There is no cure for bipolar disorder, but through behavior therapy and the right combination of mood stabilizers and other bipolar medicines, most people with bipolar disorder can live normal, productive lives and control the illness.
Although symptoms may come and go, bipolar disorder usually requires lifelong treatment and does not go away on its own. Bipolar disorder can be an important factor in suicide, job loss, ability to function, and family discord. However, proper treatment can lead to better functioning and improved quality of life.
Relaxation techniques such as deep breathing, meditation, yoga, and guided imagery can be very effective at reducing stress and keeping you on an even keel. A daily relaxation practice can improve your mood and keep depression at bay. Make leisure time a priority.
Early signs (called “prodromal symptoms”) that you're getting ready to have a manic episode can last weeks to months. If you're not already receiving treatment, episodes of bipolar-related mania can last between three and six months. With effective treatment, a manic episode usually improves within about three months.
Sleep, negative life events, drug and alcohol use, seasonal changes, the reproductive cycle, as well as goal attainment and positive events can all have a deleterious impact on your stability, triggering a destructive cycle of mood switching.
Detection of mania, or at least of brief hypomania, is required for diagnosis of bipolar disorder. This diagnosis is often missed or not remembered as an illness. People close to the patient may recall episodes, however, and patients who do not remember episodes of affective disturbance may recall their consequences.
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.
Although there is no official classification for end stage bipolar disorder, mild structural changes in the brain that lead to cognitive dysfunction can severely reduce someone's quality of life, especially toward the end of life.
Treatment for bipolar disorder in general, and for psychotic symptoms in particular, includes medications and therapy. Antipsychotic medications can help resolve symptoms, while mood stabilizers help to reduce the severity of mood swings.
Coping with your symptoms of bipolar disorder on your own is possible — even if it can feel really challenging at times. Self-care is key in managing symptoms of bipolar disorder. You can do many things on a daily basis to cope with your condition and minimize any challenges that come up.
To help prevent a manic episode, avoid triggers such as caffeine, alcohol or drug use, and stress. Exercise, eat a balanced diet, get a good night's sleep, and keep a consistent schedule. This can help reduce minor mood swings that can lead to more severe episodes of mania.
Long-term studies show that both major depression (unipolar and bipolar) and mania are most common in early adulthood and less common in older age. The prevalence of mania tends to decrease with age even more than depression. Mood symptoms in general decline with age, and the balance does shift more to depression.
“Many people think that a person with bipolar disorder doesn't have any control over themselves or that they're unable to take care of themselves or function in society. This simply is not true,” says Ikaika King, who was diagnosed with bipolar II when he was 17.
After a manic or hypomanic episode you might: Feel very unhappy or ashamed about how you behaved. Have made commitments or taken on responsibilities that now feel unmanageable. Have only a few clear memories of what happened during your episode, or none at all.
The duration of mood episodes varies from several days to several months, with usually a period of remission in between. The frequency of mood changes (cycling) also varies, with four or more episodes per year classified as rapid cycling.
A manic breakdown or episode is an emotional state where an elevated or irritable mood exists for at least one week. The symptoms can disrupt your daily life and relationships. While manic episodes are not a disorder in themselves, they may be a symptom of bipolar and should be taken seriously.
Such overlaps occur in bipolar disorder and schizophrenia, sometimes making it difficult to differentiate between the two. However, these conditions are distinct from one another, and they do not always co-occur. While bipolar disorder cannot develop into schizophrenia, it's possible to experience symptoms of both.
Psychotic disorders, such as schizophrenia and bipolar disorder, can cause delusions, hallucinations, and other symptoms of psychosis. Non-psychotic disorders, which used to be called neuroses, include depressive disorders and anxiety disorders like phobias, panic attacks, and obsessive-compulsive disorder (OCD).
Lifestyle changes. Counseling, cognitive behavioral therapy (CBT), and a range of lifestyle changes can help people with bipolar disorder to manage their symptoms and improve their overall quality of life.