Hello!
Welcome back to another episode of Diagnosia Killer, the mental breakdown.
I'm Kenna, and I'm Koala.
How's it going?
You know, it's fine.
We always say that.
Very busy day.
It's been a day.
Yeah.
It has been a day.
Happy Eclipse Day.
Yeah, absolutely.
It was frickin' wild.
We had the privilege of being in the area where the eclipse was complete for maybe two minutes,
and it got pretty dark.
It was really wild.
Unfortunately, there was a lot of cloud coverage where we are, so we didn't really get to see
it fully, but we still got the effects of it.
That was just working, so.
Yeah, you were inside.
Well, I sent you a picture.
You did, and it was a really pretty picture.
Yeah, it was really weird.
All the birds stopped chirping, like all at once.
Ew.
It's like, oh, it's time for bed.
Goodnight.
They're just like, ha!
Yeah, exactly.
But yeah, before we get started, I do have a mental breakdown today that I think is interesting,
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Okay, are you ready to do this mental breakdown?
Yeah.
Okay, so today we are going to be talking about the different types of mania.
Okay.
Manias, if you will.
Content warning, this episode contains conversation including severe mental health symptoms, talk
of suicidal thoughts or actions, and manic symptoms.
If this episode is not for you, we encourage you to find another one of our episodes.
Remember your mental health is very important and we love you.
Love you.
Bye.
So yes, different types of manias.
So we're going to just go through.
There's just a couple that are really common.
There's a bunch that exist, but a couple that are very common that we'll talk about today.
Do just want to give a really quick shout out to choosingtherapy.com.
Most of the information in this episode is provided by a Dr. Matt Glauak.
He's a PhD and a licensed clinical professional counselor.
He wrote the articles that I referenced when I made this research.
So the DSM-5 defines mania as being a distant period of abnormally and persistently elevated,
expansive, or irritable mood with persistent goal-driven activity or energy.
Mania is often a symptom of bipolar disorder, but it is not exclusive to this diagnosis.
And I noticed as I was doing this research, we haven't even done bipolar disorder as a
mental breakdown.
What?
How have we not done that yet?
That's like part of the reason we do the pod kind of.
It's that specific diagnosis.
Maybe we unintentionally avoided it.
Maybe that's what we're thinking about.
Maybe that's what it is.
It's subconscious.
Right?
It's a coping mechanism.
So while mania is very prevalent in bipolar disorder, it can also commonly be seen in
postpartum psychosis, schizoaffective disorder, and seasonal affective disorder, or SAD, as
well as others.
The onset of mania is usually described by people who experience it as a breath of fresh
air of sorts as compared to recurrent periods of severe depression, suicidal ideation, or
social withdrawal.
The condition can vary from person to person with some people experiencing comorbid symptoms
during their mania as well.
These symptoms can include but are not limited to psychosis, hallucinations, delusions, euphoria,
intense moods, and hyperactivity.
Wow.
Yeah, a lot of things.
As a result of mania, some people may also make rash financial decisions, engage in dangerous
substance abuse or dangerous behavior in general, or engage in other types of self-destructive
behavior.
There are hundreds of different types of manias, like I said earlier, similarly to how there
are hundreds of different types of phobias, but there are, again, some that are very common.
So the first type that we're going to talk about is called euphoric mania.
Are we top 100ing this?
No, not really, because there's only like four.
There we go.
We're going to do it anyways.
Euphoric mania is a condition that is described as incredible, beautiful, fantastic, expansive,
and or unbelievable by the people who have experienced it.
So it's like shrooms?
Yes.
Or like, yeah.
Just a really, really feel good feeling.
This type of mania is typically welcomed by the person experiencing it at its onset, and
since it is such a good feeling, it can be hard to determine if it is mania or simply
a person admiring life.
Interesting.
Right.
It's like, are you just in a really good mood or are you like having a breakdown?
No, the colors are brighter and the air tastes sweeter.
This type of mania is also commonly called classical mania and can include other symptoms
such as hypersexuality, a feeling of invincibility, and an extreme feeling of just energy in general.
So another common type of mania is dysphoric mania, and this is described as a combination
of mania with agitated depression.
So it's a little bit of both here.
People experiencing this type of mania often describe it as if they are coming out of their
skin or their mind, and it's also been described as feeling at war with one's body.
Oh my god.
That's so shitty.
I don't like that.
Along with these feelings, this type of mania can include depressive or even suicidal thoughts.
This type of mania is difficult to handle due to the fact that it's part mania and part
depression, so managing the symptoms is a little trickier.
Yeah.
I know that you've already said that mania is a comorbidity or a symptom of bipolar disorder.
So do you think that there's some...
I mean, you can answer my question later if you want, but is...
What am I trying to say?
Are there more specific manias that are geared towards someone with bipolar disorder or do
you...
Is it not mutually exclusive is what I'm asking?
Yeah.
No.
So essentially any of these types of manias can be seen with someone with bipolar disorder,
but if you have...
I don't remember which one is which, bipolar type one or type two, but if you have the depressive
type, you're more likely to see this type where it's mixture of mania and depression.
If you have the manic type, it's probably more of the euphoric mania because you're more
manic than depressed.
And then on the other one, you're more depressed than manic.
But I think...
I don't think they're interchangeable or like, yeah, just set with one another.
I think that they can all kind of occur.
Because like if something's organic, it's already non-GMO.
But something that's non-GMO doesn't necessarily have to be organic.
Yeah.
That's a good way to put it.
Yeah, for sure.
No, I think that they're all kind of interchangeable.
So the next one is called psychotic mania.
And this is another very commonly seen type.
This is a type of manic condition in which one experiences delusions or hallucinations
while manic.
So like you were asking earlier, I feel personally that this would be more connected to maybe
a schizoactive disorder rather than bipolar disorder because it does come with the hallucinations
and delusions.
Yeah.
Again, this can be extremely difficult to handle, especially as a person witnessing
the mania.
As the person that is experiencing it may not even be aware of what's reality and what's
not.
So how are you going to explain it then that this is manic symptom?
Yeah.
Along with hallucinations and delusions, psychotic mania may come with abnormally elevated or
extreme changes in mood.
When someone is experiencing psychotic mania, it usually occurs during the most severe part
of the manic episode, but it actually goes away as quickly as the episode does.
So someone could be experiencing manic symptoms and then at the most severe part of that,
that's when the psychotic manic symptoms come in, but they both end at the same time.
Okay.
That makes sense.
So it's like all part of one episode, if you will?
Yes, I think so.
More experience.
Okay.
Lastly, hypomania is very common.
Hypomania is similar to mania, but to a lesser extent of intensity.
Again, this one can be difficult to determine because it can't very easily be seen that
the person's experience isn't just experiencing it, excuse me, isn't just in a good mood.
You know, it's like, oh, you're usually in a bad mood.
You seem like you're in a better mood today, but it's not like, wow, like full blown mania.
So it's really hard to tell.
Also this type of mania is known to last for a shorter period of time as a full blown
manic episode.
So even more difficult to tell because it's like, it's not lasting all day.
It may last for a few hours.
So someone that might have these reoccurring might not even get a diagnosis?
Exactly.
So how do you spot a manic episode?
Although manic episodes may seem like they occur suddenly from an outside perspective,
there are various signs that suggest a manic episode is in the works.
According to the National Alliance on Mental Illness, I always refer to them so I wanted
to shout them out.
Some of the signs of a manic episode include hypersensitivity to stimuli, the inability
to focus, unrealistic confidence or delusions of grandeur like we've said before, the inability
to listen to other people, insomnia, spending money beyond what one can afford, obsessing
over things and generally just not taking care of oneself.
A lot of things and that's also tricky because a lot of those things can be caused by other
mental disorders and it's not necessarily manic, it's just a symptom of their disorder.
Of course these symptoms will look differently in children, teens, adults and even seniors
so it's important to pay attention to signs that suggest the person who is showing symptoms
is truly in a manic episode.
Although bipolar disorder is not usually diagnosed until late adolescence, some patients may
not be diagnosed at all like you were saying.
This is due to the fact that some people can sometimes show signs of mania in their early
years and it might simply be pushed aside as just part of their personality.
Like an overactive kid or something.
Right.
Unfortunately, when this condition becomes left undiagnosed and therefore untreated,
it can cause one to internalize and have trouble functioning in daily life.
So I said earlier that mania can be a symptom of different types of mental health disorders
so the first one that we talked about was bipolar disorder.
Many people with bipolar disorder also struggle with substance abuse.
When a manic episode begins and someone with bipolar disorder, it will become a little
more obvious especially if they have the depressive type.
A person who is usually depressed suddenly showing signs of hope and pure happiness is
typically a sign of mania.
However, this can quickly turn into one being more comfortable with substance use and they
may begin to use it more because they're feeling good, you know, oh I can drink more
tonight because I'm feeling good.
And either, yeah, makes you feel good or sometimes suppresses the depression or yeah,
those low feelings or vice versa.
People with bipolar disorder having a manic episode may also take themselves off of their
medication or take it upon themselves to leave therapy thinking that they no longer require
it.
How do we not cover bipolar disorder?
I know I'm telling you, like we have a firsthand account of this.
Yeah, and what's interesting is when we had mom on the DAK Live, she even talked about
that ebb and flow when it came to medication with her sister.
Definitely.
Of course, this is not the case and it is important for people with bipolar disorder
to continue their meds and their treatment even when they're feeling great.
People who experience mania along with schizoaffective disorder typically experience heightened awareness
around their hallucinations and delusions.
They will typically even share more information about their hallucinations or delusions and
they'll typically talk about it out loud more like to you.
Oh, do you see that guy or you know, things like that might not be that exact verb.
But they're more open about it when they're experiencing mania.
It's like, you know, maybe some people seem a little like, you know, with like conspiracy
theories and stuff.
Exactly.
Yeah, that is a fault I do all over again.
Yeah, a fault I do.
Hallucinations and delusions can of course increase in intensity in patients with schizoaffective
disorders.
When it comes to patients with substance use disorder, they may experience elevated self-confidence
during their manic episodes.
If certain drug use increases such as uppers like methamphetamine, one could lose sleep
causing other symptoms to arise such as unclear thinking, poor self-care and engaging and
risky behaviors.
Yeah, especially if you're already experiencing those, I would say like side effects or symptoms.
I forget which one is which because you see one and then the other occurs internally,
right?
Yeah.
And so I guess side effects would be internal and symptoms.
Correct me if I'm wrong listeners, but yeah, so you would have already experienced those
things because of the mental disorder that you already have.
Then you're experiencing the mania.
Then on top of it, you have the drug use.
Yeah, the drug themselves.
And it's just, yeah, all compounds.
But what's interesting is that you think that in a way, subconsciously or otherwise,
that you're medicating yourself and that it's helping.
It's helping.
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Another disorder, like I mentioned earlier, that typically comes with mania is Seasonal
Affective Disorder or SAD.
When the poor weather that causes the depression changes, it can cause manic episodes to prevent
themselves in patients with SAD.
This may cause patients to engage in risky behaviors, substance abuse and other things
that may be dangerous or unhealthy for them.
So what are some symptoms that mania is happening?
We just saw signs leading up to it, but if those signs are missed, it may be time to
start to look for symptoms of the mania.
Oh, so there are signs and symptoms.
Not side effects.
Additionally, if you think you may be experiencing a manic episode, these are good things to look
for internally as well, especially because some of these things you would not be able
to see from an outside perspective.
That being said, these include delusions or hallucinations, talking a lot or speaking
too loudly, mostly when it's out of character for the person.
I was on break earlier today and one of my coworkers walked past me, but I didn't know
she was in the other room and I could have sworn that I was talking out loud to myself
about my salad.
She walked behind me and I was like, how long have you been there?
She's like, oh, I just been there.
I was like, oh, okay, was I talking to myself?
She goes, no.
And I said, oh, okay, I could have sworn I was talking to myself.
She goes, oh, that happens to me all the time.
And I was like, okay.
I talk to myself all the time.
So sorry.
It must be when you said, like you said, out of character for that person.
Yeah, like I talk a lot, but that's a very in character for me.
Yeah.
So it wouldn't be a manic symptom in my personality.
Okay.
Moving forward, hostility, aggression, becoming easily distracted, hypersexuality, racing
or fleeting thoughts, sudden changes in style or clothing choice, thoughts of suicide and
obsession of anything specific.
But I thought that the sudden change in clothing is interesting.
That's me.
It's like make a giant style change.
Well, yeah, I do fluctuate between wearing jeans and a T-shirt or jeans and a tank top
to wearing like dresses and skirts and stuff.
But I think it's more of a seasonal thing.
Yeah.
And I do that too.
No, I think that it would be like concerning if you all of a sudden started wearing like
a bunch of camo.
Like that would be concerning.
That's a major change.
That is so weird.
I hate camo.
I own a lot of camo.
I hate camo.
So what causes mania?
There are many different things that can cause mania to present itself and not all of them
have to do with mental illness.
Other common causes and triggers of mania include but are not limited to brain trauma, some
types of tumors, dementia, lupus, certain medications, drug or alcohol abuse, strokes,
acute stress, hypothyroidism, financial stress and others.
So a lot of things you don't have to be mentally able to experience mania.
Just checking off lists and boxes.
If someone is experiencing what they think may be signs or symptoms of mania, it's best
to talk to a mental health professional to get screened properly.
Psychiatrists, neuropsychologists and others are professionals who can evaluate someone
to determine their mental state.
However, since mania is most commonly a symptom of mental health disorders, it is likely to
be diagnosed alongside a mental health condition.
Manic episodes can actually be diagnosed on their own as well.
Like if you have, let's say, a stroke and then you have a manic episode from that, you're
not going to get diagnosed with bipolar disorder, you know, you're just going to get diagnosed
with a manic episode.
So this is straight out of the DSM-5.
Symptom criteria for a manic episode diagnosis includes, one, a distinct period of abnormally
and persistently elevated, expansive or irritable mood.
Two, abnormally persistent, increased goal-directed activity or energy.
And three, both must last for at least one week and be present most of the day, nearly
every day or for any duration if hospitalization is needed.
I can't even imagine having mania that often.
Oh yeah, that's gotta be very, very hard on your body.
It's gotta be difficult.
On top of this, three or more of the following symptoms must also be present and represent
a noticeable change from usual behavior.
These include inflated self-esteem or grandiosity, decreased need for sleep, more talkative than
usual or pressured to keep talking, flight of ideas or subjective experience that thoughts
are racing, distractibility, increase in goal-directed activity or psychomotor agitation, and lastly,
excessive involvement in activities that have a high potential for painful consequences.
So treatment for mania can vary from person to person, but the best way to stop a manic
episode is to begin with acknowledging its existence.
Most diagnoses of mania are pervasive, meaning they are treatable but not curable, so a person
will most likely need treatment for the remainder of their lives with this type of diagnosis.
Common types of therapy that are used to help treat symptoms of mania include cognitive
behavioral therapy, dialectical behavioral therapy, family therapy, interpersonal therapy,
and social rhythm therapy.
If you want to deep dive on those, go listen to our most recent mental breakdown, because
I literally broke all those down.
On top of therapy, medication is commonly prescribed for mania.
A medication regimen will vary depending on severity, but standard medication for mania
typically include antipsychotics, such as Abilify, I'm gonna do it again where I make
myself say all these words.
Abilify, Latuta, Respertol, Cerroquel, Vreiler, and Zeprexa.
Standard stabilizers such as Lithium, Tegretol, Depakene, Depakote, and Lamisotol, and Anticonvulsants,
including some listed above, they're the same ones, as well as Benzodiazepine, such as Xanax,
Cologna Pin, and Valium.
I can say all those really.
So these all may be prescribed just depending again on the situation.
On top of all of these things, lifestyle changes are also encouraged for patients experiencing
mania.
These include but are not limited to exercise, breathing techniques, meditation, positive
self-talk, changes in diets, proper sleep, journaling, medication and treatment compliance,
safety and crisis planning, familial and other social support, support groups, and avoidance
of substance abuse.
So just for grins, I wrote out some types of mania that are common among killers, since
we do talk about killers a lot, obviously.
So the first one is egomania, which is the obsession of oneself.
So that could be like a narcissistic trait, and then people, obviously we see a lot of
narcissists on our list.
Yeah, egotistical, yeah.
Erotomania, which is obsession with sexual desire from others, or sexual attraction from
strangers, which again may cause a homicide to occur.
General hypermania could make sense, just hypermanic in general.
Kleptomania, which we know to be an obsession with stealing, however, it could lead to a
homicide if one is desperate enough.
We actually had a carjacking that turned homicide happen here yesterday, right down the street
from us, 13-year-old kid with the perpetrator.
So it can absolutely happen if you're really desirable to steal something and then someone
is in your way.
Yeah, I think just to kind of piggyback on what you're saying, it doesn't necessarily
mean objects.
Either it could mean people.
That's true.
If you steal or take something, someone, keep something of someone's.
That's true, yeah.
So we see that sometimes in cases where people might keep a souvenir or a trophy, God forbid,
part of the body, you know?
Micromania is obsession with self-deprecation, while mythomania is obsession with lying.
Again, these are all not directly related to killing, but it could have something to
do with it.
Mythomania?
Yeah, not my sense.
Necromania is obsession with being sexual with dead bodies, similar to necrophilia.
Plutomania is being obsessed with money or wealth that could also lead to a homicide
taking place.
Pyromania, of course, is the obsession with fire or starting fires.
Satiromania is the excessive, often uncontrollable, sexual desire specifically in men, and that
could also lead to homicide.
And just one that I wanted to pepper it in because I think it's funny, and it's actually
a good real word, is called betelmania, and it's the obsession with the beetles, like
the band.
Yeah, betelmania, that was a whole thing.
But it's a thing online, like you can get a whole definition and everything.
They called it the British invasion, but yeah, betelmania.
Betelmania, that's funny.
So just lastly, we may have already mentioned some of these people in previous episodes,
but I do have some celebrities that have been open about their bipolar disorder diagnoses.
Although we might not have mentioned it, we haven't done an episode on that.
Shame on us.
I know.
So bad.
The first one is Kanye West, and I found this out while I was doing research.
Apparently, he changed his name to Yi recently.
He's Yi, artist formerly known as Kanye.
Got it.
Okay, so Yi was diagnosed with bipolar disorder in 2016, and his behavior has commonly been
talked about in the media as being that of mania.
Yi would comment publicly on this, stating, quote, it's cheap and dismissive to say I'm
off my meds anytime I speak up, end quote.
He has also described being bipolar as his quote, superpower, and even said that he's
glad his mother did not fully medicate him from an early age because he, quote, might
have never been Yi, end quote.
Well, word of the wise.
I mean, I'm just kidding.
In my opinion, of course, this is only my opinion, that someone I feel like is a case
where someone hasn't had the help that they needed.
Yeah, of course.
And instead is surrounded by people that are yes men.
And they're encouraging.
Because they're employed by him, to be honest.
They're employed by him, his security, and whatever else is going on there.
So they're all yes men, there's not really someone that's unfortunately going to be willing
to stand up, speak up for him.
Of course.
Going through these symptoms.
Yeah, I agree.
And it's definitely got to be hard to be in the public eye and be so publicly sick.
And then having half the people probably say, you're crazy or whatever, or other half people
being like, hell yeah, you do you.
There's probably not a lot of people that are like, hey, can I evaluate you?
Yeah.
I think you mean some space or some time?
Yeah.
I'm sure, especially with the mania symptoms that you've listed off, him being very, very
busy and doing things all the time, probably don't allow him that moment.
For sure.
He should just breathe and really evaluate himself, let alone someone else.
And when he does have manic symptoms, people are like, well, that's just conia or whatever.
So number two is actually Selena Gomez.
She was diagnosed in 2018 and she stated that she never knew she was struggling with bipolar
disorder until she was diagnosed.
She stated, quote, I think when I started hitting my early 20s is when I started to feel like
I was not in control of what I was feeling, whether that was really great or really bad.
And quote.
Number three is Mariah Carey.
Mariah stated that she suffered with bipolar disorder and silence for many years because
she did not want to believe that she was struggling with the disorder.
She stated, quote, until recently I lived in denial and isolation and in constant fear
someone would expose me.
I simply couldn't do that anymore.
I saw and received treatment and got back to doing what I love, writing songs and making
music, end quote.
Good for her.
I think so too.
She was on the struggle bus for a little bit.
Yeah, for sure.
I mean to say that lightly.
I'm just saying, you know, she was out of the public eye for a long time.
Her and Nick Cannon going through all that stuff.
A friend of mine met her once at a resort rather that he was working at and he said that she
smells really nice and I'm like, I'm happy for her.
I'm glad for her.
Number four is Melly Gibson's.
Sorry, who?
Or Mel Gibson as people who aren't his friends call him.
Oh, you and Melly are on Melly terms.
Melly Gibson.
In G.
The other, what should we call it?
The other Gibbs brother.
What?
It's Barry, Robin and Melly Gibbs.
Melly Gibbs.
I don't even know who those people are.
It's Stayin' Alive.
What is it?
The Bee Gees?
Yeah, the Bee Gees.
Oh, I didn't know that.
That was their last name.
Yeah, Barry Gibbs and Robin Gibbs.
They're in the Bee Gees.
And Melly Gibbs.
They're a lesser known cousin.
So Mel Gibson recently got in trouble for his violent outburst.
I don't really know about this, but this is just what it said on the source that I read.
He actually got arrested for a DUI and a psychiatrist would actually speak on his behalf stating,
quote, bipolar can lower your impulse control.
Mel actually first revealed that he had bipolar disorder in 2008 stating, quote, I had really
good highs but some very low lows.
You didn't know anything about the whole Mel Gibson thingy?
I don't really follow celebrities.
I really don't.
It was huge.
Well, I mean, it was clearly a long time ago, but you know, it was a really big deal.
Like he had recordings of him saying anti-Semitic comments and just a bunch of stuff.
And Apocalypse.
Great movie.
Yeah, there you go.
And also, of course, the psychiatrist saying that bipolar disorder can lower impulse control
obviously is not suggesting that that's an excuse for any behavior.
No, of course not.
For any, yeah, especially as it pertains to racism or other stuff or, you know, being
a bigot.
Yeah.
So.
And last but not least, number five is Demi Lovato.
Demi has been open about her mental health struggles and she recently spoke out about
how she was having symptoms of bipolar disorder at the age of 15.
She was speaking about being on a tour bus and seeing fans outside trying to get her
to wave back to them.
And she stated about this quote and all I could do was just sit there and cry and quote.
She stated when she finally got her diagnosis, she was quote so relieved, which is nice.
It's like essentially it's like, okay, thank God, like now I can get help for this.
You know what it's called.
Yeah, right.
And you know how to acknowledge it.
And you know, I said, even said earlier, acknowledging it is part of it is part of
the growth because it's also part of the acceptance, but it's definitely a starting point for,
okay, this is what it is.
Yeah.
Let's move forward.
How can I get better now that I know what to call this?
Yeah.
But yeah, that's all I have.
Yeah.
And just a reminder to everyone that Demi Lovato has began using she her pronouns again, although
she does identify as non-binary.
Yeah.
I just wanted to look that up because I didn't want to be insensitive.
Yeah.
But yeah, that's types of manias and I guess certain disorders that come along with it.
Yeah.
That is really interesting stuff.
Yeah.
And why the fuck?
Okay.
So we're going to have to do an episode of bipolar disorder, I guess.
Yeah.
That's so funny.
I think it was like me, like I personally for myself, like maybe not even realizing
that I wasn't tackling it for a reason.
Yeah.
Like I was like, I just figured we talked about it enough.
We must have done a mental breakdown on it.
But maybe it is.
Yeah.
Maybe it's a self-subconscious thing.
Yeah, for sure.
Do you have anything else?
No, that's it.
Okay.
Well, that's a wrap for today.
Just get excited guys.
We have this week's case and then we have something really big that we're bringing you following
that.
So just get excited for a lot of really great content coming up.
Make sure to get your tickets for the podcast festival and we will talk to you guys later.
Yeah.
If you want to support us monetarily, make sure you join that Patreon.
We got that brand new tier one up.
Go check that out.
Send us some shipping information and you will get free stuff.
Yes, absolutely.
Okay.
Love you.
Bye.
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