Clinical manifestations of a manic episode in the pregnant woman include all except:

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Clinical manifestations of a manic episode include at least three of the following: grandiosity,decreased need for sleep,pressured speech,flight of ideas,distractibility,psychomotor agitation,and excessive involvement in pleasurable activities.The pregnant woman exhibiting symptoms of a manic episode likely has a decreased interest in eating and an increased level of interest in pleasurable activities without regard for negative consequences.Psychomotor agitation and lack of sleep are clinical manifestations of a manic episode.Hyperactivity and distractibility are clinical manifestations of a manic episode.Pressured speech and grandiosity are clinical manifestations of a manic episode.

Clinical Manifestations of a Manic Episode in the Pregnant Woman