Some people have hypomanic episodes, which are like manic episodes, but not severe enough to cause marked impairment in social or occupational functioning or require hospitalization. Most of the time, bipolar disorder symptoms start during late adolescence or early adulthood.
Although bipolar disorder can occur at any age, typically it's diagnosed in the teenage years or early 20s. Symptoms can vary from person to person, and symptoms may vary over time.
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.
The first manic episode is the most likely to be delusional. Psychotic symptoms are more likely to be mood incongruent than is the case with mania later in life, with one study finding mood-incongruent psychosis in 77% of adolescents having their first manic episodes,46 increasing the likelihood of misdiagnosis.
It's common in children and adolescents, but it usually doesn't get diagnosed until adulthood—it can take up to ten years from the time a person experiences symptoms to the time they actually get diagnosed! So no, not everyone who has bipolar disorder knows they have it.
Bipolar disorder can appear in any gender, at any age. It usually starts in your teens or 20s. Often women first have a depressive episode (or multiple) as an adult — before they have a manic (or hypomanic) episode. This is different from men, who are more likely to have a manic episode in childhood.
A stressful circumstance or situation often triggers the symptoms of bipolar disorder. Examples of stressful triggers include: the breakdown of a relationship. physical, sexual or emotional abuse.
During a manic episode, people with bipolar disorder can have what's called a bipolar blackout. During a blackout, the individual is not aware of their surroundings or actions and has trouble remembering them afterward. This can make interacting with someone in a blackout very frustrating, but it doesn't have to be.
Infrequent episodes of mild mania or hypomania can go undetected. Depression can overshadow other aspects of the illness. Sometimes, symptoms of depression and mania can occur at the same time. And substance abuse, if present, can cloud the picture.
Signs of Bipolar Disorder
Unpredictable and extreme mood swings. Going from being wired, talkative, and jumpy (manic episode), to feeling melancholy and depressed (depressive episode) Co-occurring disorders, such as alcohol or drug abuse, eating disorders, anxiety issues, and ADHD.
In patients with bipolar disorder, admissions for manic and depressive episodes frequently follow a seasonal pattern with the peaks during either autumn or winter, or autumn and spring [3,4].
People with bipolar experience high and low moods—known as mania and depression—which differ from the typical ups-and-downs most people experience. The average age-of-onset is about 25, but it can occur in the teens, or more uncommonly, in childhood.
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. This has been described as “ultra-rapid cycling.”
Bipolar disorder can be confused with other conditions, such as depression, schizophrenia, BPD, anxiety, and ADHD. Detecting and diagnosing bipolar disorder may take some time. But getting a correct, early diagnosis often results in better outcomes.
To diagnose bipolar disorder, a doctor performs a physical exam, asks about your symptoms, and recommends blood testing to determine if another condition, such as hypothyroidism, is causing your symptoms. If the doctor does not find an underlying cause of your symptoms, he or she performs a psychological evaluation.
It's normal for your mood to change in response to different situations, news, or challenges you encounter throughout a day. But if your mood shifts dramatically between extreme highs and lows, it may be a sign of bipolar disorder. Mood episodes lasting at least four days are a sign of bipolar disorder.
They last at least two weeks but can last much longer, sometimes for months. Like manic or hypomanic episodes, they can severely disrupt your everyday life.
Childhood traumatic events are risk factors for developing bipolar disorders, in addition to a more severe clinical presentation over time (primarily an earlier age at onset and an increased risk of suicide attempt and substance misuse).
Bipolar I disorder is defined by manic episodes that last at least 7 days (most of the day, nearly every day) or when manic symptoms are so severe that hospital care is needed. Usually, separate depressive episodes occur as well, typically lasting at least 2 weeks.
Misusing drugs and alcohol doesn't cause bipolar disorder, but it can cause an episode to suddenly occur, or it can worsen the underlying illness.
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. If both parents have bipolar disorder, the likelihood of their child developing bipolar disorder rises to 40%.
Bipolar disorder may make it more difficult for you to interpret people's emotions. Missed clues make it harder for you to empathize when others feel happy or sad. If someone is feeling troubled, you may lack enough empathy to be moved to help.
While bipolar disorder and narcissistic personality disorder are two distinct mental health diagnoses, researchers have long noted a link between the two, including symptoms of setting excessively high goals and impulsivity. Other shared traits may include a lack of empathy, sleep deficiencies, and mood changes.