What aspect of judgment is often impaired during manic episodes in Bipolar I?

During manic episodes in Bipolar I disorder, individuals frequently exhibit increased risk-taking behaviors. This impairment in judgment leads them to engage in activities that they might usually recognize as dangerous or unwise. For example, they may participate in reckless driving, overspending, or impulsive sexual encounters due to an inflated sense of confidence and a diminished ability to assess risk accurately.

The characteristics of mania, such as elevated mood, heightened energy levels, and grandiosity, contribute to a distorted perception of reality. This state can cloud the individual's judgment, leading to decisions that disregard potential consequences. Thus, the tendency towards greater risk-taking is a hallmark of the manic phase, making it a critical aspect for understanding the challenges faced by individuals with Bipolar I disorder.