Inflated self esteem
is typically present, ranging from uncritical self-confidence tomarked grandiosity,
and may reach delusional proportions (Criterion B1). Individuals may giveadvice
on matters about which they have no special knowledge (e.g., how to run the
United Nations).Despite lack of any particular experience or talent, the individual
may embark on writing a novelor composing a symphony or seek publicity for some
impractical invention. Grandiose delusions arecommon (e.g., having a special
relationship to God or to some public figure from the political,religious, or
entertainment world).
Manic speech is typically pressured, loud,
rapid and difficult to interrupt (Criterion B3). Individuals may talk nonstop,
sometimes for hours on end and without regard for others wishes to communicate.
Speech is sometimes characterized by joking, punning and amusing irrelevancies.
Theindividual may become theatrical, with dramatic mannerisms and singing. Sounds
rather than meaningfulconceptual relations may govern word choice (i.e. clanging).
If the personsmood is more irritable thanexpansive, speech may be marked by
complaints, hostile comments or angry tirades