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A 19-year-old female asked:

Does everybody who experiences mania or hypomania of bipolar disorder require very little sleep (in the period of time that they are 'up')?

2 doctor answers6 doctors weighed in
Dr. Robert Stewart
Clinical Psychology 44 years experience
Manic & hypomanic: Episodes do not always include little need for sleep. That is just one of several possible symptoms, including high energy, euphoria, impulsive behavior, unrealistic or risky ideas and plans, rapid speech & thinking. A hypomanic period may be quite productive and not recognized as a problem.
Dr. John Corwin
Dr. John Corwin commented
Psychiatry 47 years experience
in my experience decreased need for sleep is not always seen in hypomanic states but i can't think of a patient for whom it wasn't present in manic states. of all the symptoms we look at to assess presence of hypomania/mania i'd say that it's a toss up which is a more reliable one, decreased need for sleep or thoughts going faster.
May 14, 2014
Dr. Daryl Tanski
Specializes in Psychiatry
Sleep and mood: Decreased need for sleep is a common but not a diagnostically required symptom of either a hypo manic or manic episode.

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Last updated Jun 19, 2018

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