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What is Bipolar Disorder?

Overview

Bipolar disorder in adults isn’t just experiencing high and low moods every once in a while. If mood shifts of euphoria, reckless behavior, agitation, or extreme sadness have taken hold of your life, then you may have bipolar disorder. Bipolar disorder causes changes in mood, energy, and ability to function. The mood shifts are categorized as manic/hypomanic, extremely happy or irritable, or depressive sad mood. The degree of severity of mood shifts is different for each person. There are four major types of bipolar disorders: bipolar 1, bipolar II, cyclothymic disorder, and unspecified bipolar disorder due to medical, or a substance abuse disorder.

Bipolar disorder typically runs in families. However, genetics alone may not bring on the symptoms. High levels of stress, lack of sleep, or substance abuse may trigger symptoms in vulnerable individuals. Individuals with bipolar disorder may also struggle with anxiety disorders, ADHD, and substance issues. Greenwich Psychology Group has helped individuals with all types of bipolar disorder. Our expert clinicians can help you or your loved one lead a rewarding personal and professional life.

Different Faces of Bipolar Disorder

Bipolar I

Bipolar I is the most severe form of bipolar disorder. Mood shifts of mania to depression characterize the condition. These distinct periods of highs and lows are called “episodes.” During a manic episode, a person may be feeling on top of the world or extremely irritable. They may also experience depressive or hypomanic episodes. When they transition into a depressive episode, they may become hopeless and suicidal.

Bipolar II

Bipolar II disorder includes episodes of major depression and hypomania. Most people with bipolar II suffer more from bouts of depression. Common symptoms include sadness, crying, difficulty sleeping, loss of interest in pleasurable activities, and recurring thoughts of suicide. Hypomanic symptoms may consist of a flight of ideas, pressured speech, increased energy, hyperactivity, increased agitation, and an exaggerated sense of self-confidence.

Cyclothymic disorder

Cyclothymia is a milder form of bipolar disorder. It consists of cyclical mood swings; however, the high and low mood swings do not reach the severity or duration of major depression or mania. Cyclothymic disorder symptoms often mirror those of Bipolar disorder, but the major difference between the categories is the degree of intensity.

Unspecified Bipolar Disorders or due to medical or substance abuse

Some individuals with symptoms may not fit into a distinct category described above; however, they still experience mood changes. For instance, a person may experience episodes of depression and agitation, but their symptoms are too mild to diagnoses as hypomania or mania. In addition, vulnerable individuals may also experience symptoms as a result of substance abuse.

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What are the Symptoms of Bipolar Disorder

Accurate diagnosis is the first step in treatment. This can sometimes be challenging as individuals may function normally, although they may seem extremely “moody” or “difficult” to others.

Mania and hypomania

Mania and hypomania are distinctly different types of episodes, but they have the same symptoms. However, mania is more severe and has a more significant impact on family relationships, career, or school.

The symptoms of a manic episode or hypomanic episode may include:

  • Increased activity or energy
  • Restlessness or agitation
  • Racing thoughts
  • Euphoria
  • Feeling irritable
  • An exaggerated sense of self-confidence or importance
  • Distractibility
  • Decreased need for sleep
  • Abnormally upbeat or “wired.”
  • Excessive talkativeness
  • Loss of appetite
  • Poor decision-making and risky behaviors

Major Depression

A major depressive episode causes symptoms that impair day-to-day activities and relationships, such as work, school, or social life. The lows of a depressive episode can be so debilitating that the person cannot get out of bed.

The symptoms of a major depressive episode may include:

  • Feeling sad, hopeless, worthless, or empty
  • Irritability
  • Loss of interest or pleasure in activities
  • Insomnia or sleeping too much
  • Weight loss or weight gain
  • Decrease or increase in appetite
  • Feelings of inappropriate guilt
  • Restlessness or slowed speech or movement
  • Fatigue
  • Difficulty starting or following through on tasks.
  • Decreased ability to think, concentrate or make decisions
  • Suicidal ideation or behaviors

Have Questions? Ask Our Experts

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Treatment for Bipolar Disorder

Bipolar treatment requires a comprehensive approach, including therapy, lifestyle changes, and medication. Our expert clinicians will customize treatment for you. Working with our expert clinicians, you can learn how to regulate your mood, manage stress, improve relationships, and healthy lifestyle changes. Psychotherapy for Bipolar Disorder can also address other issues you may be struggling with, such as anxiety, sleep issues, or substance issues. Four types of treatment are particularly beneficial in the treatment of bipolar disorder.

Cognitive behavior therapy

Cognitive behavior therapy (CBT), an evidence-based treatment, focuses on managing negative thought patterns and behaviors into more positive thinking and behavior patterns.

Dialectical behavior therapy

Dialectical behavior therapy (DBT), an empirically supported treatment, targets mindfulness, emotion dysregulation, distress tolerance, and interpersonal effectiveness skills.

Interpersonal therapy

Interpersonal therapy helps you improve the way you relate to others and addresses strain in close relationships, and works to restore a healthy, supportive home environment.

Learning to manage bipolar disorder will significantly impact the quality of your life. With GPG comprehensive care in place and a commitment from you to getting better, you can get your symptoms under control and live a rich life that you love. Contact Greenwich Psychology Group for comprehensive, personalized bipolar disorder treatment at our Greenwich, CT and New York, NY offices.

Take the GPG Symptom Checker

At Greenwich Psychology Group, our symptom checker helps clients track their symptoms of depression or anxiety. Taking the assessment doesn't provide a formal diagnosis, but it can help you determine what next steps you may need to take. The evaluation uses a series of questions to review the feelings and symptoms you've experienced over the past two weeks. The results will help you distinguish if professional help is the best next step.

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