boundless energy while sleeping only a few hours a night.They might experience several symptoms such as: When a person is experiencing an episode of mania, they can seem more energetic and active than usual. The mood changes can include episodes of mania, depression, and psychosis.Īccording to the National Alliance on Mental Illness, about 2.3 million people in the United States manage bipolar disorder. Those managing bipolar II, cyclothymia, or mixed episodes of depression often dread the looming depression bookending an episode of charging “full steam” ahead.īipolar disorder is a condition marked by fluctuations in mood, energy, and activity levels. While anxiety can be ongoing, mania will ebb (in people with bipolar disorder II, cyclothymia, or mixed episodes) and is usually followed by an episode of depression.Ī person with anxiety often dreads the hypothetical worst-case scenario event. More avoidant of social situations than usualĢ-4 months for mania/ hypomania, 2 years for cyclothymia Lack of concentration, all-consuming worry, ever mentally replaying interactions Supercharged or functional energy levels, sometimes feeling euphoricĬreative, innovative, goal-oriented (for better or worse), agitated doi:10.1016/j.jad.2013.05.Feeling decreased need and thus little to no sleep Stigma and bipolar disorder: A review of the literature. doi:10.1016/j.cpr.2012.02.001Ĭarvalho AF, Dimellis D, Gonda X, Vieta E, McIntyre RS, Fountoulakis KN. Van Meter AR, Youngstrom EA, Findling RL. Brain grey-matter volume alteration in adult patients with bipolar disorder under different conditions: a voxel-based meta-analysis. Preventive effects of lamotrigine in bipolar II versus bipolar I disorder. Terao T, Ishida A, Kimura T, Yarita M, Hara T. Randomized, controlled trial of Interpersonal and Social Rhythm Therapy for young people with bipolar disorder. Efficacy of cognitive-behavioral therapy in patients with bipolar disorder: A meta-analysis of randomized controlled trials. Similarities and differences across bipolar disorder subtypes among adolescents. Diagnostic and Statistical Manual of Mental Disorders. doi:10.1111/bdi.12520Īmerican Psychiatric Association. Characterizing the experience of auditory verbal hallucinations and accompanying delusions in individuals with a diagnosis of bipolar disorder: A systematic review. doi:10.2147/tacg.s39297Īmerican Psychiatric Association. Hospitalization might be necessary to stabilize medications or keep someone safe while they are in a suicidal crisis. Hospitalization: Both manic and depressive episodes can trigger suicidal ideation or behavior.Evidence-based therapy treatments for bipolar disorder include cognitive behavioral therapy (CBT) and interpersonal and social rhythm therapy. Pyschotherapy: Individual or group therapy services can help people with bipolar disorder learn skills to cope with their mood symptoms, improve their interpersonal interactions, and understand their experience of the disorder better.It is common for a physician to prescribe multiple medications to treat the different symptoms of bipolar disorder. In addition, those with bipolar I disorder with psychotic symptoms might require antipsychotic medication. Because the use of antidepressants like selective serotonin reuptake inhibitors (SSRIs) may induce hypomania in bipolar individuals, they are only prescribed once a person is on an effective, stable dose of a mood stabilizer. Medication: The manic symptoms of bipolar I and hypomanic symptoms of bipolar II are treated with a class of medication called mood stabilizers.
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