The spelling of the phrase "more manic depressive" follows the English language's phonetic rules. It can be transcribed using the International Phonetic Alphabet as /mɔːr ˌmænɪk dɪˈprɛsɪv/. The stressed syllables are "manic" (mænɪk) and "depressive" (dɪˈprɛsɪv). The word "more" is pronounced as a single syllable with the long "o" sound (mɔːr). Overall, this phrase refers to an increase in the severity of manic-depressive disorder, a mental illness characterized by fluctuating moods, energy levels, and activity levels.