- 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