Three Signs Your Mania Is Coming (The Manic Prodrome)

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Published 2019-02-06
What are the early signs that you're getting ready to have a manic episode? We call these early signs the prodrome. Being able to detect early signs of a manic episode can be helpful in either preventing the episode or lessening the impact of it.

Bipolar disorder is progressive. The episodes build momentum. The prodrome is the period of milder symptoms that precede the more severe symptoms. This period can be weeks to months. With bipolar disorder you can have a prodromal period before depression as well as before the mania.

The most common prodromal symptoms for mania tend to be an elevated mood, decreased need for sleep and increased activity. These symptoms can build for several weeks before it becomes an out-of-control, manic or hypomanic episode.

In this video, I discuss ways to recognize these early signs.


Video on Bipolar Disorder and Social Rhythm Therapy
   • Can You Stop Your Bipolar Medication?...  

References
Fava G. and R. Kellner. Prodromal symptoms in affective disorders. American Journal of Psychiatry 1991 148:7, 823-830


C. McAulay et al. Early Intervention for Bipolar Disorder in Adolescents: A Psychosocial Perspective. Am J Psychiatry 175:5, May 2018


Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.

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All Comments (21)
  • @estherpoet8472
    I start have rapid thoughts, and can't stop obsessing. I research research and I feel more anxious and my points of view become VERY STRONG
  • For me it’s dancing staying up for 3 days and listening to one song on repeat during those three days and thinking it’s speaking to me
  • I feel like, especially these days, everybody is struggling with mental health and could benefit from careful/ intentional therapeutic use of substances like these.
  • In my own experience with bipolar disorder, I have found that sleep is the most important aspect. I definitely feel a lack of necessity for sleep, but I make myself do it anyway. I really have no problem actually getting to sleep... but if I stay up and let my mind race, then I put myself in danger of becoming delusional. In my particular case, simply regulating my sleep prevents a full onset, and consequently no depressive crash to follow.
  • @superash4u578
    When I'm manic and someone is talking to me I get really irritated and want to only hear my own thoughts 💀 ugh it's so rude. But then I become really talkative. But only want to hear myself or if I get bored with the conversation I get frustrated. Edit : february 2022 thank you everyone who commented I'm doing a little better 🙌🏾 hope you are all well
  • @rashifarsya
    For me it’s a constant irritability, and I feel like everyone conspires to hate me.
  • @tl8117
    Being manic increases my emotional sensitivity , and I can feel energies strongly. Praying for all here who suffer with this because I felt alone and confused. I had no idea how many people have this condition. Thanks and please continue raising mental health awareness!
  • @zaneybat
    I've only been diagnosed with anxiety and adhd. BUT, my therapist brought to my attention that I was mistaken "happiness" for a "manic episode". I have come to realize how right she is! I just went through a manic episode triggered by huge life events back to back, and I felt like superwoman! I was out-of-character confident, I was trying to juggle multiple jobs, 4 dogs AND school. Welp, I crashed. I crashed so hard, but I wasn't expecting the crash to be a panic attack that couch-locked me for over a week. I am currently trying to pick up the pieces from said crash 🙃 I just wanted to share. Thank you.
  • for me, it’s like everything is syncing up. i think of someone and they message me, it’s like i’m manifesting things into reality or like i’m really in tune with the universe
  • @omegablack7135
    The 3 signs mania is oncoming (the prodrome): 1. Elevated mood 2. Decreased need for sleep 3. Increased activity
  • Recently diagnosed here :) I’m just starting to learn about my warning signs and understanding it all better. I feel superhuman during mania, like I can achieve anything. I feel uncontrollably compelled to use every second of every day to race around and do as much as I can. It never feels like I’ve reached my full potential for the day and that makes it so hard to stop. Truthfully I enjoy it so much, feeling that I can do anything and I’m amazing and special. I cook and clean literally until my hands bleed and have fainted multiple times during these activities. Just recently I made 5 cakes in a week and cleaned the entire house until I completely exhausted myself, everything hurt and my boyfriend stopped me as I looked white. When I’m cooking and cleaning I feel like a robot (in a good way) and like I’m the best in the world at it, like no other human could do it like me. I feel misunderstood by everyone during mania, like no one else sees how amazing my work is and how amazing I am in general. It’s always SO enlightening and fascinating to look back on once the episode has subsided.
  • @monicav1272
    When your manic and you're creating art you can't tell between greatness and The sensation of greatness
  • @Morena_LV
    Replaying a song 20x in a row before it even gets to the ending. Specifically listening to a certain verse that stimulates me.
  • My manic episodes always end the same way...I cant handle all the extra tasks that I've taken on due to the elevated mood and energy at work so I have a psychotic break, sitting in my bosses office crying my eyes out and quitting. Every job I've ever had ends this way.
  • @scottsNX
    Diagnosed with Bipolar two days ago. Still coming to terms with it. Looking back I’ve had this illness for over 30 of my 61 years. It has cost me two Marriages. I hate myself. Thank You for helping me understand. A week ago I had what I call an enlightenment and suddenly felt a need to help others who need it. I have planned my own demise twice in the last five years down to last detail. And at the 11th hour something happened and I did not carry out my meticulously arranged plans.
  • The worst part of my manic episodes is compulsive talking. It’s been rough but my medication really helps me control my thoughts and words. It really calms me down
  • This is one of the most comforting comment sections on YouTube. I love you all.
  • It's hard to have routines and a regular sleep schedule when I'm feeling extremely bored with routines. At the same time, I get very stressed if anything or anyone other than me forces a change in my routines.
  • @CoolMaisa
    My first symptom might be the need to start looking new apartments or houses where I want to move. Also changing furniture, shopping second hand, multiple carpentry or diy projects at the same time. Also irritability when someone asks about my projects. I'm a bit bitter of the fact that I'm usually angry and irritated when in mania, I get the occasional euphoria but mainly just everyone is in my way and I get paranoid that they all just try to stop me from living my life and doing my things. The good part is that I really get shit done then. Btw, what a comment section! So diverse and interesting symptoms you have!