• paranoia
  • restlessness
  • irritability
  • racing thoughts
  • slowness
  • loss of interest or pleasure in activities
  • feelings of deep sadness, emptiness, or hopelessness
  • feelings of worthlessness or excessive / inappropriate guilt
  • excessive sleepiness or insomnia
  • disrupted circadian rhythm
  • loss of appetite
  • delusions of grandeur
  • reckless behavior
  • impaired decision making
  • excessive involvement in activities that have a high potential for painful consequences
  • unexplained or uncontrollable crying
  • rapid cycling between states
  • recurrent thoughts of death
  • suicidal thoughts or tendencies