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.
People with bipolar disorder get mean and nasty during agitated downswings or dysphoric manias because this is a symptom of bipolar disorder. It's not okay, and it doesn't mean that we get to go around yelling and abusing people.
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.
Aggressive behaviour is principally related with psychopathology. Severity of symptoms and lack of insight are factors associated with aggressiveness in mania. This results in involuntary admission that, in turn, has been associated with a greater degree of aggression in patients with acute mania.
Both a manic and a hypomanic episode include three or more of these symptoms: Abnormally upbeat, jumpy or wired. Increased activity, energy or agitation. Exaggerated sense of well-being and self-confidence (euphoria)
A person with bipolar disorder may be unaware they're in the manic phase. After the episode is over, they may be shocked at their behaviour. But at the time, they may believe other people are being negative or unhelpful. Some people with bipolar disorder have more frequent and severe episodes than others.
Let them know you're worried
If you're worried that your friend or family member is becoming unwell, try to address this with them gently. Don't criticise or accuse, and stay calm and non-confrontational. Explain that you've noticed changes in their behaviour and why it concerns you, and ask if they've noticed it too.
But don't argue or debate with a person during a manic episode. Avoid intense conversation. Don't take comments or behaviour personally. During periods of high energy, a person often says and does things that he or she would not usually say or do.
high levels of stress. changes in sleep patterns or lack of sleep. using recreational drugs or alcohol. seasonal changes – for example, some people are more likely to experience hypomania and mania in spring.
During a manic episode, experts say, mood changes can swing from irritability to euphoria to depression—all within a 25-minute period of time. “Instantaneous anger that lasts a few minutes and occurs twice a week is not bipolar, it's being angry,” says David L.
Bipolar Triggers and Warning Signs
Bipolar disorder features extreme shifts in mood that are unpredictable and often disruptive to daily functioning. Changes in sleep patterns, eating habits, emotions, and behaviors accompany the mood swings.
On the other hand, a 2020 literature review found that people experiencing manic episodes of bipolar disorder showed greater affective empathy than people experiencing depressive episodes and people without bipolar disorder.
The defining characteristics of mania include increased talkativeness, rapid speech, a decreased need for sleep, racing thoughts, distractibility, increase in goal-directed activity, and psychomotor agitation.
Manic episodes are common in people with bipolar I disorder. But they can also be caused by other factors and health conditions, including: Brain injuries.
It's just one of your mood swings
Accusing somebody of being manic when they are genuinely excited about something can be quite painful. Accusing somebody of just having a mood swing when they seem down can be even worse if you then find out that something bad actually happened.
Healthcare providers typically treat acute manic episodes with medications known as antipsychotics. These drugs can reduce manic symptoms more quickly than mood stabilizers. However, long-term treatment with mood stabilizers can help prevent future manic episodes.
People with bipolar disorder do better when they have support from family members and friends. They tend to recover more quickly, experience fewer manic and depressive episodes, and have milder symptoms.
Detection of mania, or at least of brief hypomania, is required for diagnosis of bipolar disorder. This diagnosis is often missed or not remembered as an illness. People close to the patient may recall episodes, however, and patients who do not remember episodes of affective disturbance may recall their consequences.
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.
A manic episode is a period of abnormally elevated or irritable mood and high energy, accompanied by abnormal behavior that disrupts life. Most people with bipolar I disorder also suffer from episodes of depression. Often, there is a pattern of cycling between mania and depression.
So no, not everyone who has bipolar disorder knows they have it. There are lots of reasons why someone with bipolar disorder might not realize it—or why they might deny having it even if they do.
A 2010 study of people with bipolar I disorder found that mood episodes lasted an average of 13 weeks. 3 On average, people with bipolar will have one or two cycles yearly. In addition, there is a seasonal influence—manic episodes occur more often in the spring and fall.