What does a manic episode in bipolar disorder typically involve?

A manic episode in bipolar disorder is characterized by periods of extreme elation and grandiose thoughts. During these episodes, individuals may experience heightened mood and energy levels, causing them to feel euphoric and overly confident. This can also lead to impulsiveness and a decreased need for sleep, further contributing to their elevated state. Grandiose thoughts can manifest as inflated self-esteem or a belief that they have special talents or powers, which may not reflect reality.

In contrast, feelings of depression and sadness are indicative of depressive episodes within the disorder, not manic episodes. Fear of public situations and places aligns more with anxiety-related disorders, such as social anxiety disorder. Compulsive and repetitive behaviors may be associated with other mental health conditions, such as obsessive-compulsive disorder (OCD), rather than a manic episode itself. The distinctive features of mania help differentiate it from other mood states or disorders.