Sunday, January 15, 2006

mania

Mania is a disordered mental state of extreme excitement. Mania is frequently associated with alternating periods of depression (manic depression). Between six and 19 percent of all effectively ill hospital patients over 60 have a form of mania. Women are affected about three times more often than men. When it occurs in old age, the first attack is usually around the age of 60. The person's behavior may be seen as elation, over-activity, aggressiveness, sleeplessness, inattention to bodily needs, grandiose delusions of ability, wealth, and/or personal importance. In the elderly, a mood of anger, hostility, or impatience is the most common symptom.
Recognition may be difficult when the
patient is highly disordered. The patient is often playful when answering test questions. These people may also experience perplexity, elated moods, speech disorders, incoherence, and depression.
See also DEPRESSION.
Brocklehurst, J. C. Textbook of Geriatric Medicine and Gerontology. New York: Churchill Livingstone, 1985.

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