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Bipolar disorder is a mood disorder characterized by alternating periods of mania (or hypomania) and depression. While psychotic symptoms can occur during severe episodes of mania or depression, not all individuals with bipolar disorder experience psychosis. Here are some symptoms of mania/hypomania that are not related to psychosis:

  1. Elevated or Irritable Mood: During a manic or hypomanic episode, individuals may experience an intense and persistent feeling of euphoria, excitement, or extreme irritability. This emotional state goes beyond what is considered typical and may not necessarily involve delusions or hallucinations.

  2. Increased Energy and Activity: People with mania may exhibit a significant increase in energy levels and goal-directed activity. They may feel restless, have a reduced need for sleep, and engage in multiple activities simultaneously.

  3. Racing Thoughts: Mania can lead to a rapid flow of thoughts, making it challenging for individuals to focus on one idea or task. Their mind may jump from one topic to another without any logical connection.

  4. Grandiosity: Individuals experiencing mania or hypomania may have an inflated sense of self-importance, believing they possess special abilities or are destined for greatness.

  5. Impulsivity: During manic episodes, individuals might engage in risky behaviors without fully considering the consequences. This impulsivity can lead to excessive spending, reckless driving, substance abuse, or other dangerous activities.

  6. Increased Talkativeness: People in a manic state may talk excessively, and their speech might be rapid and difficult for others to follow. They may also interrupt others or have difficulty taking turns in conversations.

  7. Distractibility: Due to the rapid flow of thoughts, individuals with mania may be easily distracted and have difficulty concentrating on tasks.

  8. Decreased Need for Sleep: During manic or hypomanic episodes, individuals may feel rested and full of energy even after sleeping very little.

It's essential to note that bipolar disorder exists on a spectrum, with different levels of severity and patterns of symptoms. Some individuals may experience mild hypomania, which might not be immediately noticeable to others or cause significant impairment. However, more severe manic episodes can lead to significant disruptions in daily life and may require medical attention and treatment.

If you or someone you know is experiencing symptoms of mania or bipolar disorder, it is crucial to seek professional help from a mental health provider for a comprehensive evaluation and appropriate management. Treatment may include medications, psychotherapy, or a combination of both, depending on the individual's specific needs.

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