goal-directed activity or physical agitation; and excessive involvement in risky behaviors or activities (e.g. unwise spending sprees, reckless driving, sexual affairs).
             (March 30,2002, http://www.nimh.nih.gov/publicat/bipolarrestfact.cfm)
             "Mixed" state is where symptoms of mania and depression are present at the same time. The symptom picture frequently includes agitation, trouble sleeping, significant change in appetite, psychosis, and suicidal thinking. Depressed mood accompanies manic activation.
             (March 30, 2002, http://www.nimh.nih.gov/publicat/bipolarrestfact.cfm) Sometimes severe mania or depression is accompanied by periods of psychosis. Psychotic symptoms include hallucinations (hearing, seeing or otherwise sensing the presence of stimuli that is not there) and delusions (false fixed beliefs that are not subject to reason or contradictory evidence and are not explained by a person's usual cultural concepts). Psychotic symptoms associated with bipolar disorder typically reflect the extreme mood state at the time (e.g., grandiosity during mania, worthlessness during a depression).
             (March 30, 2002, http://www.nimh.nih.gov/publicat/bipolarrestfact.cfm)
             There are three different diagnoses of bipolar disorder. They are bipolar I, bipolar II and cyclothymia. Bi-polar I is based on a person having at least one period of mania. Bi-polar II is based on having at least one hypomania experience that does not escalate to a manic episode. Cyclothymic disorder is the mildest diagnosis and is where a person, over the course of two years, cycles between hypomania and mild depression but does not escalate to the severe states of mania or depression. Bi-
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