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Classifying manias

Posted by undopaminergic on December 2, 2019, at 9:39:39


I suffered from depression since the end of 1999, and I thought it was unipolar.

But in the end of 2007 and start of 2008, I had a very intense "up" episode. The flight of ideas was so intense, fast, and/or overwhelming I did not have the time to write down an idea before the next one pushed it aside. Everything was better, not only *felt* better. For example, my motor function and timing were much better than normal. My emotions were back. My empathy was better. My ADHD was better, and I could do computer programming better. My memory was better. My decision-making was fast as lightning! If there were complaints, it's that the episode didn't last longer, the emotions were a little too intense at times, and my facial skin got greasier than usual. Also, at first it was too overwhelming, so I had to calm it down a bit. 5-hydroxytryptophan turned out to be the right choice; I tried oxazepam first, without effect. Sertraline 50 mg turned out too powerfully antimanic and almost spoilt my high. There were no adverse consequences of this episode.

After that, I've had a couple or few less intense "up" episodes, that all ended with hospitalisation.

My question is how to classify the episodes. By intensity the first episode was manic, not just hypomanic, and the less intense episodes were hypomanic. By consequences, the first episode was hypomanic and the other episodes we manic, because they ended in the hospital.

How would you classify them and why?





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