Euphoria

For those struggling with substance use, contact the SAMHSA National Helpline at (800) 662-4357 to receive support and resources. Support is available 24/7.

Euphoria is a powerful feeling of happiness and excitement, often incited by stimuli or situations like exercise, laughter, or socializing. However, in the field of mental health, euphoria takes on a more complex role. This symptom is often linked to conditions like bipolar disorder, borderline personality disorder, cyclothymia, and substance use disorders. 

Euphoria varies from person to person and can appear differently depending on the underlying cause. For some people, euphoria may lead to impulsive behavior or an urge to engage in activities that could be harmful. This urge can worsen life challenges and may lead to intense lows later. 

For individuals living with certain mood disorders or substance use challenges, euphoria's effects and symptoms may lead to impulsive behaviors or an intense desire to engage in problematic or harmful activities that amplify pleasurable sensations.

Emotional symptoms

The emotional signs or symptoms of euphoria may include the following: 

• Intense happiness and elation: Euphoria often manifests as an overwhelming sense of happiness and elation, where individuals may have a sense that they are “on cloud nine,” experiencing a profound and almost surreal sense of joy.
• Overwhelming joy: The joy experienced during euphoria can be all-encompassing, dominating one's emotional landscape and leading to a euphoric state of mind.
• Elevated mood: During episodes of euphoria, there may be a notable elevation in mood characterized by a buoyant and uplifted emotional state.
• Feelings of invincibility: Euphoria may induce a sense of invincibility, wherein individuals believe they are impervious to harm or negative consequences.
• A sense of euphoric calmness: Despite the heightened emotions, euphoria can be accompanied by an underlying sense of calmness and serenity, contributing to a paradoxical blend of excitement and tranquility.
• Increased self-confidence: Euphoria often accompanies a surge in self-confidence, wherein individuals are empowered and believe they can easily tackle challenges.
• Excessive excitement: The excitement associated with euphoria can be palpable, leading to exuberant and animated expressions of joy.
• Enhanced sense of pleasure: Pleasurable sensations are intensified during episodes of euphoria, amplifying the enjoyment derived from various experiences.
• A sense of being carefree and unburdened: Individuals may experience a temporary release from worries and concerns, believing the weight of everyday stressors unburdens them.
• An overarching sense of positivity: Euphoria may envelop individuals in a pervasive aura of positivity, coloring their perceptions⁴ and interactions with an optimistic hue.

Behavioral symptoms

Euphoria often impacts behavior. Below are a few behavioral symptoms individuals may notice: 

• Increased energy and activity levels: Euphoria often accompanies a surge in energy levels, driving individuals toward heightened activity and engagement.
• Rapid speech and verbosity: Speech may become rapid and verbose during episodes of euphoria, with individuals expressing themselves fluently and enthusiastically.
• Hyperactivity or restlessness: A noticeable restlessness or hyperactivity can be associated with euphoria, as individuals may find it challenging to remain still or focused.
• Excessive laughter and joking: Laughter and joking are frequent manifestations of euphoria, with individuals potentially finding even mundane circumstances hilariously amusing.
• Increased social interaction and engagement: Euphoria may fuel a desire for social interaction, leading individuals to seek company and engage in lively conversations and activities.
• Risky or impulsive behaviors: The heightened impulsivity accompanying euphoria can drive individuals toward engaging in risky behaviors without considering the potential consequences.
• Overconfidence in decision-making: Euphoria often fosters a sense of overconfidence in one's abilities and judgments, leading individuals to make decisions without thoroughly assessing the risks involved.
• Difficulty sitting still or relaxing: During episodes of euphoria, an individual may experience a persistent sense of agitation and restlessness, making it difficult to relax or remain sedentary.
• Pursuit of pleasurable activities without consideration of consequences: The pursuit of pleasure can become paramount during euphoric states, overshadowing concerns about potential adverse outcomes.
• A desire to share joy and happiness with others: Individuals experiencing euphoria often seek to spread their joy to others, expressing a desire to share their happiness and positivity with those around them.

Cognitive symptoms

Potential cognitive symptoms of euphoria include the following: 

• Rapid thought processes: Thoughts race at an accelerated pace during episodes of euphoria, with ideas and associations flowing rapidly.
• Heightened creativity and imagination: Euphoria can unlock newfound creativity and imagination, inspiring individuals to think outside the box and explore novel ideas.
• Enhanced focus and concentration: Despite the flurry of thoughts, there can be a heightened ability to focus and concentrate during euphoric states, enabling individuals to channel their energy toward productive endeavors.
• Racing thoughts and difficulty with cognitive organizing: The rapidness of thought during euphoria can lead to a jumble of ideas, making it challenging to organize and articulate thoughts coherently.
• Sense of mental clarity and alertness: Despite the cognitive whirlwind, euphoric episodes can include moments of startling clarity and heightened alertness.
• Distorted sense of time passing: Time may seem distorted during euphoria, with individuals losing track of minutes or hours as they become absorbed in the present moment.
• Elevated perception of one's surroundings: During episodes of euphoria, individuals may be more attuned to the sensory details of their environment. 
• Enhanced problem-solving abilities: Euphoria can facilitate creative problem-solving as individuals approach challenges with optimism and resourcefulness.
• Increased optimism and positive outlook: During euphoric states, a pervasive sense of optimism may permeate one's outlook, coloring perceptions of the future with hope and positivity.
• Reduced awareness of potential adverse outcomes: Despite potential risks, individuals may become less attuned to the negative consequences of their actions during episodes of euphoria as the focus shifts toward maximizing pleasure and enjoyment.

If you or someone you know is experiencing prolonged or extreme euphoria and other concerning symptoms, seek professional support to determine the underlying cause and receive appropriate treatment or guidance. 

While euphoria is characterized by overwhelming joy and pleasure, dysphoria is defined by intense discomfort. In stark contrast to euphoria, dysphoria represents a state of profound distress and sadness that can weigh heavily on individuals. This emotional state encompasses a range of symptoms that collectively contribute to a pervasive sense of discontent, including but not limited to: 

• Prolonged depression or low mood
• Fatigue
• Difficulty concentrating
• Reduced sense of self-worth and negative self-image
• Social avoidance and intentional isolation 
• Difficulty relaxing or achieving calm
• Discomfort with personal identity or sense of self

In individuals with mood disorders like bipolar disorder or borderline personality disorder, dysphoria may occur during depressive episodes. For individuals living with substance use disorders, dysphoria may occur when actively using or withdrawing from a substance. Additionally, dysphoria is often associated with dissatisfaction surrounding one’s gender identity. 

Though euphoria can be associated with positive feelings, it is often linked to certain mood disorders and mental health conditions, including bipolar disorder, borderline personality disorder, cyclothymia, and substance use disorders.  

In the context of mental illness, euphoria can be a symptom and a coping mechanism.⁵ In some cases, individuals living with bipolar I disorder may experience episodes of euphoria during manic phases. People with bipolar II disorder often experience a more minor sense of euphoria in hypomanic episodes. This euphoria can lead to risky behaviors, impaired judgment, and strained relationships. 

For those facing mood disorders or similar mental health conditions, euphoria can be alluring and dangerous, offering brief moments of intense joy but leading to risks. Additionally, euphoria is often tied to the recurrent use of substances like alcohol, illicit drugs, and certain medications. With their capacity to hijack the brain's reward system, drugs and alcohol can induce euphoric sensations that compel individuals to indulge. This indulgence may lead to self-destructive and harmful behaviors like substance misuse.

While euphoria and dysphoria are natural components of the human emotional experience, understanding their nuance and presence in mental health can be helpful when identifying and addressing symptoms of mental illness.  

Medication

In cases of extreme fluctuations between euphoria and dysphoria, medication may be considered for treatment by a healthcare professional. 

For individuals living with bipolar disorder, or other mental health conditions involving elevated moods that interfere with their functioning, mood stabilizers, anticonvulsants or antipsychotic medications may regulate manic or hypomanic episodes. 

Consult a medical doctor before starting, changing, or stopping a medication for any condition. The information in this article is not a replacement for medical advice or diagnosis.