“Living with a spouse diagnosed with bipolar disorder presents unique challenges. The disease involves frequent periods of unpredictable mood swings from being very depressed and withdrawn from family and friends—to periods of mania, anger, fights and risk-taking behaviors.
If you spouse fully accepts the diagnosis and resolves to get treatment, you could begin working together and make the marriage stronger than ever. Many people with bipolar disorder have happy, successful marriages.
In the United States and Canada, at least 40 percent of all marriages fail. But the statistics for marriages involving a person who has bipolar disorder are especially sobering—an estimated 90 percent of these end in divorce, according to the article “Managing Bipolar Disorder” in Psychology Today.
Those with bipolar disorder may also engage in risky behaviors such as unprotected sex or extramarital affairs while manic. During episodes of depression, your partner may avoid sexual contact altogether.
Of course, there are many reasons for infidelity within a marriage or committed relationship, and it's important to remember that having bipolar disorder does not mean you can't be faithful to a romantic partner.
People with bipolar disorder may experience libido changes, impulsive sexual behaviors, and other intimacy challenges.
Bipolar disorder can also affect your sexuality and sexual activity. During a manic episode, you may experience hypersexuality, or an increase in sexual activity. It may place you at an increased risk for actions that may have negative effects, such as contracting a sexually transmitted infection (STI).
A bipolar person may avoid relationships because they don't feel good enough for other people. Sometimes these feelings come on quickly and cause those with mental health conditions to push away others in existing relationships. This can lead to social isolation.
The partner with the condition may have feelings of guilt, shame, and fear because of the impact of a mood episode on the relationship. Meanwhile, the spouse's partner may experience a range of emotions, including anxiety, resentment, loneliness, or feeling stuck.
Bipolar illness has a negative impact on the lives of partners including self-sacrifice, caregiver burden, emotional impact, and health problems. This negative impact can be aggravated by a lack of care and a lack of information from health personnel.
During manic episodes
A manic episode can cause a person with bipolar disorder to experience hypersexuality. They may feel as if their sex drive is always very high, which can create difficulties. People experiencing hypersexuality may never feel satisfied with sex.
Extreme moods and energy levels of bipolar can translate into hypersexuality or disinterest. Although challenging at times, it's absolutely possible to have a fulfilling sex life as a person with bipolar disorder. You just have to be mindful of the complications and look out for the pitfalls.
Bipolar in Men During a Depressive State
In both genders, bipolar depression manifests itself through six behaviors: excessive sleeping, changes in eating, being withdrawn and sullen, irritability, inability to concentrate, and lack of interest in virtually anything typically enjoyed.
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)
During manic episodes, people with bipolar disorder may experience a heightened sense of sexuality. It's only when this is paired with other symptoms of bipolar mania—including risk-taking, impulsivity, and poor judgment—that it can shift into problematic hypersexuality.
Does bipolar hypersexuality last forever? Bipolar disorder is a lifelong condition. 9 However, that does not necessarily mean bipolar hypersexuality will last forever. People with bipolar disorder experience episodes of depression, mania, and even phases without depression or mania.
Hypersexuality can exist as a sign of bipolar disorder or on its own. Also referred to as compulsive sexual behavior or sexual addiction, hypersexuality is described as a dysfunctional preoccupation with sexual fantasies, urges, or behaviors that are difficult to control.
A blood test therefore could help identify those with bipolar disorder experiencing depressive episodes. A 2021 study of a new assay test showed it's possible to diagnose low blood mBDNF levels in people with MDD or bipolar disorder within an accuracy rate of 80 to 83 percent.
When Is It Time to Walk Away? In some cases, the decision to leave is obvious. If physical abuse is present to any degree, and especially if the individual fears for their own life or well-being or that of their children, it's important to leave as soon as possible. Safety is the number one priority.
The majority of marriages involving a spouse with bipolar disorder will, ultimately, end in divorce.