Bipolar
Bipolar disorder is a serious mental illness that causes unusual shifts in mood, ranging from extreme highs (mania or “manic” episodes) to lows (depression or “depressive” episode). Call Nurturing Minds and schedule an appointment with Dr. Nonyerem Rosemary Eneje, DNP, FNP-BC, PMHNP-BC for a comprehensive evaluation and treatment.
A person who has bipolar disorder also experiences changes in their energy, thinking, behavior, and sleep. During bipolar mood episodes, it is difficult to carry out day-to-day tasks, go to work or school, and maintain relationships.
What Causes Bipolar Disorder?
Bipolar disorder affects millions of adults in the U.S. Most people are diagnosed with bipolar disorder in their teens or twenties, however, it can occur at any age and although the symptoms can persist, many find ways to manage their symptoms successfully. People are at a higher risk if they have a family history of bipolar disorder, experienced a traumatic event, and/or misused drugs or alcohol. Differences in brain structure and function may also play a role. If you think you may have it, tell your health care provider.
Signs and Symptoms of Bipolar Disorder
When a person has a manic episode, they feel overly excited, productive, and even invincible. On the other hand, when a person has a depressive episode, they feel extremely sad, hopeless, and tired. They may avoid friends, family, and participating in their usual activities. A severe manic or depressive episode may trigger psychotic symptoms, such as delusions (false beliefs) or hallucinations (seeing or hearing things that others do not see or hear). These drastic behavior changes usually cause concern among friends and family. Everyone’s experience with bipolar disorder is different, and the signs and symptoms vary:
A "manic" episode may include:
- Intense feelings of euphoria, excitement, or happiness
- Appearing abnormally jumpy or wired
- Having excessive energy
- Insomnia or restlessness (a decreased need for sleep)
- Speaking fast or being unusually talkative
- Having racing or jumbled thoughts
- Distractibility
- Inflated self-esteem
- Doing impulsive, uncharacteristic, or risky things like having unsafe sex or spending a lot of money
- Increased agitation and irritability
- Hypomania
A "depressive" episode may include:
- Feeling down, sad, worried, worthless, anxious, guilty, empty, or hopeless
- Lack of interest, or no interest, in activities
- Feeling tired, low energy
- Forgetfulness
- Indecisiveness
- Difficulty concentrating
- Changes in sleep, either sleeping too much or too little
- Changes in appetite, either eating too much or too little
- Thoughts of death and/or suicide
Types & Treatment Bipolar Disorder Types of Bipolar Disorder
Each type of bipolar disorder includes periods between manic or depressive episodes when symptoms lessen, or people feel stable. The major difference between the types of disorder is how extreme the mood states are and how long they last.
- Bipolar I Disorder:having a history of at least one manic episode, but sometimes also having depressed or hypomanic episodes as well.
- Bipolar II Disorder:mood states that vary from an even mood to high to low, but the highs are less extreme and are called hypomanic states. The depressive episodes may be just as severe as those in Major Depressive Disorder and/or Bipolar I Disorder.
- Cyclothymic Disorder:more chronic mood instability (both highs and lows) that are not as long, severe, or frequent as those experienced in bipolar I or II disorder.
Treatment for Bipolar Disorder
Bipolar disorder is a lifelong condition that doesn’t go away on its own. While it can feel overwhelming and isolating at first, an early, accurate diagnosis is the first step toward getting better. Proper treatment, along with support and self-care, helps people with bipolar disorder live healthy, fulfilling lives.
If you think you may have bipolar disorder, tell your health care provider. A medical checkup can rule out other illnesses that might cause your mood changes.
Bipolar disorder is treatable with a combination of medication and therapy.
- Mood stabilizers, antipsychotics, and antidepressants can help manage mood swings and other symptoms. It is important to understand the benefits and risks of medications. People may need to try different medications before determining which works best for them. They should never stop taking a medication without their doctor’s guidance.
- “Talk therapy” (psychotherapy). Therapy helps people accept their disorder, recognize the warning signs of a manic or depressive episode, develop coping skills for handling stress, and stick with a medication schedule. Therapy also improves communication and relationships among families.
- Long-term, continuous treatment. While there may be times between episodes where a person feels fine, a long-term, continuous treatment plan can reduce the severity and frequency of mood swings.
These healthy lifestyle habits, along with professional treatment, can help manage the symptoms of bipolar disorder: