Inflated self-esteem or grandiosity
Decreased need for sleep
More talkative than usual or a need to keep talking
Flight of ideas or racing thoughts
Distractability and inability to focus
Increased activity or agitation
Excessive involvement in pleasurable activities that have a high potential for painful consequences
Sadness that wont go away
Hopelessness
Loss of interest in usual activities
Changes in eating or sleeping habits
Missed school or poor school performance
Aches and pains that don’t get better with treatment
Thoughts about death and suicide