Mania causes a person to experience very intense moods, unreasonable euphoria, delusions, and hyperactivity. Mania or manic episodes is the primary symptom of bipolar disorder. Mania is a dangerous condition, and people may not eat or sleep while in a manic episode.
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How to overcome the manic episodes caused by Cymbalta?
Query: Hello doctor, I recently was on Cymbalta minimum dose but did not feel better. I felt worse and was told to up the dose then I took 120 mg, still felt bad. So I abruptly stopped this and it triggered discontinue syndrome and hypermania. I have not felt the same since. I am not suffering so much now... Read Full »
Answer: Hello, Welcome to icliniq.com. Considering the history of mania (even if it is drug-induced), it is not advisable to start Effexor alone in my opinion. So, I would suggest you discuss with your treating psychiatrist regarding starting Seroquel regularly as it also acts on depressive symptoms, or... Read Full »
What is the treatment of mania?
Query: Hello doctor, What is the treatment of mania? Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. The treatment option for mania is many including antipsychotic such as Arpizole and other antipsychotic, and mood stabilizing drug such as Sodium valproate or Lithium and/or Carbamazepine. The choice of drug depends upon the patients choice and side-effects profile of ... Read Full »
My son is suffering from social withdrawal. Please help.
Query: Hello doctor, The problem started in 2010. Social withdrawal, isolation, inability to continue at a job, negative talk, jealousy, lack of initiative, low self-esteem and fickle minded behavior. What could these point to? The prescriptions are lost in transit. No medicines are being taken. Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. The symptoms of withdrawal from society, loneliness, difficulty in continuing the job, negative thoughts, lack of motivation, indecisiveness, etc. could be due to some severe underlying mood disturbance. Since the symptoms are persisten... Read Full »
I want to calm a person from a manic state. Please help.
Query: Hi doctor, How would you calm someone out of a manic state? Read Full »
Answer: Hi, Welcome to icliniq.com. Mania is a psychiatric condition that is ultimately treatable with medicines. It can be treated by counseling or therapy. In the initial stages certain non-medication first aid measures can be useful. Asking the patient to go to bed and take rest as if he has flu. Also, b... Read Full »
My younger brother is behaving unusually and doing crazy things. Is he suffering from schizophrenia?
Query: Hello doctor, I have a younger brother who is doing crazy things. I am the only person taking care of him in my family. There is no one to take care of him and I need help to identify his problem. My brother believes that he is the only person who created heaven and earth. He also believes that he c... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. It seems your brother does not have schizophrenia but he may have bipolar type 1 mood disorder with mania. A person suffering from mania talks more than usual has anger outbursts and thinks that he has a special... Read Full »
Query: Hello doctor, I wanted to inquire about a male who was recently diagnosed with acute thyrotoxicosis. He presented symptoms like mania, paranoia, psychosis, cluster headaches, significant weight loss, elevated blood pressure, and irregular heart rhythm. He was given a beta blocker and antianxiety me... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. It seems he is managed well. It is just a matter of time before he gets back to normalcy. The control of the disease may not occur for a period of weeks or a few months. More than one treatment may be needed in ... Read Full »
Query: Hello doctor,My wife is frequently using abusive words, does not show anger to loved ones, bangs buckets in the bathroom, does not socialize with anyone, and once when her brother came to meet her and she did not talk to him, scratched herself on her arm, then there was a sudden smile on her face an... Read Full »
Answer: Hello, Welcome to icliniq.com. The symptoms you have mentioned are not of bipolar disorder and if she is having these symptoms then she needs re-evaluation. The symptoms like inappropriate laughter, sudden mood swings, talking to self, and taking strange things for a particular person could be occur... Read Full »
How to handle a physically violent and mentally unstable person?
Query: Hello doctor,I have a brother who seems to be suffering from a mental disorder. He is married twice. But even in his second marriage, he mentally and physically tortures his wife. He is very possessive and tries to control his wife. I am very worried.Please help. Read Full »
Answer: Hello, Welcome to icliniq.com.I went through your query and understood your concern. It seems he suffers from psychosis or severe mood disturbance like bipolar disorder with mania. It could be some personality issue also. So, I suggest you give him mood stabilizers like Sodium valproate (anti-epile... Read Full »
Are my symptoms related to bipolar disorder or schizophrenia?
Query: Hello doctor, Since I was around 8 years old, I have experienced mood fluctuations but not in the normal bipolar way (which I am being tested for). I do not feel like my mood sways between depression and mania. It is always some level of mania but without depression. I also experience tactile hallu... Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, your psychiatrist is correct. Bipolar is a more likely diagnosis. Bipolar disorder need not be present with depression and mania both. Recurrent mania also comes under the category of bipolar disorder. In mania, our sensitivity to stimulation increases like colo... Read Full »
My mother is experiencing drastic mood and behavioral changes. Please advise.
Query: Hello doctor, My mother, who is forty-five years old, has been showing odd behavior. Sometimes she says anything she wants. Sometimes, she talks well to someone, fights with them, accuses them, and occasionally abuses them illogically and without thinking. She yells and shouts in a high-pitched tone... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Her symptoms like abnormal behavior, fighting over trivial issues, not understanding others' points, stubborn and rigid nature, violent, abusive behavior, rapid shifts in mood, etc., should be evaluated properly. Thou... Read Full »
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