Bipolar disorder is often not immediately obvious, and it can be difficult to diagnose because its symptoms can be subtle or overlap with other conditions like depression, anxiety, or ADHD. The perception of the condition varies greatly depending on the severity of episodes and the individual's self-awareness.
The main symptom of bipolar disorder is extreme changes to your mood. You sometimes have either: high moods (mania or hypomania) – for example, feeling very happy, excited or energetic. low moods (depression) – for example, feeling sad, tired or hopeless.
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.
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.
At the outset, bipolar symptoms are commonly mistaken for ADHD, depression, anxiety, borderline personality disorder, and, in its more severe manifestations, as schizophrenia.
People often feel very excited during a manic episode and make impulsive decisions. Depression is pretty much the opposite—low energy, with feelings of sadness or despair. Stress can trigger one of these episodes, but often the shift happens without any clear explanation.
Overview. Cyclothymia (sy-kloe-THIE-me-uh), also called cyclothymic disorder, is a rare mood disorder. Cyclothymia causes emotional ups and downs, but they're not as extreme as those in bipolar I or II disorder. With cyclothymia, you experience periods when your mood noticeably shifts up and down from your baseline.
Five key signs of bipolar disorder involve extreme mood shifts, including manic symptoms like inflated energy, reduced need for sleep, racing thoughts, impulsivity (spending, risky behavior), and irritability, alongside depressive symptoms such as profound sadness, loss of interest, fatigue, significant sleep/appetite changes, and suicidal thoughts, all lasting for extended periods and impacting daily life.
While the manic episodes of bipolar I disorder can be severe and dangerous, people with bipolar II disorder can be depressed for longer periods of time. Bipolar disorder can start at any age, but usually it's diagnosed in the teenage years or early 20s.
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.
Common early warning signs of bipolar depression
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.
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).
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.
Common triggers the person may experience include:
So, the bottom line, is that if you have bipolar disorder, you were likely born with the predisposition for this disorder, and for many a stressful life event and/or upbringing can trigger the onset of the illness. It is important to remember that what is stressful to one person may not be stressful to another.
Without effective treatment, bipolar disorder can cause episodes of mania, depression, or both. Symptoms of a manic episode can include intense excitement, excessive energy, anxiety, or racing thoughts. A depressive episode can cause sadness, hopelessness, or low energy.
Only a mental health professional like a psychiatrist can give you a bipolar disorder diagnosis – not your GP. However, if you're experiencing bipolar moods and symptoms, discussing it with your GP can be a good first step. They can refer you to a psychiatrist, who will be able to assess you.
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.
Everyone experiences ups and downs, but with bipolar disorder, the range of mood changes can be extreme. People with the disorder have manic episodes or unusually elevated moods in which the person might feel excessively happy, irritable, or “up,” with a marked increase in activity level compared to their usual self.
Thinking patterns during manic episodes may become rapid and scattered. In contrast, depressive episodes can slow down thought processes. This fluctuation in thinking can contribute to erratic behavior and challenges in daily life. Early detection and comprehension of these symptoms are critical.
If you have bipolar disorder, however, a compulsive urge to talk might represent a symptom called pressured speech. This symptom occurs commonly in adults, adolescents, and children with bipolar disorder experiencing mania or hypomania.
The person who prescribes it may be your doctor (GP). Or it could be another specialist healthcare professional, such as a psychiatrist.
Introduction