What are classic mania symptoms represented by the acronym DIGFAST?

• A. Depression, anxiety, guilt, insomnia, lethargy, slowed speech.
• B. Delusions, hallucinations, disorganized speech, catatonia.
• C. Dominance, isolation, greed, fatigue, talkativeness.
• D. Distractibility, Irresponsibility, Grandiosity, Flight of ideas, Activity increase, Sleep decreased, Talkativeness.

Answer: (D)

Mania presents with a cluster of symptoms that the DIGFAST mnemonic captures. Each element reflects how elevated mood drives rapid thinking, increased energy, and risky or pressured behavior: Distractibility means thoughts jump from one idea to another, making focus difficult. Irresponsibility points to poor judgment, such as engaging in risky activities or impulsive spending. Grandiosity involves an inflated sense of importance or special powers. Flight of ideas describes a rapid flow of thoughts with quick topic changes. Activity increase refers to heightened goal-directed activity or restlessness. Sleep decreased is a reduced need for sleep without feeling fatigued. Talkativeness denotes pressured or unusually rapid speech. Together, these features typify manic episodes, distinguishing them from depressive symptoms, psychotic features, or other unrelated patterns. The option that lists these seven components aligns with classic mania.