Antidepressants can trigger mania in people with bipolar disorder. If antidepressants are used at all, they should be combined with a mood stabilizer such as lithium or valproic acid. Taking an antidepressant without a mood stabilizer is likely to trigger a manic episode.
The known maladaptive types of coping mechanisms, or negative coping skills, evident in BD patients are “… rumination, catastrophism, self-blame, substance use, risk-taking, behavioral disengagement, problem-direct coping, venting of emotions, or mental disengagement” (Apaydin & Atagun, 2018).
Drugs or alcohol may seem to ease symptoms, but they can actually trigger, prolong or worsen depression or mania. If you have a problem with alcohol or other drugs, tell your provider so that both your substance use and bipolar disorder can be treated.
Signs of A Bipolar Meltdown
The extreme mood swings that occur in bipolar disorder are accompanied by changes in sleep patterns, eating habits, emotions, and behaviors. People with bipolar disorder can experience periods of mania and depression, and the timing of these episodes can be difficult to predict.
Gambling and hypersexuality are some of the risky behaviors linked to manic episodes. Impulsivity is the root behind many of these reckless actions. Spending money without even thinking is another problem when it comes to manic episodes.
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. Those angry emotions, in turn, can cause aggressive and inappropriate behaviors.
The Relationship Between Bipolar Disorder & Anger. Bipolar disorder is characterized by frequent mood cycles, fluxing between mania and depression. While anger isn't always present, people with this frustrating condition may find they quickly experience angry outbursts when they feel agitated, irritated, or annoyed.
Bipolar disorder can cause your mood to swing from an extreme high to an extreme low. Manic symptoms can include increased energy, excitement, impulsive behaviour, and agitation. Depressive symptoms can include lack of energy, feeling worthless, low self-esteem and suicidal thoughts.
1. Mariah Carey. Singer, songwriter, actress and producer Mariah Carey has won too many awards to list. The iconic artist opened up in 2018 about her 2001 diagnosis of bipolar disorder, in which she was hospitalized for a physical and mental breakdown.
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.
Drinking alcohol or taking drugs, he says, can worsen your bipolar mood swings and lead to an increase in suicidal thoughts or behaviors. As SAMHSA notes, substance use or withdrawal can cause symptoms attributed to bipolar disorder, including agitation, anxiety, paranoia, mania, or depression.
Symptoms of a manic episode may include a heightened sense of self-importance and grandiosity. These also feature in narcissistic disorder. Narcissism is not a symptom of bipolar disorder, and most people with bipolar disorder do not have narcissistic personality disorder.
But what is often not so apparent is the lesser-known side of a destructive manic episode: Dysphoric mania. Dysphoria in bipolar disorder is characterized by increased energy and activity, as seen in euphoria, but the mood is dominated by excessive and persistent irritability.
The fear of never being stable.
Thus this leads to a feeling of being unfit for this world — that you weren't meant for it because you can't cope with life due to something you didn't choose and can't change; that you're stuck having to explain yourself to others and even yourself.
Bipolar disorder, formerly called manic depression, is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). When you become depressed, you may feel sad or hopeless and lose interest or pleasure in most activities.
Bipolar I disorder is the most severe form of the illness. Bipolar II disorder is characterized by predominantly depressive episodes accompanied by occasional hypomanic episodes. Hypomanic episodes are milder than manic episodes but can still impair functioning.
Shutting down
It is easy to become overwhelmed by the emotional rollercoaster caused by mood swings and other symptoms of Bipolar Disorder. A typical response, particularly immediately following an episode, is to shut down and temporarily avoid or ignore everything outside oneself in order to self-regulate.
If one parent has bipolar disorder, there's a 10% chance that their child will develop the illness. If both parents have bipolar disorder, the likelihood of their child developing bipolar disorder rises to 40%.
Answer questions honestly. But don't argue or debate with a person during a manic episode. Avoid intense conversation. Don't take comments or behavior personally.