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.
Blackouts can because by consumption of a toxic substance (ie: alcohol) or by an extremely emotional episode (ie: bipolar, stress, anger).
When a person is in a full-blown manic and psychotic episode, memory is greatly affected. In fact, it is rare for someone who is in a deep episode to remember all that happened. This is why it's called a blackout.
Why does it happen? Well, researchers believe that depressive and manic episodes are the most common causes of memory loss in patients with bipolar disorder. During manic episodes, the individual may operate at high speeds, making it difficult for them to hard code new information into their memories.
In full-blown mania, often the manic person will feel as though their goal(s) are of paramount importance, that there are no consequences, or that negative consequences would be minimal, and that they need not exercise restraint in the pursuit of what they are after.
Signs of A Bipolar Meltdown
The extreme mood swings that occur in bipolar disorder are accompanied by changes in sleep patterns, eating habits, emotions, and behaviors. People with bipolar disorder can experience periods of mania and depression, and the timing of these episodes can be difficult to predict.
Having an abnormally high level of activity or energy. Feeling extremely happy or excited — even euphoric. Not sleeping or only getting a few hours of sleep but still feeling rested. Having inflated self-esteem, thinking you're invincible.
There's little or no self-awareness during mania, so you may not realize the consequences of your actions or how you have affected others until you come out of the episode. When you start to notice these symptoms, seek professional help before you slide fully into a manic episode.
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.
Bipolar psychosis happens when a person experiences an episode of severe mania or depression, along with psychotic symptoms and hallucinations. The symptoms tend to match a person's mood. During a manic phase, they may believe they have special powers. This type of psychosis can lead to reckless or dangerous behavior.
Psychogenic Blackouts: Stress and Anxiety
Stress and anxiety are the most common causes of psychogenic blackouts. This can be due to chronic stresses, such as being foreclosed on or having someone close to you pass away. Psychogenic blackouts are, however, more commonly associated with a single stressful event.
What is a blackout? A blackout is a temporary loss of consciousness. In a blackout, you experience a loss of memory. There are many different causes of blackout – it might be an effect of drugs or alcohol, a problem with circulation, or a problem within the brain, such as epilepsy.
A blackout, or transient loss of consciousness (T‐LOC) occurs because there is: a disorder of the circulation—syncope; a disorder of the brain—epilepsy (or other rare neurological condition); a disorder of the psyche—psychogenic seizures.
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.
When they're in the throes of these emotions, they may unintentionally shut others out as they try to navigate what's happening on their own. They could be hyper-focused on other activities or tasks. Hyper-focusing is a common symptom of bipolar disorder, and it can change the way someone interacts with the world.
An excessive and persistent hopeless, sad, or depressed mood. Extreme fatigue and lack of energy to do normal tasks. An inability to enjoy activities. Irritability and restlessness or sluggishness.
During manic episodes, people experience euphoria, high energy, and racing thoughts. They're easily distracted, unusually irritable, and prone to risky behavior like shopping sprees and reckless driving. They'll often find themselves talking quickly about many things at once and will go without sleeping.
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)
In the manic phase of bipolar disorder, it's common to experience feelings of heightened energy, creativity, and euphoria. If you're experiencing a manic episode, you may talk a mile a minute, sleep very little, and be hyperactive. You may also feel like you're all-powerful, invincible, or destined for greatness.
A person in a manic state may also be more likely to take risks and make impulsive decisions or abuse substances like drugs and alcohol. As a result, long-term memory problems may develop or be exacerbated, since someone may not remember what they did during the course of the day.
After a manic or hypomanic episode you might: Feel very unhappy or ashamed about how you behaved. Have made commitments or taken on responsibilities that now feel unmanageable. Have only a few clear memories of what happened during your episode, or none at all.
Psychosis — experiencing hallucinations and delusions (in the most severe manic episodes).
The results showed that manic episodes led to decreased volume in certain areas of the brain. Bipolar disorder has been linked to various structural brain changes, including most notably progressive grey matter loss in the brain's frontal regions.