The strongest risk factor for bipolar disorder is a family history (genetics), with a significant genetic link making it highly heritable, but stressful life events, substance abuse, and other mental health conditions (like depression/anxiety) act as major triggers in vulnerable individuals, highlighting a complex interplay between nature and nurture.
Risk factors
Factors that may raise the risk of getting bipolar disorder or cause the first episode include: Having a first-degree relative, such as a parent or sibling, with bipolar disorder. Periods of high stress, such as the death of a loved one or another traumatic event. Drug or alcohol misuse.
According to a study in the Journal of Psychiatric Research, consuming certain foods could make mood swings worse in people with bipolar disorder. Eating a high-sugar, low-nutrient diet can cause dramatic fluctuations in blood sugar levels, which can affect mood.
Stressful life events, trauma and significant life changes can trigger or worsen the symptoms of bipolar disorder. Creating a stable and supportive environment can help manage these triggers.
While bipolar disorder cannot be prevented, it's important to be aware of early warning signs of an impending episode of bipolar depression or bipolar mania. Early recognition of bipolar warning signs and seeing your doctor regularly can allow you to monitor your mood and medications and keep illness from escalating.
Bipolar disorder is frequently inherited, with genetic factors accounting for approximately 80% of the cause of the condition. Bipolar disorder is the most likely psychiatric disorder to be passed down from family. If one parent has bipolar disorder, there's a 10% chance that their child will develop the illness.
The Takeaway. A poor diet can contribute to bipolar mood episodes, and certain food choices may help manage them. People with bipolar disorder should avoid or limit caffeine, alcohol, sugar, salt, and saturated fats.
Childhood trauma
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. This can include experiences like: Neglect.
Three brain chemicals — norepinephrine (noradrenaline), serotonin, and dopamine — are involved in both brain and bodily functions. Norepinephrine and serotonin have been consistently linked to psychiatric mood disorders such as depression and bipolar disorder.
Bipolar rage triggers can include high levels of stress, sleep deprivation, and sudden changes in routine or medication. In that case, it's crucial to recognize that these feelings could be associated with a larger issue like bipolar disorder.
Stick to a routine
Having a routine can help you feel calmer if your mood is high, motivated if your mood is low, and generally more stable. 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.
The 15-15 rule
Have 15 grams of carbs, then wait 15 minutes. Check your blood sugar again. If it's still less than 70 mg/dL, repeat this process. Keep repeating these steps until your blood sugar is back up in your target range.
Conclusions. Our study highlights the significant role that vitamin D, B9, and B12 deficiencies play in the mental and metabolic health of patients with schizophrenia, major depressive disorder, and bipolar disorder.
Bipolar disorder often runs in families, and research suggests this is mostly explained by heredity—people with certain genes are more likely to develop bipolar disorder than others. Many genes are involved, and no one gene can cause the disorder. But genes are not the only factor.
Research suggests there are 10 primary risk factors that predispose an individual toward developing a mental illness.
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.
In bipolar disorder, structural brain abnormalities in the prefrontal cortex have been confirmed in postmortem studies60,61 and with structural MRI. For example, the subgenual portion of the anterior cingulate cortex was reduced in volume in patients with bipolar disorder with a family history of affective disorder.
Stimulants like cocaine, methamphetamine, and amphetamines are most commonly associated with triggering symptoms of bipolar disorder, along with alcohol and high-THC cannabis.
Brain structure and function. Brain scans cannot diagnose bipolar disorder, yet researchers have identified subtle differences in the average size or activation of some brain structures in people with bipolar disorder.
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.
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.
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).
However, many people with bipolar disorder have found the following tools to be helpful in reducing symptoms and maintaining wellness:
A daily routine for sleep, diet and exercise may help people with bipolar disorder. Cognitive behavioral therapy (CBT). This therapy focuses on identifying unhealthy, negative beliefs and behaviors and replacing them with healthy, positive beliefs and behaviors. CBT can help find what triggers your bipolar episodes.
There are various types of exercise that can be beneficial for managing bipolar depression. Aerobic exercises, such as walking, jogging, or swimming, increase your heart rate and help improve cardiovascular health. These activities also stimulate the release of endorphins, boosting your mood and energy levels.