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Mania with psychotic features is a specific type of bipolar disorder characterized by episodes of mania or hypomania (a less severe form of mania) along with psychotic symptoms. These psychotic symptoms can include hallucinations (seeing or hearing things that aren't there) and delusions (strongly held false beliefs). Here are some common symptoms of mania with psychotic features:

  1. Elevated or Irritable Mood: During a manic episode, individuals may experience an intense and persistent feeling of euphoria, extreme happiness, or irritability. They may feel unusually energetic and full of enthusiasm.

  2. Grandiose Delusions: People with mania may have grandiose delusions, believing they possess special powers, talents, or abilities. They might think they are famous, have a special mission, or are connected to a higher power.

  3. Hallucinations: Hallucinations in mania are typically auditory, meaning the person hears voices or sounds that are not present. These voices may be critical, commanding, or comforting.

  4. Disorganized Thoughts and Speech: Mania can lead to rapid, racing thoughts, making it challenging to concentrate or stay on one topic. This can result in rapid and pressured speech, where the person talks excessively and rapidly.

  5. Increased Activity and Restlessness: Individuals in a manic episode may engage in impulsive, high-risk behaviors and have an increased level of physical activity, often with little regard for consequences.

  6. Decreased Need for Sleep: People experiencing mania may feel like they don't need much sleep or can go without sleep for extended periods without feeling tired.

  7. Distractibility: The ability to focus and pay attention may be significantly impaired during a manic episode, leading to distractibility and difficulty completing tasks.

  8. Poor Judgment: Impaired judgment and decision-making are common during mania, leading to engaging in risky behaviors or overspending money.

  9. Irritability and Aggression: Along with euphoria, some individuals with mania may experience intense irritability and even aggression towards others.

It's important to note that the presence of psychotic features in mania indicates a more severe form of bipolar disorder and requires prompt evaluation and treatment. If you or someone you know is experiencing symptoms of mania with psychotic features, it's crucial to seek professional help from a mental health provider or psychiatrist for an accurate diagnosis and appropriate treatment plan. Bipolar disorder is a complex condition that can significantly impact an individual's life, but with proper care and support, many people can manage their symptoms effectively.

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