Mania is an extreme of positive emotion, which does not match the manic person’s background situation. The positivity and optimism is a façade that is usually put up to mask some hidden trauma or setback. It is psychodynamically best-explained s a compensatory mechanism for combatting disappointment. The conscious mind fails to accept the loss and tries to restitute it by expressing a disguised emotion that is diametrically opposite to the real mindful one. And this façade constitutes the disorder that needs to be managed.

Euphoric mania involves a positive mood, excessive talking, rapid and uncontrollable thoughts, and a feeling of superiority, with disregard for others. People in a manic state may believe that they are endowed with supernatural powers, they are the saviors of the world, have extraordinary contacts with reputed people, and are in control of the universe. Their optimism seems bizarre without doubt. Their behavior may become so disruptive that they usually get hospitalized within the first few days of their manic episode.

Dysphoric mania on the other hand is a condition wherein feelings of superiority, excessive talking, and thoughts persist, but mood becomes pervasively irritable. Dysphoric manics are troublesome to have around and cause significant amount of commotion in the household, neighborhood or their workplace. They are commanding and demanding, and they use physical and emotional force to get their way through.

Mania is attributable to genetic factors that lead to chemical changes in the brain. It has also been associated with traits of inferiority, which the individual’s depressed psyche tends to overcorrect by grandiosity. In genetically primed individuals, negative life events may bring about depression or mania. The high of mania in 100% of cases alternates with lows of depression, which is then commonly known as bipolar disorder.

Bipolar is distressing and upsets the socio-occupational setup of the person. Both phases; depression in which one feels low and in the dumps; as well as mania, wherein one can become unreasonable and disruptive; are tormenting because in both, the person cannot function with rationality and reason. Disability associated with bipolar disorder is very high. Management of bipolar disorder is predominantly medical with judicious use of mood stabilizers to prevent swinging of moods. The productivity in the interim period is usual and the person can lead an absolutely normal life. We use psychotherapy to deal with mood swings and maintain the tempo of life as normal as possible. Such patients have a good prognosis and must get the treatment they truly deserve.