Bipolar disorder causes dramatic mood swings—from overly "high" and/or irritable to sad and hopeless, and then back again, often with periods of normal mood in between. Severe changes in energy and behavior go along with these changes in mood. The periods of highs and lows are called episodes of mania and depression.
Signs and symptoms of mania (or a manic episode) include:
Increased energy, activity, and restlessness
Excessively "high," overly good, euphoric mood
Extreme irritability
Racing thoughts and talking very fast, jumping from one idea to another
Distractibility, can't concentrate well
Little sleep needed
Unrealistic beliefs in one's abilities and powers
Poor judgment
Spending sprees
A lasting period of behavior that is different from usual
Increased sexual drive
Abuse of drugs, particularly cocaine, alcohol, and sleeping medications
Provocative, intrusive, or aggressive behavior
Denial that anything is wrong
A manic episode is diagnosed if elevated mood occurs with three or more of the other symptoms most of the day, nearly every day, for 1 week or longer. If the mood is irritable, four additional symptoms must be present.
Signs and symptoms of depression (or a depressive episode) include:
Lasting sad, anxious, or empty mood
Feelings of hopelessness or pessimism
Feelings of guilt, worthlessness, or helplessness
Loss of interest or pleasure in activities once enjoyed, including sex
Decreased energy, a feeling of fatigue or of being "slowed down"
Difficulty concentrating, remembering, making decisions
Restlessness or irritability
Sleeping too much, or can't sleep
Change in appetite and/or unintended weight loss or gain
Chronic pain or other persistent bodily symptoms that are not caused by physical illness or injury
Thoughts of death or suicide, or suicide attempts
A depressive episode is diagnosed if five or more of these symptoms last most of the day, nearly every day, for a period of 2 weeks or longer.
A mild to moderate level of mania is called hypomania. Hypomania may feel good to the person who experiences it and may even be associated with good functioning and enhanced productivity. Thus even when family and friends learn to recognize the mood swings as possible bipolar disorder, the person may deny that anything is wrong. Without proper treatment, however, hypomania can become severe mania in some people or can switch into depression.
Sometimes, severe episodes of mania or depression include symptoms of psychosis (or psychotic symptoms). Common psychotic symptoms are hallucinations (hearing, seeing, or otherwise sensing the presence of things not actually there) and delusions (false, strongly held beliefs not influenced by logical reasoning or explained by a person's usual cultural concepts). Psychotic symptoms in bipolar disorder tend to reflect the extreme mood state at the time. For example, delusions of grandiosity, such as believing one is the President or has special powers or wealth, may occur during mania; delusions of guilt or worthlessness, such as believing that one is ruined and penniless or has committed some terrible crime, may appear during depression. People with bipolar disorder who have these symptoms are sometimes incorrectly diagnosed as having schizophrenia, another severe mental illness.
It may be helpful to think of the various mood states in bipolar disorder as a spectrum or continuous range. At one end is severe depression, above which is moderate depression and then mild low mood, which many people call "the blues" when it is short-lived but is termed "dysthymia" when it is chronic. Then there is normal or balanced mood, above which comes hypomania (mild to moderate mania), and then severe mania.
2007-06-22 02:14:16
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answer #1
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answered by Anonymous
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There are 3 classifications of bipolar disorders and many differentials too. Bipolar type I: manic or mixed episode w/ or w/o a depressive episode Bipolar type II: hypomanic episode w/ a depressive episode Cyclothymic: 4 episodes of rapidly alternating hypothymia & dysthymia Manic episodes consist of 4 sx from below lasting for at least 1 week: increased energy, pressured speech (overly talking), lack of sleep, hypersexuality, spending money w/o thinking of consequences, flight of ideas, grandiosity (thinking your the best), increase goal oriented activities w/o completing them Hypomanic episode is the same but only lasting 4 days. Mixed episodes: mainly patients are agited (mix between depression & mania) Usually onset is in 20s...if you think you have bipolar it is good to go to the hospital to get it checked out b/c it can be very dangerous to you and others.
2016-05-17 09:20:43
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answer #2
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answered by ? 3
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An early sign of manic-depressive illness may be hypomania -- a state in which the person shows a high level of energy, excessive moodiness or irritability, and impulsive or reckless behavior.
One of the usual differential diagnoses for bipolar disorder is that the symptoms (listed below) are not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
The symptoms of manic depression must cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. Symptoms also can not be the result of substance use or abuse (e.g., alcohol, drugs, medications) or caused by a general medical condition.
2007-06-22 02:20:28
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answer #3
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answered by Wiggles 2
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like a previous member has mentioned, bipolar means two different ends moods, the extremes of this being extreme mania and hyperactivity to total depression and hopelessness... the patient is always at either of these two extremes and never in between
2007-06-22 02:27:40
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answer #4
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answered by morphman92 2
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Best site that can answer all your questions and more:
www.dbsalliance.org
(the depressive and bipolar support alliance)
2007-06-22 03:52:31
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answer #5
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answered by Anonymous
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self diagnosis is a waste of time and effort. If you think you or someone you know is bipolar, see a psychiatrist for diagnosis and treatment.
2007-06-22 02:16:35
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answer #6
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answered by essentiallysolo 7
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Extreme mood swings.
Fear of the dark.
Violent temper.
2007-06-22 02:17:21
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answer #7
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answered by bookfreak2day 6
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mixing birth control pills with asthma inhalers........
2007-06-22 02:19:22
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answer #8
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answered by Anonymous
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these
2007-06-22 02:21:36
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answer #9
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answered by >wonder whats next< 6
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