Bipolar disorder is more common than many think affecting nearly 3 out of every 100 adults in the U.S according to the National Institutes of Mental Health. Its causes aren’t completely understood, but bipolar disorder often runs in families.
The first manic or depressive episode of bipolar disorder usually occurs in the teenage years or early adulthood.
Signs and symptoms of bipolar disorder
Bipolar disorder involves periods of elevated mood, or mania. Usually—but not always —the disorder also involves periods of depression. In a typical case, a person with bipolar disorder cycles between these two extremes—experiencing recurrent episodes of both elevated and depressed mood, often with symptom-free stretches in between.
Source: NIMH
There are four types of mood episodes that can occur in bipolar disorder, each with a unique pattern of symptoms:
- Mania
- Hypomania
- Depression
- Mixed episode
Signs and symptoms of mania
In the manic phase of bipolar disorder, feelings of heightened energy, creativity, and euphoria are common. People experiencing a manic episode often talk a mile a minute, sleep very little, and are hyperactive. They may also feel like they’re all-powerful, invincible, or destined for greatness.
But while mania feels good at first, it has a tendency to spiral out of control. People often behave recklessly during a manic episode —gambling away savings, engaging in inappropriate sexual activity, or making foolish business investments, for example. They may also become angry, irritable, and aggressive, picking fights, lashing out when others don’t go along with their plans, and blaming anyone who criticizes their behavior.
Common signs and symptoms of mania include:
- Feeling unusually “high” and optimistic OR extremely irritable
- Unrealistic, grandiose beliefs about one’s abilities or powers
- Sleeping very little, but feeling extremely energetic
- Talking so rapidly that others can’t keep up
- Racing thoughts; jumping quickly from one idea to the next
- Highly distractible, unable to concentrate
- Impaired judgment and impulsiveness
- Acting recklessly without thinking about the consequences
- Delusions and hallucinations (in severe cases)
Signs and symptoms of hypomania
Hypomania is a less severe form of mania. People in a hypomanic state feel euphoric, energetic, and productive, but their symptoms are milder than those of mania and much less disruptive. Unlike manics, people with hypomania never suffer from delusions and hallucinations. They are able to carry on with their day-to-day lives. To others, it may seem as if the hypomanic individual is merely in an unusually good mood. But unfortunately, hypomania often escalates to full-blown mania or is followed by a major depressive episode.
Signs and symptoms of bipolar depression
The depressive phase of bipolar disorder is very similar to that of major depression. However, there are some notable differences. When compared to major depression, bipolar depression is more likely to include symptoms of low energy. People with bipolar depression tend to move and speak slowly and sleep a lot. They are also more likely to have psychotic depression, a condition in which they’ve lost contact with reality.
Common symptoms of bipolar depression include:
- Feeling hopeless, sad, or empty.
- Loss of interest in things you used to enjoy
- Fatigue or loss of energy
- Physical and mental sluggishness
- Appetite or weight changes
- Sleeping too much or too little
- Concentration and memory problems
- Feelings of self-loathing, shame, or guilt
- Thoughts of death or suicide
Signs and symptoms of a mixed episode
A mixed episode of bipolar disorder features symptoms of both mania and depression. Common signs of a mixed episode include agitation, irritability, insomnia, appetite changes, loss of contact with reality, and suicidal thoughts. This combination of high energy and low mood makes for a particularly high risk of suicide.
Symptoms of Bipolar Disorder in Children and Teens
Unlike many adults with bipolar disorder, whose episodes tend to be more clearly defined, children and young adolescents with the illness often experience very fast mood swings between depression and mania many times within a day. Children with mania are more likely to be irritable and prone to destructive tantrums than to be overly happy and elated. Mixed symptoms also are common in youths with bipolar disorder. Older adolescents who develop the illness may have more classic, adult-type episodes and symptoms.
Source: NIMH
Types of bipolar disorder
The course of bipolar disorder varies widely from person to person, with unpredictable differences in the pattern and frequency of the manic and depressive episodes. Some people are more prone to either mania or depression, while others alternate equally between the two types of episodes. Some have frequent mood disruptions, while others experience only a few over a lifetime. The duration and severity of each episode also differs.
Each of the four types of bipolar disorder have a unique pattern of symptoms:
- Bipolar I Disorder – Mania and depression
Bipolar I Disorder is the classic manic-depressive form of the illness, as well as the most severe type of bipolar disorder. It is characterized by at least one manic episode or mixed episode. Although a previous episode of major depression is not required for diagnosis, the vast majority of people with Bipolar I Disorder have experienced one. The typical course of Bipolar I Disorder involves recurring cycles between mania and depression. - Bipolar II Disorder – Hypomania and depression
In Bipolar II disorder, the person doesn’t experience full-blown manic episodes. Instead, the illness involves episodes of hypomania and severe depression. In order to be diagnosed with Bipolar II Disorder, you must have experienced at least one hypomanic episode and one major depressive episode in your lifetime. If you ever have a manic episode, your diagnosis would be changed to Bipolar I Disorder. - Cyclothymia – Hypomania and mild depression
Cyclothymia, also known as cyclothymic disorder, is a milder form of bipolar disorder. Like bipolar disorder, cyclothymia consists of cyclical mood swings. However, the highs and lows are not severe enough to qualify as either mania or major depression. To be diagnosed with cyclothymia, you must experience numerous periods of hypomania and mild depression over at least a two-year time span. Because people with cyclothymia are at an increased risk of developing full-blown bipolar disorder, it is a condition that should be monitored and treated. - Rapid Cycling – Frequent episodes of mania, hypomania, or depression
Rapid cycling is a subtype of bipolar disorder characterized by four or more episodes of mania, hypomania, or depression within one year. The shifts from low to high can occur over a matter of days or hours. Rapid cycling can occur within any type of bipolar disorder. It usually develops later in the course of bipolar disorder, but it is sometimes just a temporary condition.
2 comments:
Wow... so that's what you do at night. Its possible that you could be bi-polar but few people will take your word for it when they realize it was brought about in an episode of insomnia. I'll discuss this more with you later, at this point I should bwe doing the homework I haven't even started (it's only like 9:50PM I've got time, lol).
Its not really brought on by insomnia, though its occationally the cause. I just bounce back and forth alot.
The lows usually hit when im alone though. Hence why many people dont see em.
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