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.