in the insert part of editing.Deathisaninevitability,soifearitnot-1234 (talk) 20:31, 1 December 2020 (UTC)

Risky liaisons?
While reading this article I saw this phrase which I can't understand. Perhaps it's just my english beeing bad, but could there be a link to what it refers to? The Liaison page seems to be unrelated...? This is in the Symptoms section.


 * definition for Liaison Although to be honest, as someone who speaks French, I feel that liaison doesn't fit so well in English.


 * Liaison here is a euphemism for a sexual encounter; this is conventional usage in English despite meanings the word might have in other languages such as French. To be fair, this euphemism conveys a sense of secrecy and sophistication not necessarily appropriate to the article.  Besides, scientific treatment of behavior should not resort to euphemism.  I have therefore reworded the article. Ventifact 21:54, 7 September 2006 (UTC)

Religiosity

 * MINOR EDIT: I changed hyperreligiosity to hyper-religiosity. Although both seem close in popularity based on a google serach, it reads better when seperated by a hyphen. --A Sunshade Lust 22:30, 11 January 2006 (UTC)

Grandiosity
What does "grandiosity" mean?


 * It is the adjective form of grandiose. Wiktionary defines grandiose as "1. large and impressive, in size, scope or extent; 2. pompous or pretentious." Ventifact 21:57, 7 September 2006 (UTC)
 * No, it's the noun form. Grandiose is an adjective. Spandrawn 11:27, 27 August 2007 (UTC)

The missing link:
Lead on original research...

The lack of focus on 'organic causes' ie undetected bacterial infections of the intestinal system, ie giardia, or lymes disease can cause symptoms that may be taken as being some type of labelled mental illness.

The illness is impacting the mind, it is a mental illness but caused by toxins created by the infection, and/or the infection that corrupts the needed biochemical reactions.

There should be a cross link to the reality that such labels while true, ignore a most likely cause. half-truths

Hopefully someone can google this lead to find other researchers who can provide the necessary links...

Former Chief of Psychiatric Assocation and views on bacterial infections --Caesar J. B. Squitti :  Son of Maryann Rosso and Arthur Natale Squitti 03:00, 22 August 2007 (UTC)

"Many Lyme patients were firstly diagnosed with other illnesses such as Juvenile Arthritis, Rheumatoid Arthritis, Reactive Arthritis, Infectious Arthritis, Osteoarthritis, Fibromyalgia, Raynaud's Syndrome, Chronic Fatigue Syndrome, Interstitial Cystis, Gastroesophageal Reflux Disease, Fifth Disease, Multiple Sclerosis, scleroderma, lupus, early ALS, early Alzheimers Disease, crohn's disease, ménières syndrome, reynaud's syndrome, sjogren's syndrome, irritable bowel syndrome, colitis, prostatitis, psychiatric disorders (bipolar, depression, etc.), encephalitis, sleep disorders, thyroid disease and various other illnesses. see"

Source: Canadian Lymes Association

This material may apply to a variety of illnesses. Like my research has suggested the testing for this one possible cause is difficult, and if overlooked then the patient has very little chance of cure. --Caesar J. B. Squitti :  Son of Maryann Rosso and Arthur Natale Squitti 03:28, 1 September 2007 (UTC)

Additional reading section
What's the point of the "Additional reading" section? I think it should be deleted unless some book titles are added. Spandrawn 11:41, 27 August 2007 (UTC)

Mnemonics
Come on with these fucking mnemonics. If you need one of these to know what "mania" means, you shouldn't be learning about it in the first place. If a doctor ever explained to me what mania was by using a mnemonic, I'd punch him in the face. — Preceding unsigned comment added by 69.251.88.4 (talk)
 * Not everyone who wants to learn about psychology is a doctor. Better that people learn through mnemonics than not learn at all. Regardless, let's stay on the topic of how we can improve this article. - AdelaMae (t - c - wpn) 23:42, 18 September 2007 (UTC)
 * Lol and that sounds like a pretty manic response by the way!--KobaVanDerLubbe 00:23, 20 October 2007 (UTC)

Vandalism
removed .. 'ed harrison luvs mainy calvert' —Preceding unsigned comment added by 143.167.243.215 (talk) 18:47, 14 November 2007 (UTC)

Herbal supplements section
I tagged this section over a month ago as being completely unreferenced, and it remains without any references whatsoever. Unless citations are found to support the material in this section, I plan to remove it in three days. Ashdog137 (talk) 10:07, 21 November 2007 (UTC)


 * Delete away. Jok2000 (talk) 17:13, 21 November 2007 (UTC)


 * Yes - well done. It needed removal. 88.97.15.184 (talk) 13:34, 17 December 2007 (UTC)

Conniption redirect - why?
I don't understand why conniption redirects to this page. It doesn't have anything to do with mania as an illness.

The only reference connecting conniption with mania as an illness is identical text from http://encyclopedia.farlex.com/conniption http://legal-dictionary.thefreedictionary.com/conniption and http://medical-dictionary.thefreedictionary.com/conniption all owned by Farlex, Inc. The reference for that sentence that it gives is http://www.thefreelibrary.com/What+government+can+do+to+you%3a+our+government+has+steadily%2c+and+...-a0149023245 a viewpoint essay referenced as from July 24, 2006 The New American referring to one specific incident ( http://www.thefreelibrary.com/The+New+American/2006/July/24-p515 ).

That isn't more than an anecdotal reference and does not imply that people suffering from mania are more or less likely to have conniption fits in general or that they have any psychological or medical connection. Everywhere else that I looked for a connection between conniption and mania wasn't in the medical/psychiatric sense of mania. Looking for conniption and conniption fit, is much more related to hissy fit or tantrum.

I encourage that this redirection be removed and replaced with a redirect of conniption and conniption fit to tantrum. Bill Smith (talk) 23:48, 9 May 2008 (UTC)

Is it that hard to find an expert?
The section at the top of the page indicates that the article is in need of an expert, and that it has been that way since November of 2008. I find this hard to believe: Aren't most people that read this article either A) All-knowing or B) Know someone who is? ;-) —Preceding unsigned comment added by Gorillamania (talk • contribs) 17:06, 10 July 2009 (UTC)
 * Okay, I removed the tags. I hate it when articles are disfigured by tags like that anyway, and a poke like yours is all the justification I need.  :-).  Of course if any expert does happen to come along, all the better. Looie496 (talk) 00:25, 11 July 2009 (UTC)

Form of clinical psychosis?
Mania is a mood disorder, not psychosis. —Preceding unsigned comment added by 190.100.178.129 (talk) 16:18, 22 January 2010 (UTC)
 * Being one doesn't mean it can't also be the other. Regards, Looie496 (talk) 18:07, 22 January 2010 (UTC)
 * First, my english is bad, so sorry for the write errors. Now, a Maniac state its a Mood disorder because only the moods or emotion are disrturbed, not the perception of reallity. Who a maniac person act agressive or irrational in some instances are because impulsives fellings. Is posible a maniac-psychotic disorder, but both are single diferents pathologies, similars in a basic aspect but still diferents. Mania in bipolar people in the most doesn't include hallucinations or delusions. —Preceding unsigned comment added by 190.100.178.129 (talk) 21:45, 23 January 2010 (UTC)
 * "Usually, it is a mood disorder" is very confusing, because mania is always a mood disorder, and the sentence already says so in an earlier part. Because my policy is never to revert more than once, I have tried a different approach, by simply removing that part of the sentence.  Can you live with that?  Regards, Looie496 (talk) 16:22, 24 January 2010 (UTC)
 * The article is already correct on this point; psychosis may become present with mania.  Jok2000 (talk) 21:37, 1 February 2010 (UTC)
 * Yes, mania is always a mood disorder; psychosis sometimes occurs during mania. 188.29.90.254 (talk) 11:23, 4 May 2012 (UTC)

DSM & ICD criteria
I came here looking for a summary of the DSM & ICD criteria for a manic episode, and didn't find one, so I've inserted it. Anthony (talk) 14:34, 18 October 2010 (UTC)

Mania & maniacal syndrome
Are these the same? --Krystofer (talk) 12:24, 15 April 2011 (UTC)
 * Yes, as far as I can see. The term "maniacal syndrome" mainly shows up in translations of articles whose originals were not written in English. Looie496 (talk) 16:53, 15 April 2011 (UTC)

Signs and symptoms
I removed a block of text unsourced since 2008. Mostly redundant or dubious. --Anthonyhcole (talk) 06:16, 16 April 2011 (UTC)

Hospitalization
I removed the line in the intro about some cases not being bad enough to require "commitment" because most of the time bipolar is first treated on an outpatient basis. — Preceding unsigned comment added by 69.17.124.2 (talk) 03:56, 23 August 2011 (UTC)

Causes - genetics?
The section on "cause" claims that the causes are more genetics than other things, but the article on bipolar disease says that genetical research has shown that there is no significant genomes "peaking" or something. This is not my field, so I don't know if this is true, but the articles don't seem to agree. — Preceding unsigned comment added by 85.200.58.179 (talk) 20:59, 8 April 2012 (UTC)

Mania can be the result of using drugs
I removed the following: "Mania can be the result of using drugs. Quitting drugs can create situations in one's mind similar to the symptoms of mania, such as constant racing of the mind.[citation needed] A diagnosis of mania in these situations is often temporary." I frankly didn't think the info was needed, but others may disagree.

First, it didn't belong under Mixed States. Second, the article already says mania can be caused by drug use. Third, racing thoughts aren't the only symptom of mania brought on by withdrawal (including withdrawal from Rx drugs as well as illicit drugs and alcohol, btw). Fourth, if withdrawal causes genuine mania, we shouldn't say it's "similar" to mania. And finally, almost all mania diagnoses are temporary, even if some are of shorter duration than others; that's why they call them "episodes" (chronic mania is exceedingly rare, and mania that never remits to any degree is all but unheard of). If there's a desire to reinsert something about withdrawal, I suggest simply adding "or withdrawal" after the "drug intoxication" parenthetical in the second paragraph. Ctnelsen (talk) 01:38, 25 June 2012 (UTC)

Oxidative stress
I reverted this edit on the basis that the idea is not well known and the references are primary sources per WP:MEDRS. The IP editor who made the edit reverted it back, with edit summary ''Undid revision 546618239 by Looie496 because it's widely accepted that antioxidant status, namely oxidative stress is strongly associated with mania. Saying as a neuroscientist...''. As far as I know this is not actually widely accepted, but if it is, it ought to be possible to provide a proper review paper as source. I am not going to revert again because my policy is never to revert an edit more than once. Input from other editors would be helpful. Looie496 (talk) 20:14, 25 March 2013 (UTC)

"full blown"
Is the repeated use of the phrase "full blown mania" consistent with the literature?173.28.215.140 (talk) 12:49, 31 July 2013 (UTC)

Box Needs DSM Classifications
The box at the top only includes international classifications. Wikipedia is a U.S.-based encyclopedia, & the DSM is a near-universally recognized resource. We need to add the DSM here & anywhere else the ICD is referenced without mention of the DSM.Ctnelsen (talk) —Preceding undated comment added 17:58, 11 December 2013 (UTC)

Edit Proposal
I think that it is not only interesting, but perhaps inspirational to note an influential person in history that has experienced manic symptoms. I would like to add the following information this page under the "Society and Culture" heading:

Winston Churchill had periods of manic symptoms that may have been both an asset and a liability.

Confusion
I came here, got a read on this article and left without any little clue about what the hell is "mania". There are only definitions involving another notions. For example's sake, please give here some symnpthoms (a.k.a. what the patient with mania is doing). Hell, this is wiki not a psycho mumbo jumbo academical course. — Preceding unsigned comment added by 81.196.76.74 (talk) 19:33, 27 December 2016 (UTC)


 * Uhh read the first sentence?
 * Mania is a state of abnormally elevated arousal, affect, and energy level, or "a state of heightened overall activation with enhanced affective expression together with lability of affect."[1] Although mania is often conceived as a "mirror image" to depression, the heightened mood can be either euphoric or irritable; indeed, as the mania intensifies, irritability may become more pronounced and eventuate in violence.
 * Or signs and symptoms?


 * To be classed as a manic episode, while the disturbed mood and an increase in goal directed activity or energy is present at least three (or four if only irritability is present) of the following must have been consistently present:


 * 1) Inflated self-esteem or grandiosity
 * 2) Decreased need for sleep (e.g., feels rested after 3 hours of sleep.)
 * 3) More talkative than usual or pressure to keep talking.
 * 4) Flights of ideas or subjective experience that thoughts are racing.
 * 5) Increase in goal directed activity, or psychomotor acceleration.
 * 6) Distractibility (too easily drawn to unimportant or irrelevant external stimuli).
 * 7) Excessive involvement in activities that have a high degree for painful consequences.(e.g., extravagant shopping, sexual adventures or improbable commercial schemes).[14]

Petergstrom (talk) 00:06, 28 December 2016 (UTC)

Representative Image Problems
Also, they are all of very stereotypically "crazy-looking" women: asymmetric eyes, disheveled hair, mouth ajar, etc. Why not have a picture of Robin Williams? or Carrie Fisher? Or Jim Carry? It would be a step toward normalizing the disease.

Right? I mean it's clearly not a piece of photography. — Preceding unsigned comment added by 68.238.162.212 (talk) 11:37, 5 July 2017 (UTC)

How about the fact that all the imagery is of women, as if this diagnosis or any diagnosis disproportionately affects women as a population relative to men? Sexism much? — Preceding unsigned comment added by 66.45.153.156 (talk) 02:11, 4 January 2018 (UTC)
 * We use what we can find under an open license. Doc James  (talk · contribs · email) 07:32, 4 January 2018 (UTC)
 * These are archaic images that are neither relevant nor representative of current medical science. Inability to find an acceptable image with an open license doesn't justify the inclusion of an inappropriate image in its place. Furrybeagle (talk) 23:39, 23 March 2018 (UTC)
 * I agree with user:Furrybeagle, and would like to add my support to the idea of removing these images. I came to this talk page after reading the article because these images don't seem useful or appropriate. A drawing of a diagnosis from the 1800s is problematic unless it's being used solely to shine a light on historical issues. Stevenarntson (talk) 18:27, 30 September 2018 (UTC)

^ grow up — Preceding unsigned comment added by 2A02:8084:D21:4080:8DF7:D3CF:3807:C96C (talk) 12:47, 24 November 2018 (UTC)


 * Since there's been no further discussion, I'm going to Be Bold and remove the images. If any editor decides to revert, please do expand the discussion here, too. Thank you! Stevenarntson (talk) 21:50, 5 January 2019 (UTC)

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"Cacoethes" listed at Redirects for discussion
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Wiki Education assignment: English 102
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