Affective insanity

Affective insanity

Circular psychosis is a periodically occurring psychosis, manifested by attacks (phases) of mania or depression.

The manic phase is characterized by emotional and intellectual upsurge. Patients experience an unusual surge of energy; they are typically characterized by revival, activity, activity, acceleration of thinking and associations, decreased sleep, and lack of feeling tired.

With a mild degree of mania, patients are sociable, cheerful, witty, and show excessive initiative and enterprise. As mania increases, the patient becomes fussy, unable to complete thoughts and actions. Elevated mood is combined with irritability.

The depressive phase is characterized by emotional and intellectual decline, motor retardation. Patients experience causeless melancholy, performance is reduced, sleep and appetite are disturbed.

Typically, the phases alternate, with depressive phases becoming more frequent with age. Timely initiation of treatment is important; in severe cases, hospitalization is required.

The depressive phase is dangerous with the possibility of suicide. The manic phase can be regarded by the patient as “feeling good”, so the attention of loved ones is required.

Treatment is effective, but monitoring of medications and diet is necessary. Alcohol is strictly contraindicated.