Refers to the "two poles" of the continuum of mood with alternating periods or cycles ofmania (highs) and depression (lows) as described previously.

Common symptoms of mania:

• Persistently high or irritable.

• Decreased need for sleep.

• Appetite disturbance.• Excessive spending.• Reckless and impulsive behaviour.• Inflated ideas about what you are capable of doing – grandiose thoughts.• Delusional and psychotic thinking.• Hyper sexuality• Heightened senses to colour, noise, and smell• Accelerated thoughts and speech.