What is Bipolar Disorder?

Bipolar Disorder, formerly known as manic depression, is a mental health condition characterised by extreme shifts in mood, energy levels, and activity levels. Individuals with bipolar disorder experience periods of intense highs, known as mania or hypomania, and periods of deep lows, known as depression. These mood swings can significantly impact daily life, relationships, and overall well-being.

Bipolar I Disorder

This type of bipolar disorder is defined by the occurrence of at least one manic episode, which may be preceded or followed by hypomanic or depressive episodes. Manic episodes are characterised by elevated mood, extreme energy, racing thoughts, impulsive behaviour, and a heightened sense of self-importance. These episodes can be severe and may require hospitalisation.

Bipolar II Disorder

Bipolar II disorder involves recurrent episodes of major depression and hypomania. Hypomania is a less severe form of mania, characterised by a distinct period of elevated mood, increased energy, and heightened creativity. While hypomania does not typically lead to severe impairment or hospitalisation, it can still disrupt daily life.

Cyclothymia

Cyclothymia is a milder form of bipolar disorder characterised by numerous periods of hypomanic symptoms and depressive symptoms that persist for at least two years. The symptoms are less severe than those of Bipolar I or II, but they can still interfere with daily function.

Symptoms

Symptoms

The symptoms of bipolar disorder vary depending on the mood episode:

Manic Episode

  • Feeling extremely euphoric or irritable

  • Increased energy and restlessness

  • Racing thoughts and rapid speech

  • Decreased need for sleep

  • Grandiose beliefs or inflated self-esteem

  • Engaging in high-risk behaviours or excessive spending

  • Difficulty concentrating and making decisions

Hypomanic Episode

  • Similar symptoms to a manic episode but less severe

  • Increased energy and productivity

  • Elevated mood and confidence

  • Increased creativity and sociability

  • Potential for reckless behaviour, though less severe than in mania

Depressive Episode

  • Persistent feelings of sadness, emptiness, or hopelessness

  • Loss of interest or pleasure in activities once enjoyed

  • Significant changes in appetite and weight

  • Insomnia or excessive sleeping

  • Fatigue or loss of energy

  • Feelings of worthlessness or excessive guilt

  • Difficulty concentrating or making decisions

  • Thoughts of death or suicide

Causes

Causes

The exact causes of bipolar disorder are not fully understood, but it is believed to be influenced by a combination of factors, including:

Genetic Factors

Bipolar disorder tends to run in families, suggesting a genetic predisposition. Certain genes and variations may increase the risk of developing the condition.

Neurochemical Imbalance

Imbalances in certain brain chemicals (neurotransmitters) such as serotonin, dopamine, and norepinephrine are thought to contribute to the development of bipolar disorder.

Brain Structure and Function

Structural and functional differences in the brain, particularly in areas involved in emotional regulation and decision-making, have been observed in individuals with bipolar disorder.

Environmental Triggers

Environmental factors such as significant life stressors, traumatic events, substance abuse, and disruptions in sleep patterns can trigger or worsen mood episodes in individuals with a predisposition to bipolar disorder.

Treatment

Medication

Medication

Mood stabilisers such as lithium, anticonvulsants, and atypical antipsychotics are commonly prescribed to help stabilise mood and prevent or manage manic and depressive episodes. Sometimes, antidepressant medications may also be used cautiously during depressive episodes.

Therapy

Therapy

Psychotherapy, such as cognitive-behavioural therapy (CBT) and interpersonal and social rhythm therapy (IPSRT), can be beneficial in helping individuals understand and manage their symptoms, develop coping strategies, improve communication, regulate sleep patterns, and establish a stable routine.

Therapy

Supportive Services

Support groups, peer support programs, and community resources can provide valuable support, education, and a sense of belonging for individuals living with bipolar disorder.

Living with Bipolar Disorder

Self care

Stick to a routine

Establishing a daily routine can help stabilize mood and provide a sense of stability and predictability. Aim for regular sleeping patterns, consistent meal times, and structured activities throughout the day.

Avoid alcohol and substance abuse

Substance abuse can exacerbate mood swings and interfere with the effectiveness of medications. It's important to avoid alcohol and recreational drugs and to discuss any substance use concerns with your healthcare provider.

Build a support network

Surround yourself with a supportive network of family, friends, or support groups who understand your condition and can provide encouragement and understanding when needed.

Practice self-care

Prioritise self-care activities that promote physical, mental, and emotional well-being. This may include engaging in regular exercise, practicing relaxation techniques like meditation or deep breathing, getting enough sleep, and engaging in hobbies or activities that bring joy and relaxation.

Track your moods

Keep a mood journal or use a mood tracking app to monitor your mood fluctuations, triggers, and any patterns you may notice. This can help you identify early warning signs of mood episodes and make adjustments to your treatment plan if necessary.

Communicate with your treatment team

Regularly communicate with your healthcare provider and mental health professionals about your symptoms, treatment progress, and any concerns or questions you may have. Open and honest communication is vital for effective management of bipolar disorder.

Stay consistent with medication

If prescribed medication, take it as directed by your healthcare provider. It may take time to find the right medication or combination of medications that work best for you, so be patient and communicate any concerns or side effects to your doctor.