You usually develop bipolar disorder before you are 20. It can develop in later life, but it rarely develops after the age of 40. You could have symptoms of bipolar disorder for some time before a doctor diagnoses you.
A stressful circumstance or situation often triggers the symptoms of bipolar disorder. Examples of stressful triggers include: the breakdown of a relationship. physical, sexual or emotional abuse.
Although bipolar disorder can occur at any age, typically it's diagnosed in the teenage years or early 20s. Symptoms can vary from person to person, and symptoms may vary over time.
Changes in mood here can happen quickly and occur over a few days or even over a few hours. If there are four mood changes within a month, it is called ultra-rapid cycling. While the phrase “rapid cycling” may make it seem that there is a regular cycle to these shifts in mood, most cycles do not follow a pattern.
Bipolar disorder is characterised by extreme mood swings. These can range from extreme highs (mania) to extreme lows (depression). Episodes of mania and depression often last for several days or longer.
Bipolar disorder is easily confused with depression because it can include depressive episodes. The main difference between the two is that depression is unipolar, meaning that there is no “up” period, but bipolar disorder includes symptoms of mania.
The main sign of bipolar disorder is extreme mood swings that go from emotional highs to emotional lows. Manic episodes cause people to seem very energetic, euphoric, or irritable. During depressive episodes, your loved one may seem sad, upset, or tired all the time.
Severe changes in mood — either extremely irritable or overly silly and elated. Overly-inflated self-esteem; grandiosity. Increased energy. Decreased need for sleep — able to go with very little or no sleep for days without tiring.
People with bipolar experience both episodes of severe depression and episodes of mania – overwhelming joy, excitement or happiness, huge energy, a reduced need for sleep, and reduced inhibitions. The experience of bipolar is uniquely personal. No two people have exactly the same experience.
Bipolar Triggers and Warning Signs
Bipolar disorder features extreme shifts in mood that are unpredictable and often disruptive to daily functioning. Changes in sleep patterns, eating habits, emotions, and behaviors accompany the mood swings.
Bipolar disorder is frequently inherited, with genetic factors accounting for approximately 80% of the cause of the condition. Bipolar disorder is the most likely psychiatric disorder to be passed down from family. If one parent has bipolar disorder, there's a 10% chance that their child will develop the illness.
Many people with bipolar disorder will experience two cycles per year, according to the Depression and Bipolar Support Alliance. When someone has four or more manic, hypomanic, or depressive episodes in a 12-month period, this is called rapid cycling.
The illness usually starts with depression rather than mania, so even when mania is detected accurately, the onset of bipolar disorder may be missed.
People with bipolar depression, however, tend to have more unpredictable mood swings, more irritability and guilt, and more feelings of restlessness. They also tend to move and speak slowly, sleep a lot and gain weight. (Sometimes these behaviors might be made more obvious by medication side effects.)
Without proper treatment, people with hypomania may develop severe mania or depression. "Bipolar disorder may also be present in a mixed state, in which you might experience both mania and depression at the same time.
Cyclothymia -- or cyclothymic disorder -- is a relatively mild mood disorder. In cyclothymic disorder, moods swing between short periods of mild depression and hypomania, an elevated mood. The low and high mood swings never reach the severity or duration of major depressive or full mania episodes.
Mental health disorders can only be diagnosed by a licensed mental health professional or doctor.
Bipolar disorder can be confused with other conditions, such as depression, schizophrenia, BPD, anxiety, and ADHD. Detecting and diagnosing bipolar disorder may take some time. But getting a correct, early diagnosis often results in better outcomes.
So no, not everyone who has bipolar disorder knows they have it. There are lots of reasons why someone with bipolar disorder might not realize it—or why they might deny having it even if they do.
Experts believe bipolar disorder is partly caused by an underlying problem with specific brain circuits and the functioning of brain chemicals called neurotransmitters. Three brain chemicals -- norepinephrine (noradrenaline), serotonin, and dopamine -- are involved in both brain and bodily functions.
Bipolar disorder can cause your mood to swing from an extreme high to an extreme low. Manic symptoms can include increased energy, excitement, impulsive behaviour, and agitation. Depressive symptoms can include lack of energy, feeling worthless, low self-esteem and suicidal thoughts.
How quickly does a person with bipolar disorder shift between highs and lows? It depends. Mood shift frequency varies from person to person. A small number of patients may have many episodes within one day, shifting from mania (an episode where a person is very high-spirited or irritable) to depression.
70,000 Thoughts Per Day - International Bipolar Foundation.