Mania is characterized by -a) Paranoid delusionb)  Loss of orientationc) High self esteemd) Loss of insight: (A) abc, (B) ad, (C) bc, (D) acd
Answer is D. Paranoid delusions (delusion of persecution) may occur secondary to the delusions of persecution (e.g. I am so great that people are against me).
Manic patients have high self esteem.
Insight is absent.
Patient is alert & well oriented.