The comparison of the manic patient with six patients with an initial diagnosis of a histrionic personality disorder allows the elaboration of differences and characteristics against the background of previous literature.
Conclusion:Mental disease progressions are not always characterized by constant symptoms, but their symptoms and progressions are versatile. This requires attentive following and describing of concise signs in behaviour, facial expressions, gestures, and language. If a mania is diagnosed as a comorbid psychiatric disease of a pain disorder, it must be treated with medication in addition to the somatic comorbidity. The very high risk of suicide that may be present with a mania should be kept in mind.