The National Institute of Mental Health lists many of the symptoms of
Manic Depression. Many of them are mood symptoms, while others involve
physical abnormalities and psychological instabilities. The following
are some of the more commonly identified symptoms associated with the
manic (“high”) phase.
Mood changes during a manic phase
An individual suffering from a manic phase almost always feels
excessively good, and maintains an unusually euphoric mood. These
individuals often find themselves talking and thinking very quickly,
sometimes jumping from one thought to the next. This behavior is
noticeably different from the individual’s normal disposition, and
lasts for an abnormally long time.
Sufferers may also feel very irritable, and may result in provocative,
aggressive, or intrusive behavior. They may deny that anything is wrong
with them, and may even accuse others of conspiring against them. They
basically believe that they are invincible and powerful, even to the
point of absurdity.
Physical changes during a manic phase
Individuals suffering from a manic phase generally feel restless and
excitable, and may display levels of energy unusual to the person. They
often engage in activity, no matter what it might be, and may quickly
tire and look for other things to do.
These individuals may also need little sleep to maintain their energy
levels during the day. A heightened interest and drive towards sexual
relations may also be evident.
Psychological changes during a manic phase
Sufferers are easily distracted, preventing them from working or
learning effectively. They also exhibit reduced judgment skills, which
may result in spending sprees and substance abuse. Some individuals
have been noted to resort to cocaine, alcohol, and sleeping medication
abuse while in a manic phase.
Conversely, the depressive (“low”) phase displays symptoms that are
polar opposites from the ones enumerated above, although they can fall
into the same rough categories:
Mood changes during a depressive phase
In contrast to a manic phase, a depressive phase causes an individual
to suddenly feel hopeless and pessimistic. The sufferer may also feel
unexplained pangs of guilt and worthlessness. It is a sad, scared, or
otherwise empty mood that lasts for a time.
Physical changes during a depressive phase
A person going through a major depressive phase almost always feels
tired or being “slowed down.” The individual loses sleep (or the
opposite, gets too much), as well as any interest he/she used to have
for activities normally enjoyed, even sex.
The individual also suffers changes in appetite, often resulting in
unintended gain or loss of weight. Pain and other persistent physical
symptoms may also accompany the general discomfort of a depressive
phase, even though there is no sign of any underlying illness or injury
to cause it.
Psychological changes during a depressive phase
Individuals suffering from a depressive phases suffer from difficulty
in concentrating, memory, and decision-making. They are also restless
and irritable, and may lead to conflicts with co-workers and peers.
This is also a symptom of the manic phase, effectively making sufferers
very unfit to work during an episode.
The most serious psychological symptom involves thoughts of death or
suicide. Sufferers of Manic Depression have committed suicide before,
making the mental disorder a very serious social problem as well.