Manic episodes in the elderly are usually characterized by insomnia, the need for less sleep, and increased speech, excited talk, accompanied by exaggerated delusions, and a feeling of being very energetic and capable of doing great things, which are grossly out of proportion to one’s actual abilities. Some of them may also spend money indiscriminately, often get into conflict with others, and be irritable. If you do not feel good, you will be prone to conflict if you do not see the right person. Some may also have increased sexual desire, hypersexuality, and increased volitional activity, increased behavior and so on. If there is any of the above manifestations, enough attention must be paid. Because it is relatively difficult to distinguish manic episodes in old age from geriatric mental diseases or organic mental diseases of the brain, it is necessary to go to a specialized hospital to be evaluated by a professional doctor to see if it is really manic episodes in old age.