In developed mania in bipolar disorder, individuals may experience what are known as grandiose delusions. During this state, patients may feel an exaggerated sense of their strength and importance, believing they are someone of significant social or political relevance, which is not aligned with reality. They might develop a sense of mission, such as “fixing or healing the world and the people around them”.
This inflated self-perception often leads to an immediate desire to satisfy their needs without delay. As a result, if family members try to explain, prohibit, or deny the patient permission to pursue these activities, it can trigger irritability, anger, and even aggression—either verbal or physical.
At times, individuals in mania may exhibit an irritable and angry mood that arises seemingly without cause, accompanied by verbal or physical aggression towards others or objects in their environment, as well as self-directed aggression, which includes self-harm. Moreover, during mania in bipolar disorder, if it escalates into a mixed episode, patients may also experience suicidal thoughts and tendencies, particularly dangerous when they are in an irritable or angry state.
