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			Bipolar disorder (manic)Alternative names:
			manic phase of manic-depressive disorder
			
			 Symptoms:
			 alternating mania or depression; one emotional tone may predominate, with mania as the current or most recent phase 
 In the manic phase:  increased activities increased energy flight of ideas or racing thoughts inflated self-esteem delusions of grandeur decreased need for sleep talkativeness easy agitation poor self control 
 In the depressive phase:  loss of self-esteem withdrawal helplessness fatigue overwhelming sluggishness (inertia) difficulty concentrating loss of appetite 
 
			
			 Signs and tests:
			 A psychiatric history of mood swings, and observation of current behavior and mood are important in the diagnosis of this disorder. A family history of manic-depressive illness may be present. A physical examination may be performed to rule out physical causes of disorder. 
			
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