Quote:
Originally Posted by BipolaRNurse
I questioned this same thing for over a year. When I thought of mania, I thought of someone who was completely out-of-control and psychotic; since I didn't fit those criteria, I figured mine stopped at hypomania.
WRONG!! I have hypomania that is distinct from what my pdoc flat-out calls mania: a wildly irregular, expensive, and incredibly dangerous mood swing for me. I'm rarely if ever psychotic, unless you count paranoia (which comes out to play toward the end of an episode) but I start out with the euphoria and end up being a raging you-know-what.
Contrast this with my hypomania, which consists of an elevated mood, abundant energy, an optimistic, dreamy view of the world and everything in it, and an extraordinary appreciation of beauty.
So that's why I carry the BP 1 designation instead of BP 2, I experience both full-blown mania and mixed episodes. It took a while to straighten it all out, but once I was put on an antipsychotic permanently, I've settled down a lot.
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This is, at least for me, an apt description about the difference between mania and hypomania. With full-blown mania, I tend to lack insight in a big way - sometimes psychotic features are present...sometimes not. When fully manic, I've found myself lying to others and having urges to shoplift while engaging in over-the-top shopping sprees. Normally, I am an honest person, never shoplift, and actually dislike shopping itself. My appetite completely disappears but that may be related to my ED. Random songs constantly run through my head (although this happens with hypomania, too). My thoughts race like wildfire and somehow I even get to where I am thinking of several things at the same time. Think of the diagram of the atom...it's like that during fully blown mania with the thoughts. Of course, I talk, talk, talk - and I generally am an introvert. I literally feel like the world is my "personal playground." I do not get physically aggressive but experience hypersexuality. I could go on but hopefully this is helpful description-wise.