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Signs of Bipolar Disorder: Learning How to Recognize the Need for a Diagnosis

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Will my loved ones leave or judge me? When will my next episode happen? Will I ever feel good again? Have I lost myself? When was the last time I felt stable?

These are common questions that many people with bipolar disorder ask themselves. With 4.4% of the US population living with this condition, over 44,000 people in Delaware have found themselves in a similar position. 

We want to answer your questions at SUN Behavioral Health Delaware. Learning to manage this disorder is possible with treatment. Today, we are going to examine the signs of bipolar disorder and when having these symptoms can indicate a need for a diagnosis.

Understanding Bipolar Disorder: The Highs and Lows

Bipolar disorder is a mental health disorder that results in shifts in a person's mood, concentration, energy, and activity. People who have this disorder find it challenging to accomplish their daily responsibilities. There are 3 types of bipolar disorder: bipolar I, bipolar II, and cyclothymic. 

These types have apparent changes and can range from periods of "ups" and "downs." Ups are known as manic episodes and include symptoms like elation and irritability. Downs are known as depressive episodes with symptoms of hopelessness and indifference. These episodes are distinctly different from the person's typical behaviors and emotions. They will last every day for the majority of the day. 

Bipolar I disorder is when someone experiences "rapid cycling" of 4 or more episodes of mania or depression in 1 year. Manic symptoms typically last at least 7 days, while depressive episodes last at least 2 weeks. They may experience both at the same time. 

Bipolar II disorder is a less intense version of bipolar I. People with this disorder do not typically have full mania symptoms and instead will have hypomania. The cyclothymic disorder includes changing symptoms of hypomania and depression that do not last long enough to qualify as an episode. 

Mania and Hypomania: How Are They Different?

Hypomania is a less severe type of mania. Typically, it does not create a significant challenge for a person to perform functioning, and it will last shorter than mania. Hypomania will never require hospitalization. Suppose someone requires hospitalization due to their mania symptoms. In that case, it will not be classed as hypomania, even if the symptoms have existed for less than a week. Mania may result in a need for hospitalization if the symptoms are severe enough. Only people who experience mania may sometimes have hallucinations or delusions. Not everyone experiencing a manic episode has these symptoms. Hypomania is not severe enough to cause hallucinations or delusions. When it comes to similarities, both mania and hypomania can exhibit similar symptoms at different levels of intensity. They are both found in the "up" cycles of bipolar disorder. They can make it challenging to function socially or in other aspects of their life. During mania, people may begin to overspend, which can result in bills not being paid. It can also result in quitting a job, cheating on a spouse, or other impulsive and irrational decisions.

Symptoms of a Manic Episode

Mania can come with many symptoms, and it is not always just an improved mood in comparison to depression. Some symptoms of someone experiencing a manic episode include:
  • Elation
  • Irritability
  • Jumpy
  • Decreased need for sleep
  • Talking fast
  • Racing thoughts
  • Excessive appetite
  • Increased interest in pleasurable activities
  • Feelings of importance or power
  • Participating in risky activities
understanding bipolar disorder the highs and lows

Major Depressive Episodes

On the other side of bipolar disorder are major depressive episodes, which can last for weeks. People with bipolar disorder can experience these shifts suddenly. This can make it challenging to accomplish everyday tasks even if they want to. They typically lose interest in activities when they have one of these episodes.

Much like mania, depression episodes of bipolar disorder can require hospitalization as suicidal thoughts are common. If you or someone you know is experiencing suicidal thoughts or behaviors, do not hesitate to go to a 24/7 crisis care center immediately. We are here to help stabilize you and keep you safe.

Symptoms of a Depressive Episode

Depression has symptoms that are the polar opposite of manic episodes. Some of the symptoms include:

  • Sadness
  • Anxiety
  • Restless
  • Concerns with sleeping too much or falling asleep
  • Talking slowly
  • Unable to find anything to say
  • Concerns with concentrating or making decisions
  • Unable to complete simple tasks
  • Loss of interest in all activities
  • Feeling hopeless or worthless
  • Suicidal thoughts

What Is the Difference Between Depression and Bipolar Disorder?

The most noteworthy difference between depression and bipolar disorder is that bipolar disorder will have manic episodes. Someone with bipolar disorder will not always have symptoms of depression. Bipolar disorder is characterized by at least 4 mood shifts in a year. If someone has a depression disorder, they will not experience these mood shifts.

How Is Bipolar Disorder Different From Seasonal Depression? 

You might find yourself wondering then, what about seasonal depression? It involves changing one's mood as the seasons and weather change. However, seasonal depression does not include mania or hypomania symptoms. When someone is not currently experiencing seasonal depression, their mood and behaviors return to what is considered normal for that person. 

Looking into a Bipolar Disorder Diagnosis

Bipolar disorder can make life challenging and potentially harmful. It involves drastic changes in energy, behaviors, sleep, and thinking, and you might find it difficult to complete tasks, attend work or school, or maintain relationships. The emotions you experience may make you feel like you are a danger to yourself or others. You can also feel like you have lost your sense of identity.

If this sounds relatable to you, know that you are not alone. Thousands of people experience the same thing. These signs can be indicators that discussing them with your doctor is necessary for a proper bipolar disorder diagnosis. 

Getting this can allow you to receive the appropriate treatment, which can help you live a more manageable life. You will gain the tools to help limit this condition's impact during treatment. On the plus side, having an official name for the symptoms you have been experiencing may give you relief and make you feel less alone. 

Diagnosing Bipolar Disorder: Who Can Do It?

A healthcare professional is the only one who can diagnose someone with bipolar disorder. However, it can be challenging if they are only aware of depression or mania. This is why you should be honest when discussing all of the symptoms you are experiencing - both mania and depression.

When your healthcare provider is diagnosing you with bipolar disorder, they will first conduct a physical exam to rule out any physical conditions. This may include medical tests. They will also ask you about your history, your symptoms, and your family's medical history. If necessary, they may refer you to a mental health specialist.

mania and hypomania how are they different

Treating Bipolar Disorder in Georgetown, DE

Bipolar disorder treatment can be a life-saving experience for many people when it comes to managing their symptoms. Typically, it involves medications, therapy, or a combination of both. Medications can aid in regulating the symptoms associated with this condition. Cognitive behavioral therapy (CBT) is standard in treating bipolar disorder. This can provide the individual with skills and coping strategies to recognize and change their thoughts and emotions. 

At SUN Behavioral Health Delaware, we solve unmet needs in Georgetown. Our no-cost care assessments allow us to work with you to determine the care plan that best meets your needs. If you are ready to begin treatment today, call us at 302-604-5600.

FAQs About the Signs of Bipolar Disorder

What should I do if someone is in a manic episode?

If someone is experiencing a manic episode, remain calm and ask them what you can do to help them. Suggest activities that involve little stimulation. If they are a danger to themselves or others, urge them to go to a crisis care center for help.

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