It's not always obvious, as bipolar disorder involves distinct "highs" (mania/hypomania) and "lows" (depression) with varied symptoms like extreme energy/irritability or hopelessness/fatigue, plus periods of stability, and signs can be subtle (sleep changes, mood shifts, impulsivity) or dramatic, making self-diagnosis difficult and requiring professional evaluation.
Someone with bipolar disorder has episodes of depression and highs (feeling 'hyper' or 'wired'). During the 'highs' they might feel like things are speeding up, having thousands of thoughts and ideas, and they may feel invincible or behave recklessly.
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.
The first red flag of bipolar disorder often appears as significant changes in sleep patterns, mood instability (irritability/euphoria), increased energy/agitation, and rapid thoughts/speech, frequently mistaken for unipolar depression or normal moodiness, with sleep disruption (insomnia or oversleeping) and heightened irritability being very common early signs, notes Better Mental Health.
People living with quiet BPD may oscillate between clinging to people around them in need of validation and pushing them away to avoid criticism. This leads to frequent mood swings and emotional switches, such as going from extreme excitement to profound sadness.
BPD Meltdown
During a meltdown, people may experience extreme mood swings, impulsivity, and difficulty calming down. Understanding how BPD contributes to meltdowns is crucial for developing coping strategies and providing support to manage and navigate these overwhelming emotional experiences.
Five key signs of bipolar disorder involve extreme mood shifts, including manic/hypomanic symptoms like inflated self-esteem, decreased need for sleep, racing thoughts, high energy/activity, and impulsive behaviors (spending/sex), alongside depressive symptoms such as persistent sadness, loss of interest, fatigue, and sleep/appetite changes, creating significant life disruption.
Symptoms of bipolar disorder
How many hours should a bipolar person sleep? People should try to sleep at least 7 hours per night, regardless of whether they have a condition such as bipolar disorder.
You can use a 48 hour rule where you wait at least 2 full days with 2 nights sleep before acting on risky decisions. Review your decision to avoid a tempting, but risky, behaviour.
At the outset, bipolar symptoms are commonly mistaken for ADHD, depression, anxiety, borderline personality disorder, and, in its more severe manifestations, as schizophrenia.
Defining Bipolar 1
Bipolar 1 is diagnosed when a person experiences a manic episode, which may be followed by depressive episodes. During a manic episode, individuals may display symptoms such as elevated mood, increased energy, racing thoughts, decreased need for sleep, and reckless behavior.
The symptoms of bipolar disorder are far more intense than ordinary mood swings and can create disruptions in your daily life and relationships. Your mood can swing from highs of mania to the lows of depression, and trigger pronounced changes in your energy levels and how you think, feel, and behave.
Age at onset of type-I bipolar disorder (BPD) typically averages 12-24 years, is older among patients with type-II BPD, and oldest in unipolar major depressive disorder 1,2,3. Reported onset ages probably vary by ascertainment methods, and possibly among different countries and cultures 1,2,3,4,5,6.
Common triggers the person may experience include:
Untreated Bipolar disorder can lead to severe mood swings, relationship issues, job insecurity, drug abuse, and self-harm. If not treated, the illness can make daily life and mental health worse and get worse over time. Early diagnosis and medication can make the lives of people with bipolar disorder a lot better.
People with bipolar disorder often experience periods of extremely “up,” elated, irritable, or energized behavior (known as manic episodes) and very “down,” sad, indifferent, or hopeless periods (known as depressive episodes).
What types of bipolar disorder are there?
10 Warning Signs
Intense mood swings disrupting daily life. Cycles of depression with guilt, worthlessness, or suicidal thoughts. Risky behaviors (spending sprees, gambling, reckless driving). Surges in energy and multitasking.
The Big Five personality comprises independent traits of neuroticism, extraversion, openness to experience, agreeableness and conscientiousness (McCrae and John 1992) and forms the basis of several personality inventories (Costa and McCrae 1992).
Your routine could include: Day-to-day activities, such as the time you eat meals and go to sleep. Making time for relaxation, mindfulness, hobbies and social plans. Taking any medication at the same time each day.
Generalized Anxiety Disorder (GAD): One of the most common mental disorders, GAD is characterized by excessive worry about issues and situations that individuals experience every day. Any worrying that is out of proportion to the reality of the situation may fall under this disorder.
One isn't worse than the other. They're both lifelong mental health conditions that require medication and therapy. It's also possible to be diagnosed with both BPD and bipolar disorder. In those instances, it can be even more difficult to treat because the conditions can aggravate each other.
Borderline personality disorder usually begins by early adulthood. The condition is most serious in young adulthood. Mood swings, anger and impulsiveness often get better with age. But the main issues of self-image and fear of being abandoned, as well as relationship issues, go on.