---

Symptoms of Depression and Mania

Depression

• Prolonged sadness; unexplained crying spells
• Significant changes in appetite and sleep patterns, unexplained aches and pains
• Irritability, anger, agitation, anxiety
• Pessimism, indifference, worry
• Loss of energy, persistent exhaustion
• Feelings of guilt, worthlessness and/or hopelessness; social withdrawal
• Inability to concentrate, indecisiveness
• Inability to take pleasure in former interests
• Excessive consumption of alcohol or use of chemical substances
• Recurring thoughts of death or suicide (This symptom alone indicates the person should see a doctor - regardless of any other symptoms.)

Mania

• Increased physical and mental activity
• Exaggerated optimism and self-confidence
• Grandiose thoughts, inflated sense of self-importance; increased energy
• Excessive irritability, aggressive behavior
• Decreased need for sleep without feeling tired
• Racing speech, racing thoughts
• Reckless behavior such as spending sprees, impulsive decisions, erratic driving and sexual indiscretions; impulsiveness, poor judgment
• In severe cases, delusions and hallucinations
• Denial that anything is wrong