Some people drink to ease depression, anxiety and other symptoms of bipolar disorder. Drinking may seem to help, but in the long run it makes symptoms worse. This can lead to more drinking — a vicious cycle that's difficult to overcome.
Alcohol Worsens the Symptoms of Bipolar Disorder and Increases the Risk of Complications. Alcohol use has been shown to increase the severity of bipolar disorder, its symptoms and its complications. People who struggle with any substance use disorder and have bipolar are less likely to stick with their treatment.
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.
However, these alcohol–induced manic symptoms generally occur only during active alcohol intoxication, which makes them fairly easy to differentiate from mania associated with bipolar I disorder. Still, alcoholic patients going through alcohol withdrawal may appear to have depression.
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.
Factors such as stress, poor sleep, and even seasonal changes can play a role in triggering your bipolar symptoms. Learn how you can reduce your risk of bipolar episodes and better manage your condition.
You'll typically need mood-stabilizing medication to control manic or hypomanic episodes. Examples of mood stabilizers include lithium (Lithobid), valproic acid (Depakene), divalproex sodium (Depakote), carbamazepine (Tegretol, Equetro, others) and lamotrigine (Lamictal).
The Brain and Bipolar Disorder
Norepinephrine and serotonin have been consistently linked to psychiatric mood disorders such as depression and bipolar disorder. Nerve pathways within areas of the brain that regulate pleasure and emotional reward are regulated by dopamine.
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.
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.
Lamotrigine. Lamotrigine (Lamictal) may be the most effective mood stabilizer for depression in bipolar disorder, but is not as helpful for mania. The starting dose of lamotrigine should be very low and increased very slowly over four weeks or more.
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.
MRIs and CT scans can provide detailed images of the brain and its structures. But currently, doctors don't use them to diagnose bipolar disorder. Detecting bipolar disorder is typically done through a diagnostic interview with a mental health professional.
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.
The SSA does consider bipolar a disability, so if you can match the SSA's listing, as well as meet the work requirements, the SSA will considered you disabled and you can earn SSDI benefits with your bipolar disorder diagnosis.
Bipolar disorder is included in the Social Security Listings of Impairments, which means that if your illness has been diagnosed by a qualified medical practitioner and is severe enough to keep you from working, you are eligible to receive disability benefits.
A 2022 review found that people with moderate to severe symptoms of bipolar disorder were less likely than those with mild symptoms to be employed. Working with bipolar disorder can pose significant challenges, but the right job can also provide benefits. Those benefits extend beyond employment income.
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.