Hypomania or Mania Preceding a Depressive Episode

About the Symptom

Symptoms of mania may include some of the following: elevated, expansive or irritable mood, very high self esteem, more talkative or pressured speech, easily distracted, abrupt changes from one topic to another or racing thoughts, increased energy or goal directed activity, excessive involvement in pleasurable activities that have a high potential for painful consequences, and decreased need for sleep. These symptoms can sometimes come before one begins to develop depressive symptoms.

When to See a Doctor

Seek professional care if you experience any of the following symptoms

• Hypomania or mania preceding a depressive episode
• Recent weight loss
• Suicidal thought
• Decrease in sleeping desire

Possible Causes

Generally, Hypomania or mania preceding a depressive episode can be related to:

• Bipolar Disorder

  A disorder marked by extreme and persistent shifts in mood that last for weeks to months, from periods of sustained depression to periods of elevated mood and euphoria. The precise cause is unclear, but genetic and environmental factors contribute.

• Alzheimer's Disease

  Alzheimer's disease is the most common cause of dementia. The brain shrinks, affecting memory and behavior. Symptoms worsen over time and can interfere with daily life. Increasing age raises the risk for Alzheimer dementia.

Doctor's Diagnostic Questions

Your doctor may ask these questions to check for this symptom:

• Was there a period of good performance despite lack of sleep before your mood dropped drastically?
• When did you first start feeling down or depressed?
• To what extent have you been feeling down or depressed?
• How is your feeling down or depressed now?
• Have you been feeling down or depressed recently?

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