sharper sense of smell, hearing, or vision. Gambling and antisocial behaviors may accompany
the manic episode. Some individuals may become  hostile and physically threatening to others
and, when delusional, may become physically  assaultive or suicidal. Catastrophic conse-
quences of a manic episode (e.g.,  involuntary hospitalization, difficulties with the law, serious
financial difficulties) often result from poor judgment, loss of insight, and hyperactivity. 
Mood may shift very rapidly to anger or depression. Depressive  symptoms may occur
during a manic episode and, if present, may last moments, hour s, or, more rarely, days (see
“with mixed features” specifier, pp. 149–150).