Manic Episode Symptoms Psychotherapy

Manic Episode Symptoms Psychotherapy

Manic Episode Symptoms Psychotherapy

Manic Episode Symptoms Psychotherapy 720 405 Paterakis Michalis
Estimated reading time: 2 minutes

Manic Episode Symptoms Psychotherapy

  1. Inflated self-esteem or sense of grandeur
  2. Reduced need for sleep
  3. Greater talkativeness than usual or pressure to keep talking
  4. Flight of ideas or a subjective feeling that thoughts are racing
  5. Distraction
  6. Increase in goal-directed activity
  7. Excessive involvement in pleasurable activities that have a high potential for painful consequences



Inflated self-esteem is essentially a piece of grandeur as seen in manic patients. There are many denials there. No one accepts that they don’t feel good about themselves. One does not feel that he has low self-esteem. He doesn’t want to admit that he feels betrayed in relationships. He doesn’t want to see the losses, he doesn’t want to accept the rejections. This is how the opposite is born: I reject others, I am big, I have self-esteem, I betray no one. While within him are the opposites. The maniac refuses. He denies his inner life. He denies his true feelings. And when you deny something, to cover it up you change it to its opposite. Rage becomes an exaggerated expression of love, murderous feelings become an exaggerated sense of caring for others. But these concern him himself. He doesn’t really love or care. It’s just how he vents his hatred.


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So the others don’t care either. So one can say “but I took care of my children, I gave them my life, I did everything for them, why do they treat me like this”, that is, they have complaints, but the complaints that others have are correct. Denial is a big problem because it doesn’t let you know how you feel. And you may want to give love but in the end you don’t. You are looking at yourself. The maniac demonstrates that he is not a narcissist while at the base he has many narcissistic wounds so he has to take care of them.

But when you have such wounds you ask for attention from others, you cannot take care of them yourself. The care you are supposed to give is a way to get noticed. So relationships get confused, they are not real, problems are created that are recycled and life is lost in the vicious circle of repetition. In therapy that is long-term and there is a commitment to work to find the real feelings, there can be work done to make the person understand what has happened. To find the denials over time and to discover the painful feelings that were repressed and repressed but which today create problems and symptoms. One does not have to be symptomatic to seek treatment, although people decide to seek treatment mostly when the problem is unbearable.


*republication of the article is prohibited without the written permission of the author

See also: Depression – What Is It?

The process of psychotherapy requires commitment, dedication and is addressed only to those who seriously see that they need to change their lives. If you are thinking of starting this journey, call me at 211 71 51 801 to make an appointment and see together how I can help you.

Mixalis Paterakis
Psychologist Psychotherapist
I accept by appointment
Karneadou 37 Kolonaki
Tel: 211 71 51 801

    Πατεράκης Μιχάλης
    Ψυχολόγος Αθήνα


      Psychologist Athens