When bipolar starts, symptoms can come on suddenly and may appear as quickly as any other mood disorder. Dramatic changes in mood usually happen over several days, but in some cases, mood changes can occur within a few hours.
Mood episodes in bipolar disorder often happen suddenly, for no particular reason. Sometimes, you may notice that there are specific things that can trigger mania or depression, such as getting too little sleep, changes to your daily routine, or jet lag when you travel.
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. the death of a close family member or loved one.
The illness usually starts with depression rather than mania, so even when mania is detected accurately, the onset of bipolar disorder may be missed.
The main sign of bipolar disorder is extreme mood swings that go from emotional highs to emotional lows. Manic episodes cause people to seem very energetic, euphoric, or irritable. During depressive episodes, your loved one may seem sad, upset, or tired all the time.
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.
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.
Without proper treatment, people with hypomania may develop severe mania or depression. "Bipolar disorder may also be present in a mixed state, in which you might experience both mania and depression at the same time.
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.
Bipolar disorder is easily confused with depression because it can include depressive episodes. The main difference between the two is that depression is unipolar, meaning that there is no “up” period, but bipolar disorder includes symptoms of mania.
Changes in mood here can happen quickly and occur over a few days or even over a few hours. If there are four mood changes within a month, it is called ultra-rapid cycling. While the phrase “rapid cycling” may make it seem that there is a regular cycle to these shifts in mood, most cycles do not follow a pattern.
Bipolar disorder can occur at any age, although it often develops between the ages of 15 and 19 and rarely develops after 40. Men and women from all backgrounds are equally likely to develop bipolar disorder.
In the same sense, positive life events such as goal attainment, falling in love, or winning an award, can also trigger an episode of mania. This is because individuals with bipolar disorder have a higher “reward response” chemically speaking, which can manifest with consequences.
Bipolar spectrum disorder involves a wide range of signs and symptoms that can vary in severity. These symptoms may include mood swings, changes in energy levels and ways of thinking, and sleep disruption. Some mental health experts have described bipolar disorder as a spectrum disorder.
Your doctor can't diagnose bipolar disorder from a brain scan or blood test. However, new research has uncovered a possible link between the expression of a key brain molecule and the diagnosis of mood disorders.
There are no specific blood tests or brain scans to diagnose bipolar disorder. Even so, a doctor may perform a physical exam and order lab tests, including a thyroid function test and urine analyses. These tests can help determine if other conditions or factors could be causing your symptoms.
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.
Cyclothymia symptoms are similar to those of bipolar I or II disorder, but they're less severe. When you have cyclothymia, you can typically function in your daily life, though not always well.
Bipolar disorder is an illness that produces dramatic swings in mood (amongst other symptoms). A person with bipolar disorder will alternate between periods of mania (elevated mood) and periods of depression (feelings of intense sadness). In between these two extremes, a person will have periods of normal mood.
First of all, it's normal for people with bipolar disorder and other mental health conditions to “shut down” when their brain gets overwhelmed.
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.
Drugs with a definite propensity to cause manic symptoms include levodopa, corticosteroids and anabolic-androgenic steroids. Antidepressants of the tricyclic and monoamine oxidase inhibitor classes can induce mania in patients with pre-existing bipolar affective disorder.