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mania

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There is a duality to darkness known only to those who__e been infected by its touch. Everyone knows the shadows: shallow, comfortable, mostly harmless places where one might nest for a night. But the depths of living pitch only visit the aristocracy of madmen and women who__e unwittingly pledged fealty to the curse. For some, it outright ruins minds like a hound to fresh meat; for others, it wanes into the deepest parts of its less caustic sibling and waits for the time to strike, returning periodically through life like an incurable disease.

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Depression, somehow, is much more in line with society's notions of what women are all about: passive, sensitive, hopeless, helpless, stricken, dependent, confused, rather tiresome, and with limited aspirations. Manic states, on the other hand, seem to be more the provenance of men: restless, fiery, aggressive, volatile, energetic, risk taking, grandiose and visionary, and impatient with the status quo. Anger or irritability in men, under such circumstances, is more tolerated and understandable; leaders or takers of voyages are permitted a wider latitude for being temperamental. Journalists and other writers, quite understandably, have tended to focus on women and depression, rather than women and mania. This is not surprising: depression is twice as common in women as men. But manic-depressive illness occurs equally often in women and men, and, being a relatively common condition, mania ends up affecting a large number of women. They, in turn, often are misdiagnosed, receive poor, if any, psychiatric treatment, and are at high risk for suicide, alcoholism, drug abuse, and violence. But they, like men who have manic-depressive illness, also often contribute a great deal of energy, fire, enthusiasm, and imagination to the people and world around them.

KJ
Kay Redfield Jamison

An Unquiet Mind: A Memoir of Moods and Madness

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Julian had heard stories-whispers really-of other Shadowhunter children who thought or felt differently. Who had trouble focusing. Who claimed letters rearranged themselves on the page when they tried to read them. Who fell prey to dark sadnesses that seemed to have no reason, or fits of energy they couldn't control.Whispers were all there were, though, because the Clave hated to admit that Nephilim like that existed. They were disappeared into the 'dregs' portion of the Academy, trained to stay out of the way of other Shadowhunters. Sent to the far corners of the globe like shameful secrets to be hidden. There were no words to describe Shadowhunters whose minds were shaped differently, no real words to describe differences at all.Because if there were words, Julian thought, there would have to be acknowledgement. And there were things the Clave refused to acknowledge.

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Call it dysphoric mania, agitated depression, or a mixed state: nobody will understand anyway. Mania and depression at once mean the will to die and the motivation to make it happen. This is why mixed states are the most dangerous periods of mood disorders. Tearfulness and racing thoughts happen. So do agitation and guilt, fatigue and morbidity and dread. Walking late at night, trying to get murdered, happens. Trying to explain a bipolar mixed state is like trying to explain the Holy Trinity, three persons in one God: you just have to take it on faith when I tell you that the poles bend, cross, never snapping.

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That's it: watch your moods. Don't let people see you fluctuate. Don't let yourself run your mouth. Never ever cry, even alone, because your cat or your kettle might tell. Always smile, but don't laugh loudly. Mania is an extrovert, but if you need to vent, tell your mattress or maybe your therapist, but put nothing in writing and never tell a friend or coworker how you're really feeling. Downplay any problem or joy. Pay attention to any signs that your life is shitty or excellent, because either is an illusion. Be careful around men, especially ones with big arms or opinions. Stop talking.

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He wrote arguments for and against life; he began to think the slowest and most painful form of suicide was living, running the whole decathlon of suffering, no breather or bottled water. Fear of dying was irrational. Death was utilitarian. Decrease in net resource consumption and planetary suffering. Increase in net comedy. There was no afterlife but there was a right-before-death, and medical research said it was loopy and nice, all white lights and gentle voices. With booze it wasn't even scary. Some people with terrible lives didn't kill themselves, but that didn't mean they shouldn't. Most people weren't alive and didn't mind. You couldn't regret it.

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The doctor__ words made me understand what happened to me was a dark, evil, and shameful secret, and by association I too was dark, evil, and shameful. While it may not have been their intention, this was the message my clouded mind received. To escape the confines of the hospital, I once again disassociated myself from my emotions and numbed myself to the pain ravaging my body and mind. I acted as if nothing was wrong and went back to performing the necessary motions to get me from one day to the next. I existed but I did not live.

AR
Alyssa Reyans

Letters from a Bipolar Mother

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Imagine a young Isaac Newton time-travelling from 1670s England to teach Harvard undergrads in 2017. After the time-jump, Newton still has an obsessive, paranoid personality, with Asperger__ syndrome, a bad stutter, unstable moods, and episodes of psychotic mania and depression. But now he__ subject to Harvard__ speech codes that prohibit any __isrespect for the dignity of others_; any violations will get him in trouble with Harvard__ Inquisition (the __ffice for Equity, Diversity, and Inclusion_). Newton also wants to publish Philosophiæ Naturalis Principia Mathematica, to explain the laws of motion governing the universe. But his literary agent explains that he can__ get a decent book deal until Newton builds his __uthor platform_ to include at least 20k Twitter followers _ without provoking any backlash for airing his eccentric views on ancient Greek alchemy, Biblical cryptography, fiat currency, Jewish mysticism, or how to predict the exact date of the Apocalypse.Newton wouldn__ last long as a __ublic intellectual_ in modern American culture. Sooner or later, he would say __ffensive_ things that get reported to Harvard and that get picked up by mainstream media as moral-outrage clickbait. His eccentric, ornery awkwardness would lead to swift expulsion from academia, social media, and publishing. Result? On the upside, he__ drive some traffic through Huffpost, Buzzfeed, and Jezebel, and people would have a fresh controversy to virtue-signal about on Facebook. On the downside, we wouldn__ have Newton__ Laws of Motion.

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When I am high I couldn__ worry about money if I tried. So I don__. The money will come from somewhere; I am entitled; God will provide. Credit cards are disastrous, personal checks worse. Unfortunately, for manics anyway, mania is a natural extension of the economy. What with credit cards and bank accounts there is little beyond reach. So I bought twelve snakebite kits, with a sense of urgency and importance. I bought precious stones, elegant and unnecessary furniture, three watches within an hour of one another (in the Rolex rather than Timex class: champagne tastes bubble to the surface, are the surface, in mania), and totally inappropriate sirenlike clothes. During one spree in London I spent several hundred pounds on books having titles or covers that somehow caught my fancy: books on the natural history of the mole, twenty sundry Penguin books because I thought it could be nice if the penguins could form a colony. Once I think I shoplifted a blouse because I could not wait a minute longer for the woman-with-molasses feet in front of me in line. Or maybe I just thought about shoplifting, I don__ remember, I was totally confused. I imagine I must have spent far more than thirty thousand dollars during my two major manic episodes, and God only knows how much more during my frequent milder manias.But then back on lithium and rotating on the planet at the same pace as everyone else, you find your credit is decimated, your mortification complete: mania is not a luxury one can easily afford. It is devastating to have the illness and aggravating to have to pay for medications, blood tests, and psychotherapy. They, at least, are partially deductible. But money spent while manic doesn__ fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you__e given excellent reason to be even more so.

KJ
Kay Redfield Jamison

An Unquiet Mind: A Memoir of Moods and Madness

"

Her parents, she said, has put a pinball machine inside her head when she was five years old. The red balls told her when she should laugh, the blue ones when she should be silent and keep away from other people; the green balls told her that she should start multiplying by three. Every few days a silver ball would make its way through the pins of the machine. At this point her head turned and she stared at me; I assumed she was checking to see if I was still listening. I was, of course. How could one not? The whole thing was bizarre but riveting. I asked her, What does the silver ball mean? She looked at me intently, and then everything went dead in her eyes. She stared off into space, caught up in some internal world. I never found out what the silver ball meant.

KJ
Kay Redfield Jamison

An Unquiet Mind: A Memoir of Moods and Madness