Manic episode

Question 1

Definition of manic episode

Answer 1

Elevated or irritated mood with at least three of the following characteristic behaviors:
i. Grandiosity
ii. Decreased need for sleep
iii. Talkativeness
iv. Flight of ideas
v. Distractibility
vi. Increased activity
vii. Excessive involvement in pleasurable activities with disregard for consequences

Question 2

Impact on function

Answer 2

a. Judgment is poor, and clients tend to engage in acting-out behaviors.

b. Impulsiveness and grandiosity interfere with vocational and social activities.

c. Hyperactivity is present and impairs functioning during episodes.

Question 3

OT Tx plan

Answer 3

• Monitor behavior changes, and provide a structured environment to help clients manage
  behavior.
• Help clients focus and set limits to contain manic impulses.
• Assist clients in coping with the possibility of chronic illness by learning signs of impending
  episodes.
• Help clients alter their lifestyle, monitor their symptoms, and involve family members.
• Do not engage in arguments.
• Ignore comments about inflated behaviors and superior skills; encourage client to reengage
  in task.
• Allow autonomy as much as possible.
• Redirect energies to perform physical activities.
• Offer simple, structured tasks

1. Improve self-esteem and increase motivation.
2. Provide opportunities for self-expression.
3. Provide outlets for different emotions.
4. Provide opportunities to focus on values, beliefs, spirituality, and emotional regulation