People with bipolar disorder who experience psychosis are more likely to experience problems with verbal-declarative memory and spatial working memory, compared with those who do not have psychosis. This can make it hard to recall and retell events and stories from the past.
The known maladaptive types of coping mechanisms, or negative coping skills, evident in BD patients are “… rumination, catastrophism, self-blame, substance use, risk-taking, behavioral disengagement, problem-direct coping, venting of emotions, or mental disengagement” (Apaydin & Atagun, 2018).
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.
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.
Racing thoughts are often one of the first symptoms to develop when someone with bipolar disorder is entering a hypomanic or manic episode. 4 It can be—but is not always—a debilitating experience. Some people describe it as having excessive thoughts that move quickly, but with a sense of fluidity and pleasantness.
Bipolar disorder is characterized by unusual shifts in mood and energy. These shifts, called “mood episodes,” last at least a week in the case of mania (feeling extremely “up”), and at least two weeks in the case of depression (feeling extremely “down”).
Bipolar I disorder is defined by manic episodes that last at least 7 days (most of the day, nearly every day) or when manic symptoms are so severe that hospital care is needed. Usually, separate depressive episodes occur as well, typically lasting at least 2 weeks.
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. This has been described as “ultra-rapid cycling.”
The Relationship Between Bipolar Disorder & Anger. Bipolar disorder is characterized by frequent mood cycles, fluxing between mania and depression. While anger isn't always present, people with this frustrating condition may find they quickly experience angry outbursts when they feel agitated, irritated, or annoyed.
Stressful events, such as arguments, may trigger a person's mood to destabilize, increasing adverse symptoms of bipolar. The partner may feel they need to tiptoe around the person with bipolar for fear of burdening them and causing their mood to shift.
Gambling and hypersexuality are some of the risky behaviors linked to manic episodes. Impulsivity is the root behind many of these reckless actions. Spending money without even thinking is another problem when it comes to manic episodes.
People with bipolar disorder can work, but they may face challenges. Many mental health conditions can make it difficult for a person to carry out day-to-day responsibilities, especially in the workplace.
People living with bipolar disorder should aim to get the recommended amount of sleep for their age. The Centers for Disease Control and Prevention (CDC) recommends more than seven hours per night for adults. 13 However, what's most important is sticking to a consistent sleep schedule.
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.
Symptoms of mental illness often become worse during the spring season. For patients with mood disorders, the phrase “spring fever” has a different meaning. Previous studies have reported that the incidence of mania peaks during the spring in both the Northern and Southern Hemispheres [1].
If you have bipolar disorder, a depression crash can be triggered by the following factors: A change in medication or missing doses. Stress, grief or change. The after-effects of alcohol or drugs.
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.
Shutting down
It is easy to become overwhelmed by the emotional rollercoaster caused by mood swings and other symptoms of Bipolar Disorder. A typical response, particularly immediately following an episode, is to shut down and temporarily avoid or ignore everything outside oneself in order to self-regulate.
There are a number of possible reasons why someone with bipolar would push others away. This tends to happen during depressive episodes, but it can happen when they're manic or symptom-free, as well. It can be painful when you're shut out, but it's not your fault.
In other words, experiencing bipolar disorder does not mean you can't tell right from wrong, but its symptoms can temporarily make it harder to let our sense of morality guide our actions.