His lawyers had said he was suffering from a "manic episode" at the time.
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Overwhelming data show that sleep disruption is the surest and fastest way to induce a manic episode.
I've seen more than one patient over the years who had a first manic episode after an international flight.
She has developed bipolar disorder because she is clearly having a manic episode.
Thursday brought us another manic episode, propelling the major indexes up nearly 3% and the Dow past 10, 000 again, for no obvious reason.
In the case of bipolar disorder, the pattern requires the presence of at least one manic episode and usually also includes episodes of depression.
Studies suggest that most cases of bipolar disorder start with depressive episodes and that many young people who develop severe depression will eventually go on to have a manic episode.
Obviously I can't make any type of definitive diagnosis with the brief information you provide, but let me tell you a few things to look for that would make the presence of a manic episode more likely.
"You've got all these young kids running around with this diagnosis, yet many of them have never, ever had a manic episode, which is the hallmark of bipolar disorder, " said Carroll, now the scientific director of the Pacific Behavioral Research Foundation.
You have done a nice job of describing how one type of manic episode looks, but in suggesting that what you see might be a temper tantrum you have also identified the challenge that faces us every time we try to give a name to psychiatric troubles.
After seeing the melodramatic headlines that made it sound like Dunham had lost her mind, gone off the deep end, and wandered out of the house on the day of the event without pants like some lunatic in the midst of a manic episode, I saw the picture of her outfit and laughed.
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