Irritability is common in hypomanic and manic episodes. We're discovering, though, that there also seems to be a sense of sadness, worthlessness, and hopelessness seen in depressive episodes that can lead to anger and rage as well. We all get angry from time to time — it's a natural human emotion.
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).
Anger and irritability are common symptoms of bipolar disorder. While anger is a normal response that many people feel at moments in their life, a person with bipolar disorder will be more vulnerable to impulsive and often irrational outbursts.
As with many emotions, however, people with bipolar disorder appear to be more vulnerable to extreme reactions. “Everyone can become frustrated or angry, but loss of control can be part and parcel of bipolar disorder rage,” says Jeffrey Borenstein, MD, president and CEO of the Brain & Behavior Research Foundation.
Answer questions honestly. But don't argue or debate with a person during a manic episode. Avoid intense conversation. Don't take comments or behavior personally.
SSRIs that have been shown to help with anger include citalopram (Celexa), fluoxetine (Prozac), sertraline (Zoloft), among others. Sertraline seems to have the most supporting data.
A bipolar person may avoid relationships because they don't feel good enough for other people. Sometimes these feelings come on quickly and cause those with mental health conditions to push away others in existing relationships. This can lead to social isolation.
The phrase “bipolar meltdown” could refer to a bipolar person having a manic episode or being in a depressed state. These conditions could cause them to lose control of their emotions and have trouble managing them.
Bipolar disorder may worsen with age or over time if the condition is left untreated. As time goes on, a person may experience episodes that are more severe and more frequent than when symptoms first appeared.
Narcissism is not a symptom of bipolar disorder, and most people with bipolar disorder do not have narcissistic personality disorder.
Manipulation isn't a formal symptom of bipolar disorder, although some people with the condition may exhibit this behavior. In some cases, manipulative behavior is a result of living with another mental health condition, such as personality disorders, substance use disorders, or trauma.
Looking back at what happened during a mood episode can stir powerful emotions. It's common to feel embarrassed, humiliated, ashamed, even worthless. There's often regret, sharpened by fear that you've alienated people in your life.
They may assume that you'll lose patience with them. They may be feeling overwhelmed, guarded, or paranoid. These feelings can hit those with bipolar like a ton of bricks. When they're in the throes of these emotions, they may unintentionally shut others out as they try to navigate what's happening on their own.
When your temper flares, put relaxation skills to work. Practice deep-breathing exercises, imagine a relaxing scene, or repeat a calming word or phrase, such as "Take it easy." You might also listen to music, write in a journal or do a few yoga poses — whatever it takes to encourage relaxation.
Antidepressants such as Prozac, Celexa and Zoloft are commonly prescribed for anger issues. These drugs do not specifically target anger within the body, but they do have a calming effect that can support control of rage and negative emotion.
Lithium is used to treat mania that is part of bipolar disorder (manic-depressive illness). It is also used on a daily basis to reduce the frequency and severity of manic episodes.
Experts are careful to distinguish between the odd angry outburst and the long-simmering anger and rage of bipolar anger, sometimes lasting over several days during both manic episodes and irritated states of depression.
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.
While there is no way to know whether West's behavior or comments are related to his mental health, most experts agree that people with bipolar disorder can behave erratically and may at times lose their “filter” and say or do socially inappropriate things.
You may experience symptoms of depression, plus mania or hypomania at the same time. For example, you may feel very energised and impulsive, while feeling upset or tearful. Or you may feel very agitated or irritable. You may also experience highs and lows very quickly after the other, within the same day or hour.