MANIAKAL SYNDROME ( synonym : mania) - high mood with motor fussy excitement, distraction and carefree gaiety. Manic patients are agitated, eloquent and hyperactive, sometimes ridiculously and brightly dressed. The behavior is usually disorganized, and the use of force is required to deter the patient from committing inappropriate acts. In the manic state, the bolmys experience a feeling of vivacity, a surge of energy, a feeling of physical strength, health and cease to perceive the painful sensations that really existed and bothered them before. Increased motor activity is manifested in restlessness, interference in the affairs of medical personnel, and evasion of medical care. Quick speech passes and speech confusion, delusional ideas of greatness appear. The main sign of mania is a violation of behavior in the absence of criticism of one’s condition. To ask the patient questions that would help to find out the reason for the increased mood does not make sense. Attempts to explain to the patient the inappropriateness of his behavior, which can only cause irritation and hostility to the doctor, are also futile. In such cases, it is advisable to provide emergency psychiatric care and, having called a psychiatrist consultant, 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 commonly - organic brain lesions.
The manic state is stopped by antipsychotics (chlorpromazole, intramuscular injection of haloperidol ) with the simultaneous administration of a tablet antipsychotic (50-100 mg of chlorpromazine) and repeated (if necessary) injections after 1-2 hours. Such patients practically do not require fixation, they only need a listener and an interlocutor, 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 special round-the-clock supervision by the nursing staff. Mild cases (hypomanic syndrome), proceeding while maintaining criticism of their condition, can be treated on an outpatient basis.