What does the acronym DIGFAST represent in the diagnosis of bipolar disorder?

The acronym DIGFAST is a mnemonic used to help clinicians remember the core symptoms of a manic episode in bipolar disorder. The components of DIGFAST stand for:

• Distractibility: This refers to the individual's inability to maintain focus on tasks, often jumping from one idea to another due to an overwhelming influx of thoughts.

• Involvement in pleasurable activities: This highlights the tendency of individuals experiencing mania to engage in risky or pleasurable activities without considering the consequences, such as spending sprees, sexual indiscretions, or other forms of impulsive behavior.

• Grandiosity: This symptom involves an inflated sense of self-esteem or self-importance, where the individual may believe they have exceptional abilities or powers.

• Flight of ideas: This describes the rapid shifting of thoughts, where a person may have a continuous flow of thoughts, often skipping from one topic to another during conversation.

• Agitation/activity: In manic episodes, individuals often exhibit increased activity levels and can appear restless or agitated, engaging in multiple activities simultaneously.

• Sleep (decreased need): Those experiencing mania typically have a reduced need for sleep, often feeling rested after only a few hours of sleep.

• Talking (increased spontaneity): There is often a notable increase in talkativeness