Talking fast

• Having racing thoughts

• Being easily distracted

• Having an inflated feeling of power, greatness, or importance

• Doing reckless things without concern about possible negative consequences, such as spending too much money or (for teenagers) engaging in inappropriate sexual activity

• Psychotic symptoms may occur in very severe cases, such as hallucinations or delusions

Mild mania (hypomania): This milder form of mania causes similar but less severe symptoms, which often begin with someone feeling better and more productive than usual, but then usually build into a full-blown mania or crash into depression.

Depression (major depressive episode): To be considered a full-blown "major" depressive episode, a child will feel sad and lack interest for at least two weeks, in addition to exhibiting at least four other symptoms:

• Trouble sleeping or sleeping too much

• Loss of appetite or eating too much

• Problems concentrating or making decisions

• Feeling slow or agitated

• Feeling worthless or guilty

• Loss of energy; fatigue

• Thoughts of suicide or death

• Hallucinations or delusions (in severe cases)

Mixed episode: The most disabling episodes are those that include symptoms of both mania and depression at the same time, or that alternate often during the day. A person in this condition will feel excited or agitated but also feel irritable and depressed.

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