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Thursday, February 18, 2010

Quick Revision 2 - Manic Symptoms

If you are referring the First Aid book (for Psychiatry), you will find the easy to remember mnemonic for the manic symptoms i.e. "DIGFAST". But sometimes it's not good for us to rely heavily on mnemonic as most of us may have the tendency only to remember the mnemonic and forgot what the mnemonic is all about. Anyway, there is no harm in doing so. Just make sure to recall what's the points behind those mnemonics from time to time. Here goes:

D - Distractability
I - Irritability
G - Grandiosity
F - Flights of Idea
A - Activity/Agitation
S - Speech (pressured)
T - Thoughtlessness

Abnormal and persistently elevated or irritable mood together with at least 3 of the aforementioned symptoms (4 if the mood is irritable) lasting for at least one week.

Additional note:
1) Mania may present with psychotic features.
2) Hypomania - last at least 4 days, with no marked impairment in social or occupational functioning thus does not require hospitalization. Hypomania does not have psychotic features.

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