By E. Fuller Torrey M.D., Michael B. Knable D.O.
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Extra info for Surviving Manic Depression: A Manual on Bipolar Disorder for Patients, Families and Providers
This equality of gender for manic-depressive illness stands in contrast to the female predominance for episodes of depression alone; the reason for the sex difference is not understood, however. Somewhat more is known about the geographical distribution of manic-depressive illness in the United States. 0 percent in St. 4 percent in Durham. 13 Another geographical difference in the distribution of manic-depressive illness in the United States—the urban-rural contrast—will be discussed in Chapter 5.
Its costs to individuals and their families are incalculable. Its costs to federal, state, and local governments, which can be calculated, are exceedingly high. Moreover, these costs appear to be increasing rapidly. 2 THE INNER WORLD: MANIA AND DEPRESSION FROM THE INSIDE Retaining his original sensibility he gives himself up to all the extravagances of maniacal fury, or sinks inexpressibly miserable into the lowest depths of despondence and melancholy. If the former, he resembles in ferocity the tyger, and meditates destruction and revenge.
6 Many books speak of hypomania and mania as if they are two distinct states, but of course they are merely two points on a spectrum of euphoria; an individual may shift up and down this spectrum from day to day, hour to hour, or even minute to minute. One of the most important aspects of euphoric mood in mania is the degree to which it includes an enhancement of the senses. ” Lights were “deeper, more intense. . ” Smell and taste were also enhanced: I have often in manic states eaten ordinary cabbage leaves or new Brussels sprouts picked straight off the plants with such relish that they appeared to me the greatest delicacies—a kind of manna from Heaven.