Features of a Depressive Episode

Persistent sad, anxious, or empty mood
Feeling helpless, guilty, or worthless
Hopeless or pessimistic feelings
Loss of pleasure in usual activities
Decreased energy
Loss of memory or concentration
Irritability or restlessness
Sleep disturbances
Loss of or increase in appetite
Persistent thoughts of death


Features of a Manic Episode

Extreme irritability & distractibility
Excessive "high" or euphoric feelings
Sustained periods of unusual, even bizarre, behavior with significant risk-taking
Increased energy, activity, rapid talking & thinking, agitation
Decreased sleep
Unrealistic belief in one’s own abilities
Poor judgment
Increased sex drive
Substance abuse
Provocative or obnoxious behavior
Denial of problem

Mr. B