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Проявляется чрезмерным эмоциональным возбуждением, гиперактивностью, повышенным настроением, двигательной расторможенностью, а также снижением способности к контролю поведения [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/maniakalnoe-rasstrojstvo-chto-eto-kak-lechit). \n\nДля постановки диагноза достаточно одного маниакального эпизода, хотя чаще при БАР I типа также встречаются гипоманиакальные и депрессивные периоды [5](https://VielClinic.ru/articles/chto-takoe-maniya/).\n\n## Причины\nНекоторые причины маниакального расстройства: \n* **Генетическая предрасположенность** — в семьях с историей биполярных нарушений риск возникновения расстройства у потомков выше [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/maniakalnoe-rasstrojstvo-chto-eto-kak-lechit). \n* **Дисбаланс нейромедиаторов** — нарушается работа серотонина, допамина, норадреналина, что влияет на эмоциональное состояние и способность к самоконтролю [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/maniakalnoe-rasstrojstvo-chto-eto-kak-lechit). \n* **Гормональные изменения** — изменения в эндокринной системе, например, дисфункция щитовидной железы, могут спровоцировать обострение [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/maniakalnoe-rasstrojstvo-chto-eto-kak-lechit). \n* **Стресс** — травматические события или хронический стресс выступают спусковым механизмом для маниакальных эпизодов [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/maniakalnoe-rasstrojstvo-chto-eto-kak-lechit). \n* **Приём психоактивных веществ** — употребление наркотиков или алкоголя способно провоцировать и обострять течение болезни [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/maniakalnoe-rasstrojstvo-chto-eto-kak-lechit). \n* **Побочные эффекты лекарств** — некоторые антидепрессанты и стимуляторы при неправильной дозировке или длительном применении приводят к усилению патологической симптоматики [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/maniakalnoe-rasstrojstvo-chto-eto-kak-lechit).\n\n## Симптомы\nНекоторые проявления маниакального расстройства: \n* значительное, длительное (не менее недели) повышение настроения или необоснованная раздражительность [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/maniakalnoe-rasstrojstvo-chto-eto-kak-lechit); \n* гиперактивность, социальная раскрепощённость, навязчивое стремление к постоянному движению и деятельности [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/maniakalnoe-rasstrojstvo-chto-eto-kak-lechit); \n* сниженная потребность во сне, при этом пациент может чувствовать себя бодрым даже после нескольких часов отдыха [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/maniakalnoe-rasstrojstvo-chto-eto-kak-lechit); \n* увеличенный темп мышления, склонность к многословию, перескакивание с одной мысли на другую (симптом «скачки идей») [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/maniakalnoe-rasstrojstvo-chto-eto-kak-lechit). \n\nПри выраженном тяжёлом течении заболевание может сопровождаться психотическими эпизодами, включая бредовые идеи, галлюцинации [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/maniakalnoe-rasstrojstvo-chto-eto-kak-lechit).\n\n## Диагностика\nДиагностика маниакального расстройства проводится психиатром или психотерапевтом [2](https://xn--g1ajj1a.xn--p1ai/articles/maniakalnoe-rasstroystvo-maniya/). Некоторые методы: \n* **Клиническое интервью с пациентом** для сбора анамнеза [2](https://xn--g1ajj1a.xn--p1ai/articles/maniakalnoe-rasstroystvo-maniya/). Важно обсудить возможные факторы риска: проблемы с психикой у близких родственников, наличие стрессовых событий в жизни [2](https://xn--g1ajj1a.xn--p1ai/articles/maniakalnoe-rasstroystvo-maniya/). \n* **Детальная оценка симптомов** мании: повышенное настроение, патологическая энергичность, снижение потребности в отдыхе, ускорение мыслей и речи, чрезмерная активность, неадекватная самооценка, рискованное поведение [2](https://xn--g1ajj1a.xn--p1ai/articles/maniakalnoe-rasstroystvo-maniya/).\n\n## Лечение\nЛечение маниакального расстройства включает комплексный подход, объединяющий фармакотерапию, психотерапию и поддерживающие мероприятия [3](https://premium-practice.ru/articles/maniakalnoe-rasstroystvo/). 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