Bipolar disorder is a mental health condition that involves significantly high and low moods. Highs are periods of mania or hypomania, while lows are periods of depression. The changes in mood may also become mixed, so you might feel elated and depressed at the same time. Show
The National Institute of Mental Health estimates that around 4.4 percent of adults in the United States experience bipolar disorder at some time. The symptoms usually appear between the ages of 18 to 29 years, but they can occur at any age, including childhood and the teenage years. Bipolar disorder can be hard to diagnose, but there are signs or symptoms that you can look for. The signs and symptoms of bipolar disorder are varied. Many of these symptoms can also be caused by other conditions, making this condition hard to diagnose. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) lays out the criteria for diagnosing bipolar disorder. Types and symptomsThere are four common types of bipolar disorder. Bipolar I and II are the most common types. Bipolar ITo have bipolar I, a person must experience manic episodes. In order for an event to be considered a manic episode, it must:
People with bipolar I typically have depressive episodes as well, but a depressive episode isn’t required to make the bipolar I diagnosis. For a diagnosis of bipolar I, the person should not have another condition that could explain the symptoms. Bipolar IIBipolar II also involves high and low moods, but depressive symptoms are more likely to dominate, and its manic symptoms are less severe. This less severe type of mania is known as hypomania. For a diagnosis of bipolar II disorder, a person must:
Cyclothymic disorderCyclothymic disorder involves changes in mood and shifts similar to bipolar I and II, but the shifts may be less dramatic. A person with cyclothymic disorder will have had symptoms of hypomania and episodes of depression for at least 2 years, or 1 year for children and teens. Bipolar disorder not otherwise specifiedBipolar disorder not otherwise specified is a general category for a person who only has symptoms of bipolar disorder that don’t match the three other categories. The symptoms are not enough to make a diagnosis of one of the other three types. The signs of bipolar disorder can generally be divided into those for mania, and those for depression. 10 signs of maniaMania can cause other symptoms as well, but seven of the key signs of this phase of bipolar disorder are:
10 signs of depressionLike mania, depression can cause other symptoms as well, but here are 10 of the key signs of depression from bipolar disorder:
An extremely high or low mood can sometimes involve hallucinations or delusions, known as psychosis. During a manic period, for example, the person may have delusions of grandeur. For example, they may believe they’re very important or have special powers. A person with depressive psychosis might believe they’ve committed a crime or are financially ruined. The person may also see, hear, or smell things that are not there. Substance useSubstance use disorder involves the use of substances like drugs or alcohol in a way that’s harmful for the person’s mental and physical health. Studies suggest that substance use disorder may be three to six times higher among people with bipolar disorder than in the general population. Having bipolar disorder alongside a substance use disorder can make it harder to treat either condition, and it can also affect the outcome of each disorder. People with both disorders are more likely to have a lower quality of life, a less stable progression through treatment, and are more likely to consider suicide. Having a substance use disorder can also make it harder to get an accurate diagnosis, as a doctor may have difficulty identifying which symptoms are due to bipolar disorder and which stem from substance use. Learn about the link between bipolar disorder and alcohol use disorder. Bipolar disorder or depression?Doctors sometimes find it hard to distinguish between bipolar disorder and depression, and this can lead to misdiagnosis. People with bipolar disorder are more likely to seek help during a low mood because depression is more likely to have a negative impact on their health and wellbeing. During a high mood, they may feel exceptionally well. Factors that increase the chance of this happening include the following:
It’s essential to get an accurate diagnosis in order to work out a treatment plan. Antidepressants may not be effective in treating bipolar disorder. In addition, some antidepressant medications can trigger a first manic or hypomanic episode if you’re susceptible to them, and this could complicate both treatment and the outcome. If you go to see your doctor with depression, be sure to tell them about any of the following, as these can help get an accurate diagnosis:
Learn how bipolar disorder is diagnosed. Symptoms in children and teensSymptoms of bipolar disorder usually emerge in early adulthood, though they can occur at any age. Sometimes, they can appear in children. Signs that a child may have bipolar disorder include the following:
Children or teens who are experiencing a high mood may:
Those with a low mood may:
There are many reasons why children and teens can experience mood changes or moods that seem extreme. The hormonal changes in puberty can lead to fluctuations in mood, and the symptoms of ADHD and other conditions can resemble those of bipolar disorder. If you’re concerned about yourself or a young person, seek medical help early. Whatever the reason for mood changes in a young person, getting a correct diagnosis can help manage the symptoms and prevent long-term complications. Suicide preventionIf you or someone you know is considering suicide or self-harm, please seek support:
While you wait for help to arrive, stay with someone and remove any weapons or substances that can cause harm. You are not alone. Healthline connected with people living with bipolar disorder to hear a little bit about their experiences and feelings. Here’s what they shared: Bipolar disorder can affect many different aspects of day-to-day life, including energy levels and sleep. Intense feelings – from feeling like you can do anything to feeling hopeless – are among the most common experiences shared by many people living with bipolar disorder. If you think that you or a loved one has signs or symptoms of bipolar disorder, your first step should be to talk with your doctor. Only a trained medical professional can diagnose this disorder, and diagnosis is key to getting proper treatment. Medication, therapy, or other treatment options can help you or your loved one manage symptoms and maximize quality of life. Learn more about treatments for bipolar disorder. Bipolar disorder is a mental health condition that involves high and low moods. Bipolar I disorder involves at least one episode of mania, which is a very high mood. This can alternate with times of depression. During a manic phase, you may feel “wired” or jumpy and full of energy. During a depressive phase, you may feel you have no energy and are unable to carry out daily tasks. If you have bipolar II disorder, you’re more likely to experience depression, but there may also be times of hypomania, a less severe form of high mood. It’s also possible to feel both high and low at the same time or within a short space of time. Symptoms of bipolar disorder can be similar to those of depression, substance use disorder, ADHD, and other conditions. Getting a correct diagnosis can be challenging but is essential for getting the right treatment. What are the symptoms of the manic phase of bipolar disorder?The manic phase of bipolar disorder may include:. feeling very happy, elated or overjoyed.. talking very quickly.. feeling full of energy.. feeling self-important.. feeling full of great new ideas and having important plans.. being easily distracted.. being easily irritated or agitated.. What are the 3 phases of bipolar disorder?Bipolar disorder I: episodes of mania and sometimes depression. Bipolar disorder II: episodes of hypomania (a less severe and shorter version of mania) and depression. Cyclothymic disorder: symptoms of hypomania and depression without meeting criteria for a full mood episode.
What are manifestations of mania?The defining characteristics of mania include increased talkativeness, rapid speech, a decreased need for sleep, racing thoughts, distractibility, increase in goal-directed activity, and psychomotor agitation.
What happens during a manic phase?In the manic phase of bipolar disorder, it's common to experience feelings of heightened energy, creativity, and euphoria. If you're experiencing a manic episode, you may talk a mile a minute, sleep very little, and be hyperactive. You may also feel like you're all-powerful, invincible, or destined for greatness.
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