Factors that may increase the risk of developing bipolar disorder or act as a trigger for the first episode include: Having a first-degree relative, such as a parent or sibling, with bipolar disorder. Periods of high stress, such as the death of a loved one or other traumatic event. Drug or alcohol abuse.
The exact cause of bipolar disorder is unknown. Experts believe there are a number of factors that work together to make a person more likely to develop it. These are thought to be a complex mix of physical, environmental and social factors.
Bipolar I disorder involves at least one episode of mania, which is a very high mood. This can alternate with times of depression. During a manic phase, you may feel “wired” or jumpy and full of energy. During a depressive phase, you may feel you have no energy and are unable to carry out daily tasks.
You usually develop bipolar disorder before you are 20. It can develop in later life, but it rarely develops after the age of 40. You could have symptoms of bipolar disorder for some time before a doctor diagnoses you.
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.
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.
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.
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.
Cyclothymia symptoms alternate between emotional highs and lows. The highs of cyclothymia include symptoms of an elevated mood (hypomanic symptoms). The lows consist of mild or moderate depressive symptoms. Cyclothymia symptoms are similar to those of bipolar I or II disorder, but they're less severe.
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 get a diagnosis of bipolar disorder, you must have had at least one manic or hypomanic experience. Signs of manic behavior include: Your mood isn't comfortable. It might feel good at first, especially after depression.
Many experts say cyclothymic disorder is a mild form of bipolar disorder.
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.
Although symptoms may come and go, bipolar disorder usually requires lifelong treatment and does not go away on its own. Bipolar disorder can be an important factor in suicide, job loss, ability to function, and family discord. However, proper treatment can lead to better functioning and improved quality of life.
Experts believe bipolar disorder is partly caused by an underlying problem with specific brain circuits and the functioning of brain chemicals called neurotransmitters. Three brain chemicals -- norepinephrine (noradrenaline), serotonin, and dopamine -- are involved in both brain and bodily functions.
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.
To receive a diagnosis of bipolar disorder, you must experience at least one period of mania or hypomania. These both involve feelings of excitement, impulsivity, and high energy, but hypomania is considered less severe than mania. Mania symptoms can affect your day-to-day life, leading to problems at work or home.
Mental health disorders can only be diagnosed by a licensed mental health professional or doctor.
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.
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.
Bipolar anger and rage can be common symptoms for people living with bipolar disorder. Not everyone will experience these intense emotional states, but for those who do, it makes this mental health condition even more challenging to navigate.
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.
When left untreated, the symptoms of Bipolar Disorder will often increase in severity and may lead to suicide; there is a high suicide rate for people with the disorder. When treated, it's possible to control the symptoms of Bipolar Disorder and enjoy a more stable and fulfilling life.
Mania and hypomania
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)