Excitement Study Resources

‭Excitement‬ ‭Motor excitement‬ ‭It is characterized by the playful dimension (game): the maniac is unstable, cannot sit still, he can‬ ‭move objects, go from one place to another practically non-stop.‬ ‭The physical resistance is often surprising, given the intensity of the efforts made and the energy‬ ‭expended (it seems tireless, inexhaustible)‬ ‭This excessive activity can lead him to excesses and push him into dangerous, noisy or scandalous activities.‬ ‭Instinctual excitement‬ ‭Behaviors of sexual disinhibition can be generative‬ ‭Sometimesexhibitionism, forensic acts such as contempt or indecent assault.‬ ‭Severe insomnia is seen without feeling tired. Hunger and thirst are increased but without‬ ‭weight gain.‬ ‭Diagnostic Criteria (according to DSM 5) of a manic episode:‬ ‭A‬‭clearly‬‭defined‬‭period‬‭of‬‭abnormally‬‭and‬‭persistently‬‭elevated‬‭mood‬‭or‬‭expansive‬‭or‬‭irritable‬‭mood‬ ‭and‬‭associated‬‭with‬‭an‬‭increase‬‭in‬‭goal-directed‬‭activity‬‭or‬‭an‬‭abnormal‬‭and‬‭persistent‬‭level‬‭of‬‭energy‬ ‭present‬ ‭most‬ ‭of‬ ‭the‬ ‭time‬ ‭every‬ ‭day‬ ‭for‬ ‭at‬ ‭least‬ ‭a‬ ‭week‬ ‭or‬ ‭any‬ ‭other‬ ‭duration‬ ‭if‬ ‭hospitalization‬ ‭is‬ ‭necessary‬ ‭During‬ ‭this‬ ‭period‬ ‭of‬ ‭mood‬ ‭disturbance‬ ‭and‬ ‭increased‬ ‭activity‬ ‭or‬ ‭energy‬ ‭at‬ ‭least‬ ‭3‬ ‭of‬ ‭the‬ ‭following‬ ‭symptoms (4 if the mood is only irritable).‬ ‭are present to a significant degree and represent a change from usual behavior:‬ ‭1.‬ ‭Increased self-esteem or ideas of grandeur‬ ‭2.‬ ‭Reduced need for sleep (e.g., subject feels rested after only 3 hours of sleep)‬ ‭3.‬ ‭Greater communicability than usual or desire to talk constantly‬ ‭4.‬ ‭Flight of ideas or subjective sensation that ideas are passing by‬ ‭5.‬ ‭Distractibility‬ ‭(e.g.,‬ ‭attention‬ ‭is‬ ‭too‬ ‭easily‬ ‭attracted‬ ‭by‬ ‭unimportant‬ ‭or‬‭insignificant‬‭external‬ ‭stimuli) observed or reported‬ ‭6.‬ ‭Increased‬ ‭goal-directed‬ ‭activity‬ ‭(social,‬ ‭professional,‬ ‭academic‬ ‭or‬ ‭sexual)‬ ‭or‬ ‭psychomotor‬ ‭agitation.‬ ‭7.‬ ‭Excessive‬‭engagement‬‭in‬‭activities‬‭that‬‭are‬‭pleasurable‬‭but‬‭have‬‭a‬‭high‬‭potential‬‭for‬‭harmful‬ ‭consequences‬‭(e.g.,‬‭the‬‭person‬‭engages‬‭without‬‭restraint‬‭in‬‭reckless‬‭purchases,‬‭inconsequential‬‭sexual‬ ‭behavior, or unreasonable business investments)‬ ‭are present to a significant degree and represent a change from usual behavior:‬ ‭8.‬ ‭Increased self-esteem or ideas of grandeur‬ ‭9.‬ ‭Reduced need for sleep (e.g., subject feels rested after only 3 hours of sleep)‬ ‭10.‬ ‭Greater communicability than usual or desire to talk constantly‬ ‭11.‬ ‭Flight of ideas or subjective sensation that ideas are passing by‬ ‭12.‬ ‭Distractibility‬ ‭(e.g.,‬ ‭attention‬ ‭is‬ ‭too‬ ‭easily‬ ‭attracted‬ ‭by‬ ‭unimportant‬ ‭or‬‭insignificant‬‭external‬ ‭stimuli) observed or reported‬ ‭13.‬ ‭Increased‬ ‭goal-directed‬ ‭activity‬ ‭(social,‬ ‭professional,‬ ‭academic‬ ‭or‬ ‭sexual)‬ ‭or‬ ‭psychomotor‬ ‭agitation‬ ‭14.‬ ‭Excessive‬‭engagement‬‭in‬‭activities‬‭that‬‭are‬‭pleasurable‬‭but‬‭have‬‭a‬‭high‬‭potential‬‭for‬‭harmful‬ ‭consequences‬‭(e.g.,‬‭the‬‭person‬‭engages‬‭without‬‭restraint‬‭in‬‭reckless‬‭purchases,‬‭inconsequential‬‭sexual‬ ‭behavior, or unreasonable business investments)‬ ‭(B)‬ ‭The‬ ‭mood‬ ‭disturbance‬ ‭is‬ ‭sufficiently‬ ‭severe‬ ‭to‬ ‭cause‬ ‭marked‬ ‭impairment‬ ‭in‬ ‭occupational‬‭functioning,‬‭social‬‭activities‬‭or‬‭interpersonal‬‭relationships,‬‭or‬‭to‬‭require‬‭hospitalization‬ ‭to prevent harmful consequences for the subject or others, or there are psychotic features.‬ ‭(C)‬ ‭Symptoms‬ ‭are‬ ‭not‬ ‭due‬ ‭to‬ ‭the‬ ‭direct‬ ‭physiological‬ ‭effects‬ ‭of‬ ‭a‬ ‭substance‬ ‭(e.g.,‬ ‭substance‬ ‭of‬ ‭abuse, medication, or other treatment) or a general medical condition‬ ‭NB:‬‭A‬‭manic‬‭turn‬‭induced‬‭by‬‭antidepressant‬‭treatment‬‭(drug‬‭or‬‭electroconvulsive‬‭therapy)‬‭and‬‭which‬ ‭persists‬‭at‬‭a‬‭symptomatic‬‭level‬‭exceeding‬‭the‬‭physiological‬‭effect‬‭of‬‭this‬‭treatment‬‭is‬‭sufficient‬‭proof‬ ‭of a manic episode and therefore of the diagnosis of bipolar I disorder.‬