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 maniaHypomania and mania are periods of over-active and excited behaviour that can have a significant impact on your day-to-day life. Hypomania is a milder version of mania that lasts for a short period (usually a few days) Mania is a more severe form that lasts for a longer period (a week or more)https://www.mind.org.uk › about-hypomania-and-mania
Research has shown that the most common trigger for episodes of mania is sleep loss. This can be in the form of sleep disturbances, disruption, jet lag, and an inconsistent sleep schedule. Sleep disturbances rarely cause episodes of hypomania, but it does happen—particularly in individuals with bipolar I.
However, do not argue or debate with someone during a manic episode. Try to avoid intense conversation. Don't take any comments personally. During manic episodes, your loved one may say or do things that are out of character, including focusing on negative aspects of others.
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.
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.
Signs a Manic Episode Is Ending
Slowing down and feeling less urgent and pressured all the time. Feeling more tired and getting more sleep. Being able to think more clearly, even if your memories of the manic episode are fuzzy. Making fewer impulsive decisions.
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.
But don't argue or debate with a person during a manic episode. Avoid intense conversation. Don't take comments or behaviour personally. During periods of high energy, a person often says and does things that he or she would not usually say or do.
There are three stages of mania: hypomania, acute mania and delirious mania. Classifications of mania are mixed states, hypomania and associated disorders.
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.
Bipolar Triggers and Warning Signs
Bipolar disorder features extreme shifts in mood that are unpredictable and often disruptive to daily functioning. Changes in sleep patterns, eating habits, emotions, and behaviors accompany the mood swings.
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. You can also have psychotic symptoms.
Psychosis in bipolar disorder can happen during manic or depressive episodes. But it's more common during episodes of mania. Many people believe that psychosis is a sudden, severe break with reality. But psychosis usually develops slowly.
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.
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.
“Many people think that a person with bipolar disorder doesn't have any control over themselves or that they're unable to take care of themselves or function in society. This simply is not true,” says Ikaika King, who was diagnosed with bipolar II when he was 17.
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.
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)
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.
Lithium and quetiapine top the lists for all three phases of the illness: mania, depression, and the maintenance phase. Lurasidone and lamotrigine are either untested (lurasidone) or ineffective (lamotrigine) in mania, but they are essential tools for bipolar depression.
Manic symptoms
Most research on the effects of caffeine on people with bipolar disorder indicates that the stimulant may trigger manic episodes. Caffeine acts as a mood elevator. Some experts have suggested that caffeine may, as a result, trigger the disorder's manic episodes, which some may refer to as high periods.