MANIA

MOOD DISORDER

1. PRESENTEDBY
MR.DISHAL.R.PATEL
M.SC-NURSING.
MOOD DISORDERS

2. CLASSIFICATION OF MOOD DISORDERS -
ICD-10
F 30-F39 Mood (affective) disorders
F30 Manic episode
F31 Bipolar affective disorder
F32 Depressive episode
F33 Recurrent depressive disorder
F34 Persistent mood disorder
F38 Other mood disorder
F39 Unspecified mood disorder

3. DEFINITION:
MOOD DISORDER :
Inmooddisorder,thepredominantmentalfunction
affectedismood.Whenthemoodisexcessivelyhappy
orsadwithoutanycauseorifitisoutofproportiontothe
causeitisconsideredabnormal.
If the mood is excessively happy without any cause
we call it as MANIA.
Ifthemoodissadwithoutanycauseoritremains
sadforalongtimewecallitasDEPRESSION.
Ifthemoodischangingandpatientgetsbothattacks
ofmaniaordepressionwecallitasBIPOLAR
DISORDER.

4. MANIA

5. What is Mania?
Mania is part of a condition called bipolar
disorder, also known as manic-depression.
If the mood is excessively happy without any
cause we call it as MANIA.
This mood disorder affects more than two million
Americans.

6. CLASSIFICATION OF MANIA -ICD-10
F 30–Manic episode
F30.0–Hypomania
F30.1–Manic without psychotic symptom
F30.2–Manic with psychotic symptom
F30.8–Other Manic episode
F30.9–Manic episode Unspecified

7. INCIDENCE
Equal in male and female,
ratio of men to women 1 to 1.2

8. ETIOLOGY:
Sex&Age:Themeanageofonsetformajordepressive
disorderisabout40years,with50percentofallpatientshaving
anonsetbetweentheagesof20and50.Majordepressive
disordercanalsobegininchildhoodorinoldage.
NeurotransmitterandStructuralHypothesis:
-Incre..inNorepinhrineanddopamine
-Deficiencyinserotonin
GrowthHormone:
Twin Studies :
Psychodynamic Factors :

9. Level of mood

10. SIGNS & SYMPTOMS
Persistently elevated or
Expansive mood,
Irritable lasting
for throughout 4 days.
EUPHORIA
ELATION 4‘E’
EXALTATION
ECSTASY

11. Inflated self esteem
or grandiosity.
Moderate elation &
over activity.
Mood swing

12. Decreased need for sleep.

13. Flight of ideas.

14. Increase Self ConfidenceAND Increased Psychomotor
Activity

15. Distractibility and Over & loud talk.

16. Increasing Goal directed activity.

17. DIAGNOSIS:
MSE
ICD 10 Diagnosis
Mania: 1 wk of (hypomania 4 days)
Elevated, Expansive, Irritable Mood+3(4):
Based on signs & symptoms
Psychological tests such as young Mania
Rating Scale.

18. MANAGEMENT

19. MANAGEMENT
MEDICAL MANAGEMENT
Somatic Non pharmacological
Drugs Physical 1.Cognitive behavioral therapy
ECT restrains
2.Behavioural
3.Interpersonal psychotherapy
4.Group psychotherapy

20. DRUGS
Mood stabilizers
Lithium (900-2100 mg/day)
Carbamazepine(600-1800 mg/day)
Sodium Valporate (600-2600 mg/day)
others drugs: -Clonazepine &
calcium channel blockers
Sedatives / Hypnotics
Barbiturates
Anti anxiety
Propanalol(Betablocker)
Diazepam

21. ELECTROCONVULSIVE THERAPY
ECTcanalsobeusedfor
acutemanicexcitementif
notadequetlyresponding
toantipsychoticandlithium

22. PSYCHOTHERAPY.
Behavioural and
Interpersonal
psychotherapy
Group psychotherapy
Cognitive behavioral
therapy
Occupational Therapy
Family and marital
therapy

23. NURSING MANAGMENT
NURSING DIAGNOSIS
High risk for injury related to extreme hyperactivity and
impulsive behavior, evidence by lack of control over
purposeless and potentially injurious movements
High risk for violence, self directed or directed others related
to manic excitement, delusional thinking and hallucination
Altered nutrition, less than body requirements related to
refusal or inability to sit still long enough to eat, evidence by
weight loss
Impaired social interaction related to egocentric and
narcissistic behavior
self esteem disturbed related to unmet dependency needs