Abstract

The progression of symptoms during an acute manic episode was studied retrospectively in 20 bipolar manic-depressive patients whose diagnosis was reconfirmed at follow-up. Three stages were delineated, the most severe of which was manifested by bizarre behavior, hallucinations, paranoia, and extreme dysphoria. Despite symptoms that might have otherwise prompted a diagnosis of schizophrenia, patients appeared clearly manic both earlier in the course and later as the episode was resolving. The level of functioning was ascertained at follow-up and compared statistically with the level of psychotic disorganization during the acute manic episode; no relationship was found. The advantages of using a longitudinal view of a psychotic episode as a diagnostic tool is discussed.

Keywords

ParanoiaManiaDysphoriaPsychologyPsychiatryBipolar disorderSchizophrenia (object-oriented programming)PsychosisClinical psychologyMedicineMoodAnxiety

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1978 Archives of General Psychiatry 126 citations

Publication Info

Year
1973
Type
article
Volume
28
Issue
2
Pages
221-221
Citations
419
Access
Closed

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Gabrielle A. Carlson (1973). The Stages of Mania. Archives of General Psychiatry , 28 (2) , 221-221. https://doi.org/10.1001/archpsyc.1973.01750320053009

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DOI
10.1001/archpsyc.1973.01750320053009