Depression vs mania

As human beings we all experience a wide range of emotions and feelings. How we are feeling at any one time is often called our mood . Two important sets of emotions are those to do with feeling sad and 'down', and those to do with feeling very positive or 'high'.

It is only when these emotions are severe and impairing someone's functioning that there may be a 'mood disorder' or illness present.

The following table compares depression and mania.

Energy Levels
Mania
Depression

Increased energy
Activity and projects increased
Spend more money

Loss of energy
Activity and interest decreased

Changes in Sleep Pattern
Mania
Depression

Decreased need for sleep - but not feel tired.

Disrupted sleep patterns: trouble getting off to sleep or waking in the middle of the night, or waking too early. Sometimes hypersomnia (oversleeping).

Thoughts and Feelings
Mania
Depression

Feel good, high exhilarated.
Think yourself chosen, special, gifted, entitled
Libido increased.
Thinking speeds up, disorganised, a flood of ideas.

Feel down, low, empty, worthless.
Think yourself useless, a burden, the cause of all your problems.
Libido decreased.
Thinking, concentration, decision making impaired.

Speech and Sensations
Mania
Depression

Speech can be pressured (not enough time to convey the flow of ideas), garrulous, inappropriate.
Perception and sensation heightened, in the more severe cases, the experience has an underlying level of agitation.

In melancholic depression speech can be slowed down, there is poverty of ideas, impaired concentration and a lack of interest and pleasure.
Perception and sensation dull. In some cases certain senses such as taste and smell can be abnormally heightened.

Delusions, Hallucinations
Mania
Depression

In severe cases there are grandiose delusions, e.g. the person believes they are God, or that they have a plan that can save the world.

In severe cases of depression there can be 'nihilistic' delusions, e.g. believing that their body is rotting.

Depression explained

Bipolar disorder explained

Getting help