It is a mental health disorder.
It is frequently found in combination with depression.
Familial tendency.
Age (usually appears before age 30).
Enthusiasm.
Irritability.
Little sleep required.
Hyperactivity.
Manipulativeness.
Talkativeness.
Delusions of grandeur.
Loss of weight.
Flight of ideas.
Given to impractical schemes.
Poor personal hygiene.
Unrealistic attitude in financial and legal matters.
Reduce stimulation.
Limit alcohol.
Be honest and consistent.
Encourage adequate nutrition.
Offer finger foods to increase ease of eating.
Offer high-calorie, nutritious foods. (Provide "Daily Food Guide" and "Increased Calories" handouts.)
Offer foods frequently.
Provide a balance between rest and activity.
Avoid competitive games.
Watch closely to prevent client from injuring himself or herself.
Define acceptable behaviors to client.
Continue medication and counseling as instructed.
Have self-help resources available:
National Alliance for the Mentally Ill (703-524-7600).
National Self-Help Clearinghouse (212-840-7606).
Have therapist's number or clinic number close to the phone.