Bipolar disorder and post-traumatic stress disorder (PTSD) represent two different mental health diagnoses. But they share enough symptoms that they can sometimes resemble each other, even to experienced mental health professionals. This symptom overlap can create complications when it comes to diagnosis and treatment.
Often, complex PTSD can be misdiagnosed as bipolar disorder because the patient isn't sure of what symptoms they're actually experiencing that are related to their mental health issue, and therefore don't receive the proper treatment to mitigate their symptoms.
For example, someone with bipolar may have trouble sleeping because they are in a manic episode, but someone with PTSD may not be able to sleep because of nightmares or flashbacks. Someone with BPD may have frequent mood swings because of their emotional sensitivity, which can be mistaken for bipolar disorder.
Childhood trauma
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. This can include experiences like: Neglect.
Chemical imbalance in the brain
Bipolar disorder is widely believed to be the result of chemical imbalances in the brain. The chemicals responsible for controlling the brain's functions are called neurotransmitters, and include noradrenaline, serotonin and dopamine.
Risk factors
Factors that may increase the risk of developing bipolar disorder or act as a trigger for the first episode include: Having a first-degree relative, such as a parent or sibling, with bipolar disorder. Periods of high stress, such as the death of a loved one or other traumatic event. Drug or alcohol abuse.
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.
Misdiagnosis with BPD
Some of the symptoms of complex PTSD are very similar to those of borderline personality disorder (BPD), and not all professionals are aware of complex PTSD. As a result, some people are given a diagnosis of BPD or another personality disorder when complex PTSD fits their experiences more closely.
Acute Stress Disorder (ASD)
Acute stress disorder is very similar to PTSD, but is shorter in duration. ASD symptoms develop immediately after a traumatic event and last three days to one month. If symptoms persist beyond a month, the individual has developed PTSD.
As mentioned previously, the most common misdiagnosis for bipolar patients is unipolar depression. An incorrect diagnosis of unipolar depression carries the risk of inappropriate treatment with antidepressants, which can result in manic episodes and trigger rapid cycling.
Mental disorders which may be commonly confused with bipolar disorder include Borderline Personality Disorder , Schizoaffective Disorder, Unipolar Depression, and Premenstrual Dysphoric Disorder.
Complex PTSD is one (sometimes referred to as “Disorder of Extreme Stress”), is the most severe form of the condition, requiring the most support of the five sub-types.
Post-traumatic stress disorder (PTSD) is a mental illness. You can develop it after experiencing something that you find traumatic. This can include seeing or hearing about something traumatic. The symptoms of PTSD can start immediately or after a delay of weeks or months.
SMI includes major depression, schizophrenia, bipolar disorder, obsessive compulsive disorder (OCD), panic disorder, post traumatic stress (PTSD) and borderline personality disorder (VA).
Recurrent, unwanted distressing memories of the traumatic event. Reliving the traumatic event as if it were happening again (flashbacks) Upsetting dreams or nightmares about the traumatic event. Severe emotional distress or physical reactions to something that reminds you of the traumatic event.
The most common comorbid diagnoses are depressive disorders, substance use disorders, and other anxiety disorders. The comorbidity of PTSD and depressive disorders is of particular interest. Across a number of studies, these are the disorders most likely to co-occur with PTSD.
Individuals with complex PTSD often over-regulate emotions, using emotional numbing, withdrawing, or dissociation to cope with reminders of traumatic experiences. On the other hand, BPD is characterised by under-regulation of intense emotions, resulting in expressions of intense anger or self-harm.
The average age-of-onset is about 25, but it can occur in the teens, or more uncommonly, in childhood. The condition affects men and women equally, with about 2.8% of the U.S. population diagnosed with bipolar disorder and nearly 83% of cases classified as severe.
Defects in mitochondrial DNA sequences may contribute to a predisposition to such complex diseases as diabetes and bipolar disorder. Therefore, if all bipolar disorder patients have mitochondrial predisposition genes, then the transition of bipolar disorder from the mother's side would be higher.
The symptoms usually appear between the ages of 18 to 29 years, but they can occur at any age, including childhood and the teenage years. Bipolar disorder can be hard to diagnose, but there are signs or symptoms that you can look for.
Genes. Bipolar disorder often runs in families, and research suggests this is mostly explained by heredity—people with certain genes are more likely to develop bipolar disorder than others. Many genes are involved, and no one gene can cause the disorder. But genes are not the only factor.
With symptoms often starting in early adulthood, bipolar disorder has been thought of traditionally as a lifelong disorder. Now, researchers have found evidence that nearly half of those diagnosed between the ages of 18 and 25 may outgrow the disorder by the time they reach 30.
Feeling jittery, nervous or tense.
Women experiencing PTSD are more likely to exhibit the following symptoms: Become easily startled. Have more trouble feeling emotions, experience numbness. Avoid trauma reminders.
Uncontrollable reactive thoughts. Inability to make healthy occupational or lifestyle choices. Dissociative symptoms. Feelings of depression, shame, hopelessness, or despair.