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The manic episodes are
characterized by elevated or irritable mood, increased energy, decreased need for sleep, poor judgment and insight, and often reckless or irresponsible behavior. In some cases, an individual may experience more episodes of mania and depression that succeed each other without a period of remission. When both manic and depressive symptoms are concurrent, it is called a mixed episode or rapid cycling. Up to 50% of all patients with mania have a mixture of depressed moods and anxiety. Patients report feeling depressed, and unhappy; yet, they exhibit the energy associated with mania...
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