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How Strong Are Your Manic Symptoms?

How Strong are Your Manic Symptoms?Tracking symptoms is an important part of bipolar disorder. When patients take note of mood or behavior changes on a regular basis, it’s easier for psychiatric professionals to gauge whether current treatment is effective or should be changed. The problem is that rating symptoms can be largely subjective. Mania is especially difficult to grasp for people with bipolar disorder and they often question whether or not they are actually having a manic episode. Thankfully, there is a test that professionals and researchers use to determine the level of manic symptoms- the Young Mania Rating Scale.

Developed by R.C. Young, J.T. Biggs, V.E. Ziegler and D.A. Meyer, in the Young Mania Rating Scale, patients and/or professionals rate behavior and mood from the previous 48 hours. The following test covers 11 areas of manic symptoms, rating responses from either 0 to 4 or 0 to 8, with the score determining where on the scale a patient’s symptoms lie.

1 Elevated Mood
0 Absent
1 Mildly or possibly increased
2 Definite subjective elevation, optimistic, self-confident, cheerful; appropriate to content
3 Elevated, inappropriate to content humorous
4 Euphoric, inappropriate laughter, singing

2 Increased Motor Activity/Energy
0 Absent
1 Subjectively increased
2 Animated; gestures increased
3 Excessive energy; hyperactive at times; restless (can be calmed)
4 Motor excitement; continuous hyperactivity (cannot be calmed)

3 Sexual Interest
0 Normal; not increased
1 Mildly or possibly increased
2 Definite subjective increase
3 Spontaneous sexual content; elaborates on sexual matters; hypersexual
4 Overt sexual acts

4 Sleep
0 No decrease in sleep
1 Sleeping less than normal amount by up to one hour
2 Sleeping less than normal by more than one hour
3 Decreased need for sleep
4 No need for sleep at all

5 Irritability
0 Absent
2 Subjectively increased
4 Irritable at times; recent episodes of anger or annoyance
6 Frequently irritable; short, curt
8 Hostile, uncooperative

6 Speech (Rate and Amount)
0 No increase
2 Feels talkative
4 Increased rate or amount at times, verbose at times
6 Push; consistently increased rate and amount
8 Pressured; uninterruptible, continuous speech

7 Language/Thought Disorder
0 Absent
1 Circumstantial; mild distractibility; quick thoughts
2 Distractible, loses goal of thought; changes topics frequently; racing thoughts
3 Flight of ideas; tangentiality; difficult to follow; rhyming, echolalia
4 Incoherent; communication impossible

8 Content
0 Normal
2 Questionable plans, new interests
4 Special project(s); hyper-religious
6 Grandiose or paranoid ideas; ideas of reference
8 Delusions; hallucinations

9 Disruptive or Aggressive Behavior
0 Absent
2 Sarcastic; loud at times, guarded
4 Demanding
6 Threats, shouting
8 Assaultive; destructive

10 Appearance
0 Appropriate dress and grooming
1 Minimally unkempt
2 Poorly groomed; moderately disheveled; overdressed
3 Disheveled; partly clothed; garish make-up
4 Completely unkempt; decorated; bizarre garb

11 Insight
0 Present; admits illness; agrees with need for treatment
1 Possibly ill
2 Admits behavior change, but denies illness
3 Admits possible change in behavior, but denies illness
4 Denies any behavior change


The higher the score, the more likely it is that the person is experiencing a manic episode. A score of 13 or higher indicates possible hypomania or mania. A score of over 21 indicates a very probable case of mania.

Patients can use this survey to detail their experiences with a possible mood episode, but diagnosis and treatment are still determined by a professional. Patients should not take action based on the score of the test without direction from their doctor.



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Image credit: Vladimer Shioshvili

How Strong Are Your Manic Symptoms?

LaRae LaBouff

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APA Reference
LaBouff, L. (2016). How Strong Are Your Manic Symptoms?. Psych Central. Retrieved on December 11, 2018, from


Last updated: 23 Sep 2016
Last reviewed: By John M. Grohol, Psy.D. on 23 Sep 2016
Published on All rights reserved.