i need to knw symtoms plz
Signs and symptoms
Bipolar disorder is a condition in which people experience intermittent abnormally elevated (manic or hypomanic) and, in many cases, abnormally depressed states for periods of time in a way that interferes with functioning. Not everyone's symptoms are the same, and there is no simple physiological test to confirm the disorder. Bipolar disorder can appear to be unipolar depression. Diagnosing bipolar disorder is often difficult, even for mental health professionals. What distinguishes bipolar disorder from unipolar depression is that the affected person experiences states of mania and depression. Often bipolar is inconsistent among patients because some people feel depressed more often than not and experience little mania whereas others experience predominantly manic symptoms. Additionally, the younger the age of onset—bipolar disorder starts in childhood or early adulthood in most patients—the more likely the first few episodes are to be depression. Because a bipolar diagnosis requires a manic or hypomanic episode, many patients are initially diagnosed and treated as having major depression.
Main article: Major depressive episode
Signs and symptoms of the depressive phase of bipolar disorder include persistent feelings of sadness, anxiety, guilt, anger, isolation, or hopelessness; disturbances in sleep and appetite; fatigue and loss of interest in usually enjoyable activities; problems concentrating; loneliness, self-loathing, apathy or indifference; depersonalization; loss of interest in sexual activity; shyness or social anxiety; irritability, chronic pain (with or without a known cause); lack of motivation; and morbid suicidal ideation. In severe cases, the individual may become psychotic, a condition also known as severe bipolar depression with psychotic features. These symptoms include delusions or, less commonly, hallucinations, usually unpleasant. A major depressive episode persists for at least two weeks, and may continue for over six months if left untreated.[Full citation needed]
Main article: Mania
Mania is the signature characteristic of bipolar disorder and, depending on its severity, is how the disorder is classified. Mania is generally characterized by a distinct period of an elevated mood, which can take the form of euphoria. People commonly experience an increase in energy and a decreased need for sleep, with many often getting as little as three or four hours of sleep per night, while others can go days without sleeping. A person may exhibit pressured speech, with thoughts experienced as racing. Attention span is low, and a person in a manic state may be easily distracted. Judgment may become impaired, and sufferers may go on spending sprees or engage in behavior that is quite abnormal for them. They may indulge in substance abuse, particularly alcohol or other depressants, cocaine or other stimulants, or sleeping pills. Their behavior may become aggressive, intolerant, or intrusive. People may feel out of control or unstoppable, or as if they have been "chosen" and are "on a special mission" or have other grandiose or delusional ideas. Sexual drive may increase. At more extreme phases of bipolar I, a person in a manic state can begin to experience psychosis, or a break with reality, where thinking is affected along with mood. Some people in a manic state experience severe anxiety and are very irritable (to the point of rage), while others are euphoric and grandiose.
To be diagnosed with mania according to the Diagnostic and Statistical Manual of Mental Disorders (DSM), a person must experience this state of elevated or irritable mood, as well as other symptoms, for at least one week, less if hospitalization is required.
Severity of manic symptoms can be measured by rating scales such as self-reported Altman Self-Rating Mania Scale and clinician-based Young Mania Rating Scale.
Main article: Hypomanic episode
Hypomania is generally a mild to moderate level of mania, characterized by optimism, pressure of speech and activity, and decreased need for sleep. Generally, hypomania does not inhibit functioning like mania. Many people with hypomania are actually in fact more productive than usual, while manic individuals have difficulty completing tasks due to a shortened attention span. Some people have increased creativity while others demonstrate poor judgment and irritability. Many people experience signature hypersexuality. These persons generally have increased energy and tend to become more active than usual. They do not, however, have delusions or hallucinations. Hypomania can be difficult to diagnose because it may masquerade as mere happiness, though it carries the same risks as mania.
Hypomania may feel good to the person who experiences it. Thus, even when family and friends learn to recognize the mood swings, the individual often will deny that anything is wrong. Also, the individual may not be able to recall the events that took place while they were experiencing hypomania. What might be called a "hypomanic event", if not accompanied by complementary depressive episodes ("downs", etc.), is not typically deemed as problematic: The "problem" arises when mood changes are uncontrollable and, more importantly, volatile or "mercurial". If unaccompanied by depressive counterpart episodes or otherwise general irritability, this behavior is typically called hyperthymia, or happiness, which is, of course, perfectly normal. Indeed, the most elementary definition of bipolar disorder is an often "violent" or "jarring" state of essentially uncontrollable oscillation between hyperthymia and dysthymia. If left untreated, an episode of hypomania can last anywhere from a few days to several years. Most commonly, symptoms continue for a few weeks to a few months.
Mixed affective episode
Main article: Mixed state (psychiatry)
In the context of bipolar disorder, a mixed state is a condition during which symptoms of mania and clinical depression occur simultaneously. Typical examples include tearfulness during a manic episode or racing thoughts during a depressive episode. Individuals may also feel incredibly frustrated in this state, since one may feel like a failure and at the same time have a flight of ideas. Mixed states are often the most dangerous period of mood disorders, during which substance abuse, panic disorder, suicide attempts, and other complications increase greatly.
Main article: Associated features of bipolar disorder
Associated features are clinical phenomena that often accompany the disorder but are not part of the diagnostic criteria for the disorder. There are several childhood precursors in children who later receive a diagnosis of bipolar disorder. They may show subtle early traits such as mood abnormalities, full major depressive episodes, and ADHD. Bipolar disorder is also accompanied by changes in cognitive processes and abilities. This include reduced attentional and executive capabilities and impaired memory. How the individual processes the world also depends on the phase of the disorder, with differential characteristics between the manic, hypomanic and depressive states. Some studies have found a significant association between bipolar disorder and creativity.
Hi kristieann! It's funny (well, not funny ha ha) that you asked that question. I didn't know I was bipolar until I was 56. I'm 62, so thats uh--- 6 years ago. Try to look at bipolar as a teeter totter. Sometimes were on the low end of the teeter totter and sometimes on the high end, and if you weigh the same, your both balanced , so your not high and your not low. If you're on the low end of the teeter totter, you're probably deeply Depressed. If your on the high end, you're probably in Mania. I think about everyone knows about depression. And most people know what it's like to feel balanced and ok with themselves. However, I'm not sure if people know what Mania is. It's been my experience that very, very few people know. I sure as heck didn't. Mania is a state of abnormally elevated or irritable mood, arousal, and/ or energy levels (Wikipedias definition of Mania.) I was in Mania. I was mad! It was the Holiday season (which is when many bipolars have mania.) I held in my feelings of anger for 3 months and then I lost my cool and started doing things I never would have done before. I was mad, and I mean mad!! I told people off, to the max. I stopped taking my main med. I had a lot energy and couldn't sleep. I thought I could do anything. My boyfriend kicked me out and I had nowhere else to live except my moms. My family disowned me because I was staying with mom and causing her to be nervous and she lost 20 lbs in a week, so they slapped a restraining order on me so I couldn't see my mom for a year. I was homeless for 6 mos. I became more angry. I couldn't judge right from wrong. I was making all kinds of terrible decisions. I had to keep moving, physically and emotionally. I had more energy at 56 than I had at 16. There were a million more symptoms, but I just thought I'd keep this as short as possible. So, I was on the high end of the teeter totter, Mania. I've been on the low end, Depression, of the teeter totter most of my adult life, but not on the high end. I was MAD! You can do a search on symptoms of bipolar. This is just my experience. Everyone is different and have different reactions when their bipolar. Let us know what you're experiencing. kristiann, there are people on this site who are fully dedicated to helping us through our difficult times, and do research to find answers for us. We can't replace your Drs. advice, so that's important to know. Talk to him/her. I didn't do this. I'd been in therapy for 24 years with the same Psychiatrist, but I didn't even think about talking to him when I was in Mania. I wasn't in the right state of mind. That's how I can tell that you're doing a lot better than I did. Your asking for help. That's an EXCELLENT move! Stay in close touch with us. As I said before, let us know what your experiencing, if you want. Were with you all the way. There will be a time when we'll ask for your help. Take care and God bless you, Sweetheart!
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