Table 1 summarises the most common prodromal symptoms in mania. Across the four studies that listed individual prodromes, there was strong agreement about prodromes of mania. The most common prodromes of mania in Lam and wong’s (1997), Molnar et al. ‘s (1998) amd smith and tarrier’s (1992) studies are decreased need for sleep, increased activities/energy, more sociable racing thoughts, increased self-worth, senses sharper and increased optimism. Furthermore, both Lam and Wong (1997) and Smith and Tarrier (1992) reported that irritability was a common prodrome.