Yes, it is possible for someone to have a manic episode without experiencing feelings of euphoria or confidence. While euphoria and grandiosity are classic symptoms of mania, not everyone with bipolar disorder will exhibit these specific emotions during a manic episode.
Bipolar disorder is a complex condition, and the presentation of manic episodes can vary from person to person. Some individuals may experience what is known as "dysphoric mania" or "mixed mania." In dysphoric mania, the manic symptoms are mixed with depressive symptoms, leading to a combination of elevated energy, impulsivity, and agitation, along with feelings of sadness, irritability, or anxiety.
In this mixed state, a person may feel restless, experience rapid and racing thoughts, engage in risky behaviors, and have a decreased need for sleep, but they may also feel overwhelmed by negative emotions, experience irritability, and have difficulty concentrating. It can be a challenging and distressing state for the individual and those around them.
Moreover, some individuals with bipolar disorder might experience less pronounced manic symptoms or what is referred to as "hypomania." Hypomania is a milder form of mania with less severe symptoms that may not necessarily include euphoria or grandiosity.
It is crucial to remember that mental health conditions like bipolar disorder can manifest differently in different individuals, and not all manic episodes will follow the same pattern. If you or someone you know is experiencing significant changes in mood, energy, or behavior, especially if it is causing distress or impairment in daily functioning, it's essential to seek professional help for an accurate diagnosis and appropriate treatment. A qualified mental health professional can provide a comprehensive evaluation and personalized care plan.