the room) and often prevents individuals expe riencing mania from holding a rational con-
versation or attending to instructions.
The increase in goal -directed ac tivity often consists of excessive planning and partici-
pation in multiple activities, including sexual, occupational, political, or religious activi-
ties. Increased sexual drive, fantasies, and be havior are often present. Individuals in a manic
episode usually show increased sociability (e.g ., renewing old acquaintances or calling or
contacting friends or even strangers), without regard to the intrusive, domineering, and
demanding nature of these interactions. They often display psychomotor agitation or rest-
lessness (i.e., purposeless acti vity) by pacing or by holding multiple conversations simulta-