full-blown manic mood episode Mood is elevated out of keeping with the patient's circumstances and may vary from carefree joviality to almost uncontrollable excitement. Elation is accompanied by increased energy, resulting in overactivity, pressure of speech, and a decreased need for sleep. Attention cannot be sustained, and there is often marked distractibility. Self-esteem is often inflated with grandiose ideas and overconfidence. Loss of normal social inhibitions may result in behaviour that is reckless, foolhardy, or inappropriate to the circumstances, and out of character. [ICD-10] F30.1 (mania without psychotic symptoms), F30.2 (mania with psychotic symptoms) [ICD-10] manic episode [ICD-10] hypomanic mood episode depressed mood episode pathological mental process