Overview

Mania is a mental illness characterized by an excessively elated mental state and hyperactivity that is out of proportion to reality. In this state, common sense inhibitions may be lost and excessive risk-taking behavior may be manifest. Depending on severity of symptoms, mania may be classified as psychotic or nonpsychotic (hypomania).

A useful online overview can be found at Go to WikipediaWikipedia; the definitive printed reference is the DSM-5 manual, which is not freely available online.

It is outside Dr. Weyrich's scope to prescribe antipsychotic drugs to treat mania, but Dr. Weyrich can provide adjunctive therapies that may be very beneficial, and allow the doctors prescribing antipsychotics to minimize the doses (and side effects).

Please see conventional, complimentary and alternative medical treatments for important background information regarding the different types of medical treatments discussed on this page. Naturopathic, Complimentary and Alternative treatments that may be considered include:


Etiology

The cause of mania is poorly understood, but some practitioners have noted an association between hypothyroidism, adrenal insufficiency, and mania; treatment of these disorders appears to also benefit mania [Zondek1944a], [Starr2005, pg 124].

Differential Diagnosis

  • Mania may or may not have psychotic symptoms.
  • Mania may be misdiagnosed when the underlying disorder is actually bipolar or cyclothymia, if only manic states have been observed.
  • Vitamin B12 deficiency [Pacholok2011].
  • Drug intoxication, e.g. cocaine or methamphetamine abuse, or side effects of SSRIs

Treatment

The greatest impediment to treatment of mania is that the patient is often uncooperative and unwilling to be treated. Psychotic mania is often treated either as an in-patient or as a court-ordered supervised out-patient. Under these circumstances, balancing neurotransmitters and neurofeedback techniques may be difficult to implement.

Naturopathic, Complimentary and Alternative Treatments

Neurofeedback

Neurofeedback may be useful for treating persons prone to mania. Dr. Weyrich has been certified in neurofeedback since 2008, and more recently completed an additional residency training program at ADD Clinic of Scottsdale, AZ. However, Dr. Weyrich has not treated any cases of mania with this technique.

Please see What is Neurofeedback? for more information.

Neurotransmitter Balancing

Neuro Research [Hinz2015] reports that Mania can be benefited by balancing neurotransmitter levels in the body.

Dr. Weyrich has been trained in neurotransmitter balancing protocols, but has not treated Mania using this technique.

Please see What is Neurotransmitter Balancing? for more information.


ICD-10


References