MANIAKAL SYNDROME (syn. Mania) - elevated mood with motorized fussy excitement, distractibility and carefree gaiety. Manic patients are agitated, long-term and hyperactive, sometimes absurdly and brightly dressed. Behavior is usually disorganized, and the use of force is required to keep the patient from committing inappropriate actions. In the manic state, the bolmys experience a feeling of cheerfulness, a rush of energy, a feeling of physical strength, health, and they no longer perceive the pains that actually exist and bother them before. Increased motor activity is manifested in restlessness, interference in the affairs of medical personnel, evasion of medical care. Quick speech goes over and speech confusion, delusions of grandeur appear. The main symptom of mania is a violation of behavior in the absence of criticism of its condition. Ask the patient questions that would help find out the cause of high mood, does not make sense. Also unsuccessful attempts to explain to the patient the irrelevance of his behavior, which can only cause irritation and hostility to the doctor. In such cases, it is advisable to provide emergency psychiatric care and, by calling a consultant psychiatrist, to resolve the issue of hospitalization (sometimes involuntary) in a psychiatric hospital.
Manic syndrome acts as the main manifestation of the manic phase of manic-depressive psychosis, less often - organic brain lesions.
The manic state is relieved by neuroleptics (aminazine, haloperidol intramuscularly) with simultaneous administration of a tabletted neuroleptic (50-100 mg of aminazine) and repeated (if necessary) injections after 1-2 hours. Such patients practically do not require fixation; which, however, should not leave the patient alone in order to avoid his impulsive and inadequate actions. A patient who is in an acute manic state requires around-the-clock special supervision from the nursing staff. Mild cases (hypomania syndrome), proceeding with the preservation of criticism to their condition, can be treated on an outpatient basis.