The Continuum of Mania
As Defined In
4. Severe Mania: much insistence by others that patient get medical
attention, patient unable to function in any goal directed activity.
Symptoms: little or no
sleep, delusional, invincible, explosive, hallucinatory, catatonic.
needs close supervision, has no judgement, puts self and others in
danger, should be hospitalized.
3. High Moderate Mania: very significant difficulty with behavior and
goal directed activities, canít focus, non-productive.
very disruptive, little or no sleep, reckless, increases in energy and
little or no judgement, not directable, outlandish behaviors, canít
function at work.
2. Low Moderate Mania: noticeable impairment; others feedback about
behavior; less productive, unfocused.
irritable/euphoric, intrusive, grandiose, increases in energy, decrease
in sleep, increase in spending and phone calls.
poor judgement, sometimes disruptive at work and home, difficulty with
1. Mild Mania: no impairment or mild impairment, functioning
Symptoms: decrease in
sleep, ebullient, energetic, more social, mildly pressured.
Impairment: little or no impairment can be focused and
The Normal Range of Emotions
1. Mild Depression:
no impairment to mild impairment.
Symptoms: subjective distress, low mood, sleep and appetite
functions well at work and at home, little or no impairment in social
2. Low Moderate Depression:
noticeable impairment; some extra effort needed to function in usual
social and occupational roles.
decrease/increase in sleep and appetite, decreased energy and
concentration, anxious, loss of normal pleasures, sucidal.
some impairment at work and home, misses days from work, has to push
3. High Moderate Depression:
very significant impairment; great effort needed to function in any
role; barely scrapes by.
retarded/agitated, very low energy, suicidal, withdrawn, poor hygiene,
much difficulty reading or concentrating.
Impairment: great difficulty functioning, rarely goes to
work, has to push self very hard.
4. Severe Depression: essentially incapacitated because of
Symptoms: immobilized, canít read or concentrate, mute or
Isolated, or in bed, may be hospitalized