Does anyone have a good screening question for mania?

[prominence]

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When doing psychiatric review of symptoms, what's your screening mania question?

 

[MDhasbeen]

so, how often do you do crack?

 

[Doc Samson]

I don't think there's one good screening question - you have to run through the criteria. DIGFAST is the mnemonic I use:

Distractability
Indiscretion
Grandiosity
Flight of ideas
Activities increased
Sleep decreased
Talkative

Another mnemonic I'm aware of is DeTer the HIGH

Distractability
Talkative
Reckless behavior
Hyposomnia
Ideas that race
Grandiosity
Hypersexuality

 

[whopper]

Use a YMRS.

www.atlantapsychiatry.com/forms/ymrs.pdf

 

[Therapist4Chnge]

I'll always remember what my prof said about mania.....A manic episode is like having an orgasm....you KNOW when you've had one.

😉

-t

 

[Demosthenes]

Use a YMRS.

www.atlantapsychiatry.com/forms/ymrs.pdf

Well, dang! If sarcasm is a sign of mania, I'm in big trouble...🙄

 

[Dramkinola]

Have you ever had periods of times when you were the opposite of depressed?
Intro question to lead into specific questions... if a person has had an all-out manic episode in the past, they'll know what you're talking about.

 

[PsyKardinal]

I start my questioning off with "Have you a need for a decreased amount of sleep, an increased sex drive, and have you felt exceptionally cheerful/happy in last few weeks?"

Then I probe further if I get a positive answer or a wishy washy answer.

 

[Demosthenes]

You know, I posted a joking response, but forgot to post the question line I use: "How are you sleeping?" It may not be great, but that "reduced need for sleep" often suggests whether or not to r/o bipolar. I mostly deal with people who have anxiety problems, which can look a lot like mania sometimes. If they say they're not sleeping, "but I don't seem to need it," that tells me to do a little more prodding. If they say they're not sleeping and can barely function, we can move on...

Not great, but sometimes somewhat suggestive...