How long does a manic episode last? Early signs (called “prodromal symptoms”) that you're getting ready to have a manic episode can last weeks to months. If you're not already receiving treatment, episodes of bipolar-related mania can last between three and six months.
According to a 2021 study, manic episodes last approximately 3.5 months on average. 2 For people who are not receiving treatment, a manic episode can last between three and six months. With effective treatment, the episode may end in under three months.
Untreated, an episode of mania can last anywhere from a few days to several months. Most commonly, symptoms continue for a few weeks to a few months. Depression may follow shortly after, or not appear for weeks or months. Many people with bipolar I disorder experience long periods without symptoms in between episodes.
Types of Bipolar Disorder
Bipolar I disorder is defined by manic episodes that last at least 7 days (most of the day, nearly every day) or when manic symptoms are so severe that hospital care is needed. Usually, separate depressive episodes occur as well, typically lasting at least 2 weeks.
A person with bipolar disorder may be unaware they're in the manic phase. After the episode is over, they may be shocked at their behaviour. But at the time, they may believe other people are being negative or unhelpful. Some people with bipolar disorder have more frequent and severe episodes than others.
There isn't any clinical evidence that links bipolar disorder with lying, though some anecdotal accounts suggest there may be a connection. It's thought that some people with bipolar disorder may lie as a result of: racing thoughts and rapid speech.
A bipolar depression crash is usually the emotional fallout of a hypomanic or manic episode. It can also occur when something triggers bipolar depression or as a result of chemical or hormonal changes in the brain.
Delirious Mania (Stage III).
Delirious mania is the most severe of the three stages of mania. Its symptoms are similar to acute mania, with the addition of delirium. Delirium is temporary confusion and a decreased ability or inability to connect with reality.
If they are displaying truly worrisome behaviors, like hallucinations or suicidal or homicidal thoughts, or if they seem unable to care for themselves or seem to be losing complete control of their actions, call 911.
high levels of stress. changes in sleep patterns or lack of sleep. using recreational drugs or alcohol. seasonal changes – for example, some people are more likely to experience hypomania and mania in spring.
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.
Let them know you're worried. If you're worried that your friend or family member is becoming unwell, try to address this with them gently. Don't criticise or accuse, and stay calm and non-confrontational. Explain that you've noticed changes in their behaviour and why it concerns you, and ask if they've noticed it too.
After a manic or hypomanic episode you might: Feel very unhappy or ashamed about how you behaved. Have made commitments or taken on responsibilities that now feel unmanageable. Have only a few clear memories of what happened during your episode, or none at all.
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)
Symptoms of a manic episode
Having an abnormally high level of activity or energy. Feeling extremely happy or excited — even euphoric. Not sleeping or only getting a few hours of sleep but still feeling rested. Having an inflated self-esteem, thinking you're invincible.
Signs of a Manic Episode
Feeling wired, jumpy, or buzzed. Irritability. Not needing sleep, or feeling energetic despite getting little to no sleep for days at a time. Loss of appetite, and having lots of energy despite eating little food.
Manic episodes cause euphoria, increased energy and activity, and lack of sleep. Psychotic episodes may occur during depression or mania and can cause a person to become delusional or to hallucinate.
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.
Today, we know more about bipolar disorder and can be truthful about what we experience. A nervous breakdown is now called a bipolar disorder mood swing.
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.
Detection of mania, or at least of brief hypomania, is required for diagnosis of bipolar disorder. This diagnosis is often missed or not remembered as an illness. People close to the patient may recall episodes, however, and patients who do not remember episodes of affective disturbance may recall their consequences.