Which of the following is NOT a symptom of mania according to the DIGFAST criteria?

The symptom that aligns with the criteria for mania, according to DIGFAST, refers to a state characterized by heightened energy, elevated mood, and an increase in activity levels. DIGFAST is an acronym that stands for Distractibility, Irritability, Grandiosity, Flight of ideas, Activity increase, Sleep deficit, and Talkativeness.

Increased sleep is contrary to the typical symptoms of mania, where individuals tend to experience a reduced need for sleep, often feeling rested after only a few hours of sleep. This lack of sleep contributes to the overall hyperactivity and elevated mood typical of a manic episode.

On the other hand, distractibility, grandiosity, and agitation are indeed part of the symptoms seen in mania. Distractibility refers to difficulty in maintaining attention to tasks due to internal distractions, while grandiosity involves an inflated sense of self-worth or abilities. Agitation often presents as an increase in physical activity or irritability. All of these are directly associated with the manic state, emphasizing the distinction between the heightened levels of activity and energy and the atypical experience of increased need for sleep.