A 2010 study of people with bipolar I disorder found that mood episodes lasted an average of 13 weeks. 3 On average, people with bipolar will have one or two cycles yearly. In addition, there is a seasonal influence—manic episodes occur more often in the spring and fall.
Experts are careful to distinguish between the odd angry outburst and the long-simmering anger and rage of bipolar anger, sometimes lasting over several days during both manic episodes and irritated states of depression.
Relaxation techniques such as deep breathing, meditation, yoga, and guided imagery can be very effective at reducing stress and keeping you on an even keel. A daily relaxation practice can improve your mood and keep depression at bay. Make leisure time a priority.
Anger is not a symptom that everyone with bipolar experiences, but it is not uncommon either. Mania in particular tends to trigger aggressive emotions and anger. The racing thoughts and high energy levels you experience can leave you feeling angry, irritable, and frustrated.
These mood episodes cause symptoms that last a week or two, or sometimes longer. During an episode, the symptoms last every day for most of the day. Feelings are intense and happen with changes in behavior, energy levels, or activity levels that are noticeable to others.
People with bipolar disorder often experience irritability. This emotion is common during manic episodes, but it can occur at other times too. A person who's irritable is easily upset and often bristles at others' attempts to help them. They may be easily annoyed or aggravated with someone's requests to talk.
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.
While anger is a normal response that many people feel at moments in their life, a person with bipolar disorder will be more vulnerable to impulsive and often irrational outbursts. A person with bipolar disorder can experience anger when they are either manic or depressive.
Lithium: The first mood stabilizer for bipolar disorder. Mood stabilizers are medications that help control the highs and lows of bipolar disorder. They are the cornerstone of treatment, both for mania and depression. Lithium is the oldest and most well-known mood stabilizer and is highly effective for treating mania.
Lithium and quetiapine top the lists for all three phases of the illness: mania, depression, and the maintenance phase. Lurasidone and lamotrigine are either untested (lurasidone) or ineffective (lamotrigine) in mania, but they are essential tools for bipolar depression.
How quickly does a person with bipolar disorder shift between highs and lows? It depends. Mood shift frequency varies from person to person. A small number of patients may have many episodes within one day, shifting from mania (an episode where a person is very high-spirited or irritable) to depression.
Bipolar disorder is a chronic mental illness with the peak age of onset between 20 and 40 years. Yassa et al2 proposed age 50 as a cut off for the late onset bipolar disorder. They also reported that about 90 percent of cases have onset prior to age 50.
A person may be happy at one point but could quickly shift to frustration, irritability, or anger after something happens to them. On the other hand, bipolar disorder daily mood swings are much more intense and can be much more difficult for a person to control.
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.
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.
Factors such as stress, poor sleep, and even seasonal changes can play a role in triggering your bipolar symptoms. Learn how you can reduce your risk of bipolar episodes and better manage your condition.
Although there is no official classification for end stage bipolar disorder, mild structural changes in the brain that lead to cognitive dysfunction can severely reduce someone's quality of life, especially toward the end of life.
Understanding bipolar disorder
Mania is often associated with increased energy, feelings of grandiosity, outbursts of anger, and irritability. People experiencing mania may exhibit risky actions, outlandish demands, violent rants, and irresponsible behavior during a manic episode.
Two studies estimated national costs using prevalence data for BD-I and bipolar II disorder (BD-II) in the US population. Cloutier et al estimated the total annual costs of BD-I in the US at $219.1 billion, corresponding to an average of $88,443 per person with BD-I per year.
The authors found that the pooled life expectancy for patients with bipolar disorder, after removal of 1 outlier study, was 67.4 years (95% CI 65.2-69.7), with no evidence of publication bias. Life expectancy was significantly shorter in men (64.6) compared to women (70.5).
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.
A 2010 study of people with bipolar I disorder found that mood episodes lasted an average of 13 weeks. 3 On average, people with bipolar will have one or two cycles yearly. In addition, there is a seasonal influence—manic episodes occur more often in the spring and fall.
Length of episode.
For a mood episode to be classed as mania, it needs to last for a week or more. For hypomania, it needs to last for 4 days or more. But both manic and hypomanic episodes can last much longer than this.
With bipolar 2, depressive episodes alternate with hypomania rather than full-fledged manic episodes. Rapid cycling involves having four or more any kind of episode within a period of 12 months. These mood swings happen randomly and can last for days or weeks. Some may be much shorter or longer than others.