OverviewMania 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 wikipedia; the definitive printed reference is the DSM-5 manual, which is not freely available online.
It is outside Dr. Weyrich's scope to prescribe anti-psychotic drugs to treat mania, but Dr. Weyrich can provide adjunctive therapies that may be very beneficial, and allow the doctors prescribing anti-psycotics to minimize the doses (and side effects).
Mania may be benefited by balancing neurotransmitter and sulfur-containing amino acid levels in the body, particularly serotonin, dopamine, and cysteine, through targeted nutrition guided by lab testing [Hinz2015] . Dr. Weyrich has been trained in the Neuro-Research protocols and offers these nutritional protocols as a complement to other therapies.
In addition, Neuro-feedback may also be useful for treating persons prone to mania. Neuro-feedback is a form of biofeedback based on using Quantitative Electro-encephalography (QEEG) to obtain a "brain-map" of the patient, which is then compared to a database of "normal" brain-maps of age-and-gender-matched individuals. Neuro-feedback techniques are then used to teach the patient how to "restructure" the activity of his/her own brain to match the corresponding normative database brain-maps. Dr. Weyrich has been certified in Neuro-feedback since 2008, and recently completed an additional residency training program at ADD Clinic of Scottsdale, AZ.
Note that brain-mapping, neuro-feedback, nutritional supplements and testing are not covered by most insurance policies, but may be eligible for payment out of Health Care Savings Accounts.
However, 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 circumatances, balancing neurotransmitters and neuro-feedback techniques may be difficult to implement.
EtiologyThe cause of mania is poorly understood, but some practioners have noted an association between hypothyroidism, adrenal insufficiency, and mania; treatment of these disorders appears to also benefit mania [Zondek1944b; Starr2005, pg 124].
- Bipolar Disorder
- Mania may or may not have psychotic symptoms.
- Mania may be mis-diagnosed when the underlying disorder is actually bipolar or cyclothymia, if only manic states have been observed.
- Adrenal Insufficiency or Fatigue
- Vitamin B12 deficiency [stuart2006].
- Drug intoxication, e.g. cocaine or methamphetamine abuse, or side effects of SSRIs
- F30.10 Manic episode without psychotic symptoms, unspecified
- F30.11 Manic episode without psychotic symptoms, mild
- F30.12 Manic episode without psychotic symptoms, moderate
- F30.13 Manic episode, severe, without psychotic symptoms
- F30.2 Manic episode, severe with psychotic symptoms
- F30.3 Manic episode in partial remission
- F30.4 Manic episode in full remission
- F30.8 Manic episode, other
- F30.9 Manic episode, unspecified