Some experts believe that experiencing a lot of emotional distress as a child can cause bipolar disorder to develop. This could be because childhood trauma and distress can have a big effect on your ability to manage your emotions. This can include experiences like: Neglect.
Does Trauma Cause Bipolar Disorder? Although trauma is most often associated with PTSD, depression, or anxiety, trauma can cause bipolar disorder, as well. However, it's more of a contributing factor rather than a direct cause.
The exact cause of bipolar disorder is unknown. Experts believe there are a number of factors that work together to make a person more likely to develop it. These are thought to be a complex mix of physical, environmental and social factors.
Child maltreatment has been shown to be associated with a wide range of mental disorders, including bipolar disorders. In this 2-year follow-up study, recollections of emotional, physical and sexual abuse were related to bipolar symptoms, namely depressive, hypomanic and manic symptoms.
Childhood traumatic events are risk factors for developing bipolar disorders, in addition to a more severe clinical presentation over time (primarily an earlier age at onset and an increased risk of suicide attempt and substance misuse).
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.
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.
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.
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.
Drugs with a definite propensity to cause manic symptoms include levodopa, corticosteroids and anabolic-androgenic steroids. Antidepressants of the tricyclic and monoamine oxidase inhibitor classes can induce mania in patients with pre-existing bipolar affective disorder.
During manic episodes, people with bipolar disorder may experience a heightened sense of sexuality. It's only when this is paired with other symptoms of bipolar mania—including risk-taking, impulsivity, and poor judgment—that it can shift into problematic hypersexuality.
The illness usually starts with depression rather than mania, so even when mania is detected accurately, the onset of bipolar disorder may be missed.
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.
To diagnose bipolar disorder, a doctor performs a physical exam, asks about your symptoms, and recommends blood testing to determine if another condition, such as hypothyroidism, is causing your symptoms. If the doctor does not find an underlying cause of your symptoms, he or she performs a psychological evaluation.
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.
Bipolar disorder usually starts in early adulthood, though the symptoms can develop at any time. Research indicates that the symptoms tend to emerge later in females than in males and that females are more likely to experience the first symptoms in their 50s .
Brain Changes
Research shows bipolar disorder may damage the brain over time. Experts think it's because you slowly lose amino acids. They help build the proteins that make up the insulation around your neurons.
Bipolar disorder and post-traumatic stress disorder (PTSD) represent two different mental health diagnoses. But they share enough symptoms that they can sometimes resemble each other, even to experienced mental health professionals. This symptom overlap can create complications when it comes to diagnosis and treatment.
Everyone experiences normal ups and downs, but with bipolar disorder, the range of mood changes can be extreme. People with the disorder have manic episodes, or unusually elevated moods in which the individual might feel very happy, irritable, or “up,” with a marked increase in activity level.
In the United States and Canada, at least 40 percent of all marriages fail. But the statistics for marriages involving a person who has bipolar disorder are especially sobering—an estimated 90 percent of these end in divorce, according to the article “Managing Bipolar Disorder” in Psychology Today.
“When stressed, bipolar patients will often, out of desperation, reach for anything to calm themselves or take away the stress even for a moment. Drugs, binge-eating, or excessive shopping can be unhealthy coping mechanisms that can bring on mood episodes,” Dr. Israel says.