A 26-year-old female asked:
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does everybody who experiences mania or hypomania of bipolar disorder require very little sleep (in the period of time that they are 'up')?

1 doctor answer
Dr. Robert Stewart
43 years experience Clinical Psychology
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.
Answered on May 14, 2014
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Dr. John Corwin
Dr. John Corwin commented
46 years experience Psychiatry
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

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