Bipolar Disorder Home > Bipolar Disorder

Episodes of Depression
Depressive episodes of bipolar disorder include the following symptoms:
 
  • Persistent sad mood
  • Loss of interest or pleasure in activities that were once enjoyed
  • Significant change in appetite or body weight
  • Oversleeping or difficulty sleeping
  • Physical slowing or agitation
  • Loss of energy
  • Feelings of worthlessness or inappropriate guilt
  • Difficulty thinking or concentrating
  • Recurrent thoughts of death or suicide.
     
Manic Episodes
Manic episodes of bipolar disorder include abnormally and persistently high mood or irritability and at least three of the following symptoms:
 
  • Overly inflated self-esteem
  • Decreased need for sleep
  • Increased talkativeness
  • Racing thoughts
  • Distractibility
  • Increased goal-directed activity, such as shopping
  • Physical agitation
  • Excessive involvement in risky behaviors or activities.
     

Mixed State of Bipolar Disorder

In a mixed state of bipolar disorder, symptoms of mania and depression are present at the same time. These symptoms frequently include:
 
  • Agitation
  • Trouble sleeping
  • Significant change in appetite
  • Psychosis
  • Suicidal thinking.
     
The episodes may be separated by periods of wellness during which a person suffers few to no symptoms, especially early in the course of bipolar disorder. When four or more episodes of illness occur within a 12-month period, the person is said to have bipolar disorder with rapid cycling. Bipolar disorder is often complicated by co-occurring alcohol or substance abuse.
 
Written by/reviewed by:
Last reviewed by: Arthur Schoenstadt, MD
Last updated/reviewed:
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