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.
Mania in particular tends to trigger aggressive emotions and anger. The racing thoughts and high energy levels you experience can leave you feeling angry, irritable, and frustrated. Those angry emotions, in turn, can cause aggressive and inappropriate behaviors.
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.
People with bipolar disorder often experience irritability. This emotion is common during manic episodes, but it can occur at other times too. A person who's irritable is easily upset and often bristles at others' attempts to help them. They may be easily annoyed or aggravated with someone's requests to talk.
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.
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.
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.
Bipolar disorder can occur at any age, although it often develops between the ages of 15 and 19 and rarely develops after 40. Men and women from all backgrounds are equally likely to develop bipolar disorder. The pattern of mood swings in bipolar disorder varies widely.
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.
“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.
Genetics. Bipolar disorder tends to run in families. Children with a parent or sibling with the disorder have a higher chance of developing it than those without affected family members. Identical twins don't have the same risk of developing the illness.
Lithium is a long-term treatment for episodes of mania and depression. It's usually prescribed for at least 6 months. If you're prescribed lithium, stick to the prescribed dose and do not stop taking it suddenly unless told to by your doctor.
Lithium stands out for its preventative effects in bipolar disorder, but it also has important benefits outside of the manic-depressive symptom lists. It is the only mood stabilizer that significantly reduces the risk of suicide, and it reduces mortality in other ways as well.
Avoid antidepressants.
In fact, antidepressants can actually make bipolar disorder worse or trigger a manic episode. Try mood stabilizers first and never take antidepressants without them.
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.
Unfortunately, there is no definitive answer to how often these cycles occur. The frequency and duration of bipolar cycles are as varied as the people who experience them. A change or "mood swing" can last for hours, days, weeks, or even months.
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.
First of all, it's normal for people with bipolar disorder and other mental health conditions to “shut down” when their brain gets overwhelmed.
Hospitalization is considered an emergency option in bipolar disorder care. It becomes necessary in extreme cases where the disorder is causing someone to be an immediate threat to themselves or others. It may also be used when medications need monitoring or adjustment.