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Doctor insights on: Mania Vs Anxiety

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Is it possible to have anxiety attacks during mania?

Is it possible to have anxiety attacks during mania?

Yes: The new diagnostic manual for psychiatrists the dsm-v acknowledges that panic attacks can accompany several mental illnesses in a way that should be considered simultaneously and can be a specifier for a more severe and complex variety of illness. The reason this is significant is because previously in dsm-iv it was less clear which symptoms were severe mental illness or a separate panic disorder. Read more

Dr. Heidi Fowler
3,267 Doctors shared insights

Anxiety (Definition)

Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more


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Anxiety with racing thoughts, speech excited, is it like a form of mania?

Anxiety with racing thoughts, speech excited, is it like a form of mania?

Possibly: There are many factors that would need be considered to determine whether this is a manic episode. Mania is characterized by inflated self-esteem or grandiosity, decreased need for sleep, pressured speech or talkativeness, racing thoughts, distractibility, increased pursuit of goals, and excessive involvement in foolish activities. Anxiety can also be associated with unusual thoughts or speech. Read more

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What to do if I have depression add anxiety and hypo mania. What are the chances my kids will have these?

What to do if I have depression add anxiety and hypo mania. What are the chances my kids will have these?

15-20%: Studies have show that there is a strong genetic component to mood and anxiety disorders. Most studies show that the chances of passing ether to your child is approximately 15-20%. Read more

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I have been diagnosed with pstd and borderline mania, depression, and anxiety. I am wanting to know what would be the best medicine for me to take?

I have been diagnosed with pstd and borderline mania, depression, and anxiety. I am wanting to know what would be the best medicine for me to take?

Complicated.: This is a complicated question. As you recognize you have four separate diagnoses: PTSD / depression / mania / anxiety. The meds that treat these overlap quite a bit and the selection of meds will depend upon which of these is really driving your symptoms. Best med or (probably) combo of meds will not be the same for everyone and will have to take into account all kinds of factors. Read more

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Withdrawed from geodon (ziprasidone) feel weak and full of anxiety....Plus lots of mania what should I do?

Withdrawed from geodon (ziprasidone) feel weak and full of anxiety....Plus lots of mania what should I do?

Geodon (ziprasidone): Talk to your doctor about mood stabilizers and alternative anti-manic medicationif helsinki was not replaced with another psychotropic med. Read more

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Can Lexapro (escitalopram) trigger mania, or depression, or anger issues, anxiety?

Can Lexapro (escitalopram) trigger mania, or depression, or anger issues, anxiety?

Yes: There are two relatively common things that can happen. Any medication like Lexapro (escitalopram) (a serotonin antidepressant) may cause a couple of days of increased insomnia, anxiety and agitation. As you suggested, less often, Lexapro (escitalopram) can "trigger" a mood cycle into mania or mixed state (agitated depression). Read more

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I'm suffering badly with mental health problems. Having panic attacks and anxiety Prozac (fluoxetine) makes me go into a state of mania. Bi polar? Borderline?

I'm suffering badly with mental health problems. Having panic attacks and anxiety Prozac (fluoxetine) makes me go into a state of mania. Bi polar? Borderline?

Maybe bipolar: Selective seratonin reuptake inhibitors like Prozac (fluoxetine) can trigger mania in those with bipolar disorder, however, you will need to see a psychiatrist or psychologist for a definitive diagnosis. Read more

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How does seroquel (quetiapine) work? It helps with mania, but what about the anxiety, depression and other symptoms of bipolar?

How does seroquel (quetiapine) work? It helps with mania, but what about the anxiety, depression and other symptoms of bipolar?

HELPS: With an expert diagnosis of bipolar, antipsychotic medications help but mediactions must be monitored and sometimes changed to prevent recurrance of symptoms. Psychotherapy will also help, but recurrance is to be expected and treated quickly. Read more

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How do a manic phase and an anxiety attack differ?

How do a manic phase and an anxiety attack differ?

Different: This is not my area of expertise, and a mental health professional is the one to consult with; however you have been waiting a while for an answer. Manic phase seems to indicate a manifestation of bipolar depression, while a panic attack or anxiety are a different problem altogether. Bipolar is a diagnosis that used to be called manic depression, but is just one component of disorder. Good luck! Read more

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I used to take all type of medicine for my manic episodes and anxiety attacks, until I met my boyfriend, who makes me nothing but happy. What are the chances of the anxiety and episodes coming back?

I used to take all type of medicine for my manic episodes and anxiety attacks, until I met my boyfriend, who makes me nothing but happy. What are the chances of the anxiety and episodes coming back?

Unstable situation: If you truly have bipolar disorder, your chances of further episodes are very high without mood stabilizing medications. Also, tying your own health to the presence of any one person in your life is an unstable situation for you overall. Your relationship with your boyfriend may be fine now, but what happens if you've made him your sole "medicine" for anxiety/mania and you break up or he leaves? Read more

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I'm taking trazodone 50mg that I upped from 25mg after 1 day. I exp. A manic episode @ work today. Is Zoloft (sertraline) better for insomnia, deprsion & anxiety?

I'm taking trazodone 50mg that I upped from 25mg after 1 day. I exp. A manic episode @ work today. Is Zoloft (sertraline) better for insomnia, deprsion & anxiety?

Talk to doctor: You're also taking Brintellix, an antidepressant which can interact with Trazodone to boost serotonin in the brain. Meds and whatever you're calling a "manic episode" should be reviewed with prescribing doctor. Please don't make any changes on your own. Be sure to have regular appointments with prescriber or consider a psychiatrist. You're situation is complicated and requires careful monitoring. Read more

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Is it normal during PMS to cycle from "manic" where I get a lot done and have insomnia and strong lethargy with anxiety, panic, and migraines?

Is it normal during PMS to cycle from "manic" where I get a lot done and have insomnia and strong lethargy with anxiety, panic, and migraines?

Intensity of "cycle": What you're describing sounds more intense than typical pms symptoms. Pms can have variation of energy plus also sometimes migraines. The other symptoms are not typical. I encourage you to have an evaluation with a psychiatrist about these issues. They could represent a more serious mood disorder that needs treatment. Good luck. Read more

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I have been diagnosed with anxiety disorder, manic depression, & ptsd. Should l be very alarmed or afraid because my mood changes really quickly?

I have been diagnosed with anxiety disorder, manic depression, & ptsd. Should l be very alarmed or afraid because my mood changes really quickly?

Well, all 3 of these: Disorders can impact your mood. See that you are on only atnidepressant medications. While these antidepressants are likely to help with anxiety/ ptsd- they may cause problems with your bipolar disorder. When faced with this situation, I usually try to have the person stabilized on either mood stabilizers or atypical antipsychotic medications before adding in an antidepressant. Are you being. Read more

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I'm on 2mg Xanax (alprazolam) tid, 95mg Methadone, 60mg Cymbalta. I have manic depression since my husbands death 2 years ago already had anxiety issues & on Xanax (alprazolam)?

I'm on 2mg Xanax (alprazolam) tid, 95mg Methadone, 60mg Cymbalta. I have manic depression since my husbands death 2 years ago already had anxiety issues & on Xanax (alprazolam)?

What is the question: What is your question. Apparently you are under care of a psychiatrist and are on large dose of Xanax (alprazolam) and history of narcotic drug addiction as you are on methadone. Consult your doctors who are treating you about any concern you may have. Read more

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How can I keep my manic episodes (bipolar i) or anxiety attacks under control without medication if they come back? I hate meds and the side effects.

How can I keep my manic episodes (bipolar i) or anxiety attacks under control without medication if they come back? I hate meds and the side effects.

Challenging: Unfortunately risk of recurrence for bipolar disorder is high without continued treatment. Other considerations include healthy diet, good sleep habits, exercise, avoidance of alcohol and substance use and certain neutraceuticals such as omega 3 fatty acids. Be mindful that course of illness for bipolar disorder tends to worsen with recurrent episodes. Read more

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Can manic/paranoid episodes be induced by supplements taken for depression/anxiety, like st. John's wort and vitamin b complex?

Can manic/paranoid episodes be induced by supplements taken for depression/anxiety, like st. John's wort and vitamin b complex?

NO: But they can increase those symptoms in the primary stage of treatment if that is what they are being used for. Persist with them and the symptoms may well improve. Read more

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Haven't had period in apx3-4 month more irritable and agitated over everything, what is going on? Suffer severe manic depression anxiety and schizo

Haven't had period in apx3-4 month more irritable and agitated over everything, what is going on? Suffer severe manic depression anxiety and schizo

Once you hit the: 3 month mark with absence of period - it is best to get evaluated by your gynecologist. Please let your psychiatrist know right away that you are a lot more symptomatic. Your medications may need to be titrated. If you aren't in talking therapy recommend that. Acupuncture can be very helpful in reducing that irritability. I am a psychiatrist and I use acupuncture successfully in this setting. Read more

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I've depression + manic episodes postnatal depression generalised anxiety which meds best fluoxetine quetipine olanzapine or mirtazapine?

I've depression + manic episodes postnatal depression generalised anxiety which meds best fluoxetine quetipine olanzapine or mirtazapine?

PostNatal Depression: Because patients' responses to these drugs, singly or in combination, are varied and dependent on each patient's specific condition, it is best to defer to your managing physician who will monitor your condition and response to treatment closely and titrate the doses of these drugs accordingly for optimum effect. Good luck! Read more

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Lookng for a new family doctor I am looking for a dr that can help with all needs medical and mental. I suffer from maligant hypertension as well as depression, adult ADHD and bi polar mania and anxeity. I am currently under meds, lisipril. Norvasc hctz,

Lookng for a new family doctor I am looking for a dr that can help with all needs medical and mental. I suffer from maligant hypertension as well as depression, adult ADHD and bi polar mania and anxeity. I am currently under meds, lisipril. Norvasc hctz,

Multidisciplinary: With medications for cardiac issues, and what are descrribed as three psychiatric conditions it would normally be well advised to have multidisciplinary treatment - psychiatry, cardiology and clinical psychology in addition to a primary care physician. These conditions can require close follow up and a lot can happen between routing pcp visits that should be monitored. Read more

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Dr. John Moranville
165 Doctors shared insights

Mania (Definition)

Mania is a symptom of a bipolar illness. This condition is most commonly characterized by having an abnormally elevated mood, along with such other symptoms as an excess of energy, extravagant behavior, rapid speech, ...Read more