Untreated Bipolar Disorder Bipolar may worsen with age or over time if this condition is left untreated. As time goes on, a person may experience episodes that are more severe and more frequent than when symptoms first appeared.
Changes in the frequency and severity of episodes are among the most evident changes in bipolar disorder at an older age. Research suggests that older adults with bipolar disorder often experience: more frequent episodes. more depressive episodes and less time spent in manic or hypomanic states.
“Untreated bipolar disorder can worsen with age, with both the frequency of mood episodes and their duration,” says Thomas Scary, MD, MA, staff psychiatrist, Rittenhouse Psychiatric Associates in Philadelphia. “This is true even with treatment, but to a lesser extent.”
The risk of developing dementia is much higher among people who've had bipolar disorder, according to several studies. A 2020 analysis determined that people with bipolar disorder are about three times more likely to develop dementia, while another expansive analysis also found a significantly increased risk.
The peak age of onset is 15 to 19 years, and there is often a substantial delay between onset and first contact with mental health services.
The life expectancy for someone with bipolar disorder is approximately 67 years old. A 2021 study researched the effect of bipolar disorder on longevity and found that: risk of death is 2.6 times greater than the general population. the average life span is between 8–12 years shorter than the general population.
A stressful circumstance or situation often triggers the symptoms of bipolar disorder. Examples of stressful triggers include: the breakdown of a relationship. physical, sexual or emotional abuse.
Brain Changes
Research shows bipolar disorder may damage the brain over time. Experts think it's because you slowly lose amino acids. They help build the proteins that make up the insulation around your neurons.
What's more, many people with bipolar disorder report memory loss and or difficulty remembering things. These individuals may have trouble with short and long-term memory, struggle to think things through at a quick speed, and have difficulty thinking outside of the so-called box.
Bipolar disorder is frequently inherited, with genetic factors accounting for approximately 80% of the cause of the condition. Bipolar disorder is the most likely psychiatric disorder to be passed down from family. If one parent has bipolar disorder, there's a 10% chance that their child will develop the illness.
While bipolar disorder cannot develop into schizophrenia, it's possible to experience symptoms of both. Before you consult a mental health professional, here are a few things you should know about the two conditions.
Both the ADA and SSA consider bipolar disorder a disability. That qualifies you to get extra protection and benefits under the law. To start the process, talk with your doctor. You will need documents to prove to the government that bipolar disorder affects your ability to work.
Lamotrigine. Lamotrigine (Lamictal) may be the most effective mood stabilizer for depression in bipolar disorder, but is not as helpful for mania. The starting dose of lamotrigine should be very low and increased very slowly over four weeks or more.
Long-term studies show that both major depression (unipolar and bipolar) and mania are most common in early adulthood and less common in older age. The prevalence of mania tends to decrease with age even more than depression. Mood symptoms in general decline with age, and the balance does shift more to depression.
Personality disorders that are susceptible to worsening with age include paranoid, schizoid, schizotypal, obsessive compulsive, borderline, histrionic, narcissistic, avoidant, and dependent, said Dr. Rosowsky, a geropsychologist in Needham, Mass.
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.
Childhood trauma
Some experts believe that experiencing a lot of emotional distress as a child can cause bipolar disorder to develop. This could be because childhood trauma and distress can have a big effect on your ability to manage your emotions. This can include experiences like: Neglect.
People with bipolar disorder often report problems with memory and cognition. They have trouble with short- and long-term memory, think things through at subdued speeds, and have difficulty thinking outside that so-called box. These memory problems can pose considerable challenges for bipolar patients.
Bipolar disorder is a serious mental illness that causes unusual shifts in mood, ranging from extreme highs (mania) to lows (depression).
Bipolar I disorder is the most severe form of the illness. Bipolar II disorder is characterized by predominantly depressive episodes accompanied by occasional hypomanic episodes. Hypomanic episodes are milder than manic episodes but can still impair functioning.
Left untreated, bipolar disorder can result in serious problems that affect every area of your life, such as: Problems related to drug and alcohol use. Suicide or suicide attempts. Legal or financial problems.
People with bipolar experience both episodes of severe depression and episodes of mania – overwhelming joy, excitement or happiness, huge energy, a reduced need for sleep, and reduced inhibitions. The experience of bipolar is uniquely personal. No two people have exactly the same experience.
To diagnose bipolar disorder, a doctor performs a physical exam, asks about your symptoms, and recommends blood testing to determine if another condition, such as hypothyroidism, is causing your symptoms. If the doctor does not find an underlying cause of your symptoms, he or she performs a psychological evaluation.