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.
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.
One study published in the journal Bipolar Disorders involving more than 500 people found that those with bipolar (either type I or II) are more likely to be argumentative, feel hostile toward others, have hot tempers, and act out than those without the disorder, especially during a mood episode.
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).
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.
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 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.
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.
One of the hallmark signs of mania is impaired judgment. This causes you to participate in extremely risky or dangerous behaviors. You do things without even considering the consequences of your actions. Gambling and hypersexuality are some of the risky behaviors linked to manic episodes.
In some cases, someone with bipolar disorder can get angry more easily because they're suffering from a manic or hypomanic state, or even a depressive state that's induced by their condition.
Overreacting is a symptom of bipolar disorder,1 but phrases like this minimize the person's experience of this symptom. When supporting a loved one living with a mental health condition like bipolar disorder, it's important that your words demonstrate empathy rather than exasperation.
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.
One of the worst side effects of bipolar disorder is the repetitive cycle of self-sabotage. But you can manage this symptom by mapping out your goals.
It's common for someone with bipolar disorder to hurt and offend their partner. When someone is first diagnosed, there are often relationship issues that need to be addressed. Couples counseling can help you: Understand that there's an illness involved in the hurtful behavior.
Violence and aggression
Bipolar patients are prone to agitation that can result in impulsive aggression during manic and mixed episodes. However, depressed states can involve intense dysphoria with agitation and irritability, which can also increase the risk of violent behavior.
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.
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.
You can be physically aggressive. Kicking things, slamming doors, punching walls, pushing against someone a bit too hard. (Note: if there is a lot of energy around these symptoms, there is a chance you are experiencing mixed or dysphoric mania, not angry depression. See more below.)
You may also become angry, irritable, and aggressive—picking fights, lashing out when others don't go along with your plans, and blaming anyone who criticizes your behavior. Some people even become delusional or start hearing voices.
It appears that not everyone can handle being friends with someone who has bipolar and it could be for a variety of reasons. Maybe they have their own overwhelming situations or maybe they don't fully understand bipolar disorder so they don't know how to handle it and just need education.
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.
Bipolar disorder is a mental health condition that can result in extreme shifts in mood. As this may affect how a person thinks, feels, and behaves, it may present challenges that can make it difficult to maintain friendships.