Below you'll find a list of all posts that have been tagged as “mania”
Learning to stop a manic episode in its tracks is an important skill for living creatively with moods. Mania is a dangerous state, and failing to control it leads to worse and deeper depressive moods afterwards. In order to gain more stability in the midst of mood swings, it is important not to give in to the call of the …
Ginger showed up in my office today feeling “incredibly irritated” by “people who don’t do their jobs.” She is a small business owner who relies on the work of many contractors for her business and she has been running into the usual excuses for work done late, or not at all, and finding the excuses to be almost intolerable. She …
Spring Mania – Fact or Fiction? People struggling with mood disorders frequently find their moods tied to the rhythm of the seasons. Spring heralds an upswing in energy and cheerfulness, while autumn and winter mean “down” times for many. As the northern hemisphere enters the Spring season, people with bipolar symptoms are cautioned to watch out for signs of mania …
Travel and mood are very much related. Often a trip is associated with a significant change in mood. This can be…
Addressing Shame and Guilt After a Manic Episode I have witnessed the immense pain caused by the shame and guilt experienced by people with bipolar disorder following a manic episode. After a manic episode, most have engaged in behaviors that they regret. The resulting shame and guilt can contribute greatly to symptoms of depression that follow an episode. Understanding techniques …
Cognitive recovery from mania or depression seems to lack behind the improvement in mood symptoms. In our experience full cognitive recovery may take up to three months after the mood symptoms have remitted. One way of thinking about this is that an episode of mania, or depression, upsets the normal function of the brain and it takes a while for …
I have been doing a lot of thinking about how to pace yourself so that you can capture some of the energy and creativity associated with being mildly energized while not getting so involved that you burn out or edge into full-fledged mania. There’s nothing quite so exciting as entering a time of increased energy and ideas after a long …
A cheerful young woman comes in for a consultation and soon we come to a topic that can be remarkably frustrating for all: trying to explain the dangers of mania. She is only mildly manic. It’s true she often gets into arguments that don’t really make much sense and she has been smoking more marijuana and hooking up with an …
Bright light is one of the most rapidly effective treatments for depression and may be helpful for depression even in people without a clear seasonal pattern (winter depression). A recent study suggests that it may also be true that darkness treats mania. The portion of the light spectrum that affects circadian rhythms the most strongly is blue light, which is …
I have been fortunate this past month to have been working at the Bipolar Clinic at UCSF. Chief of the clinic, Dr. Descartes Li, shared with us this article that is one of the best discussions about why it is that people who are clearly manic are unable to recognize the change in mood. It also has some useful suggestions …
A young man came in and wanted to talk about his friend with bipolar, who, when he gets manic, can become uncontrollable. I said that the idea of controlling dangerous behavior can be problematic. The need to control someone else’s recklessness can lead towards confrontation and anger, which often does not work out well. I thought of the often repeated story …
Travel and mood are very much related. Often a trip is associated with a significant change in mood. This can be due to many factors. Getting out of a rut, experiencing new locations and meeting new people can bring you out of the depression. However there is also the possibility that travel may disrupt circadian rhythms in a way that leads …
Charlie is concerned that by being too positive he will trigger mania. He has been hospitalized once a year and the pattern always seems to be the same. He will have settled into a seemingly fixed state of depression, and then will begin to feel frustrated with that state and tried to make changes to escape from the swampy morass. He …
There are smartphone apps for monitoring your diet, your drugs, even your heart. And now a Michigan psychiatrist, Melvin McInnis, is developing an app he hopes doctors will someday use to predict when a manic episode is imminent in patients with bipolar disorder. Manic episodes can come with a dangerous mix of increased energy and impaired judgment. “We want to be able to …
I had been gearing up to write my usual set of posts about seasonal affective disorder, and then this afternoon I met with a young woman who has had a clear and consistent pattern of getting hypomanic in the fall. We talk a lot about winter and fall depression. And, for many people, as the days get shorter and darker …
Sometimes I feel like the Grinch. This past week I found myself in the uncomfortable position of suggesting that it might be good to moderate the hypomania one of my patients was experiencing. I also got a somewhat frantic call from the therapist of another mutual patient, the therapist was asking, “how does this end… he really doesn’t want to …
