Which symptom is NOT typically associated with manic episodes?

Affective flattening is a symptom characterized by a reduced emotional expression, which contrasts sharply with the heightened emotional expressiveness seen in manic episodes. During a manic episode, individuals often display symptoms such as inflated self-esteem, where they may have an exaggerated sense of self-worth or grandiosity. They also commonly experience a decreased need for sleep, functioning well on little rest, and they may exhibit increased talkativeness, leading to racing thoughts and rapid speech.

These symptoms align with the elevated mood and activity levels associated with mania. In contrast, affective flattening indicates a lack of emotional response, which is more characteristic of mood disorders like depression or schizophrenia. Therefore, identifying affective flattening as not typically associated with manic episodes accurately reflects the nature of the disorder.