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Physical Symptoms of Mania: What to Look Out For

Mania is often discussed in terms of its psychological symptoms, like heightened mood and racing thoughts, but it’s crucial to recognize that mania also comes with a range of physical symptoms. These physical manifestations can be just as telling as behavioral changes and often signal the beginning or escalation of a manic episode. Understanding these signs is essential for timely intervention and treatment. This blog will cover the key physical symptoms of mania, how they present, and why they can sometimes be mistaken for the effects of stimulant use.

1. Decreased Need for Sleep

One of the hallmark physical symptoms of mania is a drastically decreased need for sleep. Unlike insomnia, where an individual may struggle to sleep and feel exhausted, people experiencing mania often feel energized despite getting very little sleep. It’s common for someone in a manic episode to go for days with only a few hours of rest each night or even skip sleep altogether without feeling tired. This lack of sleep can exacerbate other manic symptoms, leading to an overall decline in functioning.

2. Increased Energy and Restlessness

Mania brings with it an increase in energy that can be both a blessing and a curse. Individuals often feel like they have boundless energy, making them capable of staying active for long periods without fatigue. This surge in energy can translate into physical restlessness, where the person feels unable to sit still or constantly seeks activity to channel their heightened state. For many, this symptom is characterized by a sense of urgency, as if there’s too much to do and not enough time.

3. Faster Metabolism and Weight Changes

Another significant physical effect of mania is changes in metabolism. Many people experience an increased metabolic rate, leading to weight loss over time, especially during extended manic episodes. The combination of heightened energy and reduced appetite can contribute to these weight changes. It’s worth noting that individuals in a manic state might not prioritize regular meals, further accelerating weight loss and potentially leading to nutrient deficiencies.

4. Dilated Pupils and Elevated Heart Rate

Physical symptoms like dilated pupils, a rapid heartbeat, and high blood pressure are also common during a manic episode. These signs are a direct consequence of increased adrenaline and the activation of the body’s fight-or-flight response. The sympathetic nervous system is often in overdrive, resulting in symptoms that mirror those of stimulant abuse. This heightened state of arousal can be unsettling, not only for the person experiencing it but also for those around them who may misinterpret the symptoms as drug use.

5. Heightened Sensory Perception

People experiencing mania often report heightened sensory perception. Colors may seem more vivid, sounds might be louder, and even tastes and smells can feel more intense. This amplification of the senses can make the environment feel overwhelming and contribute to the overall sense of restlessness. While these heightened senses can feel exhilarating at first, they can also lead to overstimulation, making it difficult for the individual to calm down.

6. Physical Effects Similar to Stimulant Abuse

Due to the combination of increased energy, decreased need for sleep, dilated pupils, and heightened senses, mania can often be mistaken for the effects of stimulant drugs like methamphetamine or cocaine/crack. People in a manic state might be falsely accused of drug use because the physical signs are so similar. This misunderstanding can make it harder for those experiencing mania to receive the appropriate support they need.

Conclusion

Recognizing the physical symptoms of mania is an important aspect of understanding and managing bipolar disorder. From decreased need for sleep and heightened energy to changes in metabolism and sensory perception, these symptoms provide crucial clues about an individual’s mental health state. By being aware of these physical signs, loved ones and healthcare providers can take steps to ensure timely intervention, reducing the potential risks associated with untreated mania.

If you or someone you know is experiencing these symptoms, it’s important to seek professional help. Early detection and treatment can make a significant difference in managing manic episodes and maintaining overall well-being.

This post was inspired by this video

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