An episode of full-blown mania lasts at least seven days. During a manic episode, you may:
- Talk rapidly, frequently switching topics
- Need little to no sleep
- Feel energetic despite lacking sleep
- Have uncontrollable racing thoughts
- Stay constantly active
- Engage in risky behaviors (spending sprees, drinking while driving)
You could also have hallucinations or delusions during a manic episode.
When your mood swings to major depression, you may:
- Feel sad, worthless, and hopeless
- Lose interest in activities you enjoy
- Withdraw from family and friends
- Sleep more or less than usual
- Eat more or less than usual
- Struggle to make decisions
- Feel anxious or restless
- Think about suicide
Many people have physical symptoms when they’re depressed, such as headaches and muscle or joint pain.