Periods of feeling so good, high, or hyper that other people thought you were not your normal self, or you were so hyper that you got into trouble?

Periods of being so irritable that you shouted at people or started fights or arguments?

Feeling much more self-confident than usual, or as if you had special powers, talents, or abilities that others did not have?

Needing much less sleep than usual and still feeling full of energy?

Talking so fast or so much that people had trouble keeping up with you, or your thoughts racing so fast you could not keep up with them?

Being so easily distracted that you had trouble concentrating or staying on track with one thing?

Taking part in activities that were unusual for you or that others might have seen as excessive, risky, or foolish (e.g., spending sprees, sexual behavior, or reckless driving)?

Experiencing noticeable mood swings — shifting between feeling very high or energized and feeling very low or depressed within a short period of time?

Periods where your mood or energy changes caused serious problems at work, in your relationships, or in other important areas of your life?