And so what exactly is a manic episode?

那么到底什么是躁狂发作呢？

Without them, the sufferer faces relapses of manic and depressive episodes.

如果没有药物辅助，患者将面临躁狂和抑郁发作的复发。

Or between depression and a slightly less extreme manic episode.

或者在抑郁和稍微不那么极端的狂躁发作之间。

That said, untreated manic episodes can last as long as 3-6 months.

尽管如此，未经治疗的躁狂发作可以持续长达3-6个月。

Another clue is that some drugs and medications can trigger manic episodes, like selective serotonin reuptake inhibitors (or SSRIs).

另一个线索则是，某些药物和治疗可以引起躁狂发作，比如选择性五羟色胺再摄取抑制剂（SSRIs）。

I was just a 20-year-old Midwestern kid having a manic episode later diagnosed as a symptom of bipolar disorder type I.

我只是一个 20 岁的来自中西部的孩子，有躁狂发作，后来被诊断为 I 型躁郁症的症状。

In all probability he also had what today we call bi-polar, with manic episodes and auditory hallucinations, as well as syphilis.

很有可能他还患有我们今天所说的躁郁症，有躁狂发作和幻听症状，以及梅毒。

Type 1's extreme highs are known as manic episodes, and they can make a person range from feeling irritable to invincible.

第一种类型中的精神愉快期，被称为躁狂发作，患者可能感到狂躁易怒，或是觉得自己无所不能。

Manic episodes can also include delusions of grandeur, for example they might believe that they are on a personal mission from god, or that they have supernatural power.

躁狂发作者亦可能有夸大妄想，比如他们可能相信自己是神的使者，或者拥有超自然的能力。

There have been scans done to see how the brain reacts during manic and depressive episodes, however, those were done post diagnosis.

研究人员对躁狂和抑郁发作时大脑的反应进行了扫描，然而，这些扫描都是在确诊后进行的。

I was just a 20-year-old Midwestern kid having a manic episode.

我只是一个 20 岁的中西部孩子，正经历着躁狂发作。

And all of it boiled over in 2016 in a manic episode at my New York apartment.

2016 年，这一切在我纽约公寓的一次疯狂发作中爆发了。

Now, unlike certain disorders like unipolar depression, psychological interventions, like talk therapy, or cognitive-behavioral therapy are not particularly effective in treating the manic episodes of bipolar disorder.

不像某些疾病（比如单相抑郁），心理干预如谈话治疗和认知行为疗法，对双相障碍的躁狂发作并不十分有效。

Full blown manic episodes often end up in psychiatric hospitalization, since the risk to self or others can become severe.

全面的躁狂发作通常以精神病院住院告终，因为对自己或他人的风险可能会变得很严重。

During a manic episode, someone with Bipolar Disorder typically has lots of energy, makes risky decisions, feels euphoric and is very productive.

在躁狂发作期间， 双相情感障碍患者通常精力充沛，做出冒险的决定， 感到欣快并且非常高效。

I was just a 20 year old Midwestern kid having a manic episode, later diagnosed as a symptom of biport disorder type one.

我只是一个20岁的中西部孩子 患有躁狂发作 后来被诊断为双端口障碍一型的症状。

In popular culture, Vincent Van Gogh is often seen as the archetypal mad crazed artist, and although he did have extreme manic episodes, most of the time he was lucid and rational.

在流行文化中，文森特·梵高经常被视为典型的疯狂艺术家，尽管他确实有极端的躁狂症，但大多数时候他是清醒和理性的。

And while a stressful life can't give you bipolar disorder, it could trigger a manic or depressive episode in someone with a pre-existing condition.

虽然压力大的生活不会让你患双相情感障碍，但它可能会引发已有病症的人出现躁狂或抑郁发作。

For example, norepinephrine, which usually increases arousal and focus, is severely lacking in depressed brains, but kind of off the charts during manic episodes.

例如，通常会增加唤醒和注意力的去甲肾上腺素在抑郁的大脑中严重缺乏，但在躁狂发作期间有点偏离图表。

Like, just—it's very hard to deal with someone who is in the throes of mental illness, or in my case in the throes of a manic episode.

就像，只是——与一个患有精神疾病的人打交道是非常困难的，或者就我而言，与患有躁狂发作的人打交道是非常困难的。