THE DIFFERENT CLINICAL FORMS OF MANIAC ACCESS

 THE DIFFERENT CLINICAL FORMS OF MANIAC ACCESS   Acute or hyperacute or furious mania: manic fury   It  is  characterized  by  extreme  motor  agitation  which  can  reach  a  state  of  clastic  fury.  At  this  level  games   and  jokes  are  replaced  by  violent  remarks  and  frenzied  demands  for  recognition  of  rights  and  the  proud   and imperious assertion of superiority.   This form is formidable, given the impact on the general condition and the high potential for danger.   Delusional mania:   It corresponds to the Manic Episode with Psychotic Features in the DSM 5. Delirium appears after   mood symptoms.   The theme is most often congruent with the mood, megalomaniacal, of grandeur and all power   The mechanism is interpretative, imaginative, rarely hallucinatory. These delusional ideas subject to   imaginary fantasies are fluctuating and not systematized.   Sometimes the theme can become incongruent with the mood with the appearance of ideas of   persecution and reference   Generally speaking, the delusion in the maniac is more verbal than acted, more variable and fleeting   than rational and structured, the claims are mobile and provisional.   Confused mania:   It combines confusing elements and is seen especially in the elderly (organicity must be eliminated).   Catatonic mania:   It corresponds to the manic episode with catatonic characteristics.   POSITIVE DIAGNOSIS OF BIPOLAR I AND II DISORDER   Bipolar I disorder   Characterized by the occurrence of one or more manic episodes. The presence of depressive episodes is   not necessary to make this diagnosis.   Exclusion:   Mood disorder induced by a substance or due to a medical condition   Mood   episodes   are   not   better   explained   by   schizoaffective   disorder   and   are   not   superimposed   on   schizophrenia, schizophreniform disorder, delusional disorder or unspecified psychotic disorder   Bipolar II disorder   It  is  characterized  by  the  occurrence  of  one  or  more  major  depressive  episodes  accompanied  by  at  least   one  hypomanic  episode.  The  absence  of  any  manic  episode  is  essential  to  make  the  diagnosis  of  bipolar   II disorder.   Exclusion:   Substance-induced or medical condition-induced mood disorders 

 Mood   episodes   are   not   better   explained   by   schizoaffective   disorder   and   are   not   superimposed   on   schizophrenia, schizophreniform disorder, delusional disorder or unspecified psychotic disorder   It   should   be   noted   that   subjects   with   bipolar   II   disorder   may   not   experience   hypomanic   episodes   as   pathological. It is therefore important to find out about it from those close to you.