Pathognonomic of maniac episode is ?

Ans. is 'b' i.e., Grandiosity Option 'a' is confusing one. Yes, elevated mood is one of the most classical symptom of mania. But it is not pathognomonic. Pathognomonic means a symptom which can be used for diagnosis. Elevated mood is not a symptom of diagnostic criteria of mania. Diagnostic criteria for mania Three or more of the following for at least 1 week :- Inflated self esteem or grandiosity Decreased need for sleep Ovealkativeness Flight of ideas Distractibility Psychomotor agitation or Increased goal directed activitie Excessive involvement in pleasurable activities Impoant symptoms of mania Elevated mood :- Euphoria, elation, exatlation, ectasy, high self esteem. Thought & speech :- Pressure of speech (Talkativeness), flight of ideas, delusion of grandeur, delusion of persecution, distractibility. Increased psychomotor activity :- Overactiveness, restlessness, increased energy. Goal directed activity :- Patient is ale, trying to do many things at one time. Psychotic features :- Delusions and hallucination. Other :- Increased sexual drive, aggressive behavior, decreased need for sleep (insomnia), spending excessive money, increased appetite, impaired judgement, social & occupational dysfunction, absent insight.