Can depression include symptoms of mania?

Mania usually refers to a manic episode. Generally speaking, if a patient has uncomplicated depression and the condition is mild, they typically do not experience manic episodes. However, if the depression is severe, manic episodes may occur. After the onset of depression, it is recommended to seek medical treatment promptly. The detailed analysis is as follows:

If the depression is uncomplicated and mild, patients mainly exhibit depressive symptoms such as low mood, loss of interest, and reduced energy, and typically do not experience manic episodes. Patients may feel sadness and helplessness, but their thinking remains relatively clear, emotions are relatively stable, and they can control their behavior. At this stage, depressive symptoms can often be alleviated through appropriate psychological adjustment, social support, and medication.

When a patient's depression becomes more severe, manic episodes may occur on top of profound depression. During a manic episode, patients may display symptoms such as elevated mood, increased energy, racing thoughts, and exaggerated speech. Under a doctor’s guidance, medications such as amitriptyline hydrochloride tablets, paroxetine hydrochloride tablets, or sertraline hydrochloride capsules may be used to aid recovery.

During treatment, patients should maintain a positive mood and avoid excessive emotional excitement. At the same time, they should maintain regular rest schedules and avoid overexertion.