2. InstRUctIonAl oBJectIves
At the end of this class student
should be able to;
Define mania.
List the classification of mania.
List the signs and symptoms of
mania.
List the causes of mania.
List the treatment modalities of
mania. 2
4. definition
Mania is the mood of an
abnormally elevated arousal
energy level.
Mania is a state of extreme
physical and emotional elation.
The word is derives from
the Greek (mania) meaning
"madness, frenzy" 4
5. ClassifiCation
Mania can be classify into 3; these are
Mixed states; In a mixed state the
individual has co-occurring manic and
depressive features.
Hypomania; In hypomania, there is less
need for sleep and both goal-motivated
behavior and metabolism increase.
Associated disorders; A single manic
episode is sufficient to diagnose bipolar I
disorder 5
6. CaUsEs
The exert mechanism by which
mania occurs is not yet known.
Based on the mechanism of action of
antimanic agents and abnormalities
seen in patients experiencing a manic
episode the following factors are
noted
6
7. CON’T
A person may experience mania as a
result of a range of factors, including:
stressful events
genetic factors
biochemical factors
(neurotransmitter abnormalities or
imbalances)
seasonal influences
bipolar affective disorder (BPAD).
7
8. signs and symptoms
The mood disturbance must be accompanied by at
least three of the following symptoms;
Inflated self-esteem or grandiosity
Decreased need for sleep
pressure to keep talking
Flight of ideas
Distractibility
Increase in goal-directed activity or psychomotor
agitation
Excessive involvement in pleasurable activities that
have a high potential for painful consequences
8
10. Organic Treatments; this involve the used
of drugs
Mood stabilizers:
lithium (0.6—1.2 mEq/L)
carbamazepine (6—12 mg/L)
valproate (50—125 mg/L)
Anticonvulsants:
gabapentine
topiramate
lamotrigine
Agitated or psychotic patient –
coadministartion of
antipsychotics of second generation
(olanzapine, risperidone)
Benzodiazepines (lorazepam, clonazepam)
10
11. nursing inTervenTion
Develop a relationship with the person based
on empathy and trust.
Ensure that the person remains free from
injury.
Assist the person to decrease their agitation
and hyperactivity.
Promote positive health behaviors, including
medication compliance and healthy lifestyle
11
12. CON’T
Promote the person’s engagement with
their social and support network.
Ensure effective collaboration with other
relevant service providers, through
development of effective working
relationships and communication.
Support and promote self-care activities
for families and carers of the person with
mania. 12