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Bipolar Disorder - Symptom, Treatment And Causes

Whta is Bipolar Disorder?

Bipolar disorder is a mental illness which is also known as manic depression. This condition brings severe high and low moods in people affected with this disease. This disease, even alters the energy levels, thinking, sleeping and behavioral patterns of the persons who gets affected with this disease.

Patients who have been diagnosed with bipolar disorder can have periods when then will feel overtly energized and happy and sometimes again get bogged down with the feelings of hopelessness, sluggishness, self-pity and sadness. However, in-between these two phases, when they are well, they behave absolutely normal.

It is for this two “poles” of moods which are diametrically opposite to each other that this disease is known as bipolar disorder syndrome.

Per say this disorder is also known as ‘manic’ disorder because people suffering from this mental illness, when they feel overtly excited and confident, they become reckless and impulsive, which often makes them take hasty decisions, purely based on their cognitive impulses. Patients who suffer from sever bipolar disease, also often becomes delusive and thereafter hallucinate about seeing, thinking or believing things that are farfetched from reality.

However, there are also many bipolar people, who suffers from hypomania, which describes the milder symptoms of bipolar mania, and hence their symptoms do not interfere with their everyday lives. This condition is also at times known as clinical-depression in which bipolar patients never endure maniac episodes.

Who are affected?

Experts on this disease, says that more than 70% of patients suffering from bipolar disease spends more time fighting depressive syndromes than manic or hypomanic episodes in their lives. Bipolar disease generally develops in the affected persons when they are in their adolescence or young adulthood. It has been noticed by experts that this illness rarely happens in people during their childhood.

Often bipolar disorder runs in the family and men and women are equally affected with this disease. Nevertheless, women, unlike men go through ‘rapid cycling’ when affected with this malady which is having 4 or more distinct mood shifts within a year. And so women spend more time staying depressed than men suffering from bipolar disease.

Causes of Bipolar Disorder :

As there is no single cause, hence brain changes, genes and stress all can play a role in clinical progress of this disease.

How is the condition treated?

Bipolar disorder can be treated, but this disease needs long-term ongoing care. Apart from talk-therapy, medications such as mood-stabilizers, antipsychotic drugs and antidepressants are often prescribed according to the severity of the conditions for the patients suffering from this disease.

Can't be cured, but treatment helps Require medical diagnosis Lab test sometimes required Chronic: can last for years or be lifelong
Mood swings like sadness, or elevated mood. Loss of interest or sudden pleasure in activities. Delusion and lack of concentration. Manic episode, or paranoia. Difficulty falling asleep or excess sleepiness. Weight gain or acute weight loss. Rapid and frenzied speaking.

Popular Health Tips

5 Tips On How To Cope With Bipolar Disorder!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Psychiatry, DPM
Psychiatrist, Jamshedpur
5 Tips On How To Cope With Bipolar Disorder!

Being affected with bipolar disorder can not only strain any relationship but also disrupt different aspects of family life. The mood swings stemming from bipolar disorder tend to occur spontaneously without any particular reason. The effects too can be detrimental. Below are some of the best ways one can cope with the impact of a bipolar disorder:

  1. Looking for patterns and signs: You should keep a watch for signs that indicate that you may be entering an episode of mania or depression. Along with a shift in the mood, one should look out for any changes in sleep patterns. It is also essential to keep a track of alcohol or drug usage, energy levels, level of concentration and self-confidence. Since stress is considered a major trigger of bipolar disorder, you should try to simplify life by staying away from any triggers of stress. You may also ask your family and friends to share responsibilities in case your job is too stressful.
  2. Keeping an organized and regular schedule: Sticking to a regular and organized routine can help in controlling mood swings and symptoms of bipolar disorder. People with bipolar disorders generally don’t deal well with a lot of changes. Regardless of whether one does errands or work irregularly, it is important to sleep and wake up at a particular time. Also, practising healthy sleeping habits and relax before bed by listening to music, reading books and taking a warm bath is recommended. Make sure that you don’t watch thrilling television shows, surf the internet, or play video games since these habits can worsen the mood swings.
  3. Getting regular exercise: Studies show that regular physical exercise can go a long way in improving your mood. You can start by taking a slow walk around your neighbourhood and can gradually increase the intensity of your workouts.
  4. Avoiding alcohol and other drugs: Not just alcohol, caffeine is also a strong stimulant which can make you stay wide awake at night and trigger manic episodes. It is also advised to cut back on soda and other sugary drinks, particularly at night. Alcohol, as well as other drugs, can also affect the impact of the medication which, in turn, can trigger mood swings.
  5. Writing down your feelings: Keeping a journal of the day to day life, stressors and other problems that you may have encountered through the day can be of help. With the passage of time, you will be able to identify the patterns that emerge as triggers which in turn can help you prepare yourself and manage the mood swings better.

These small lifestyle changes and coping strategies can aid in dealing with bipolar disorder effectually. Visiting a specialist can help you get an insight into the exact condition and assist in the management of the triggers. In case you have a concern or query you can always consult an expert & get answers to your questions!

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Bipolar Disorder - Things You Must Know!

MD - Psychiatry
Psychiatrist, Ahmedabad
Bipolar Disorder - Things You Must Know!

We all have mood swings, but not all mood swings have the same intensity. People who have extreme mood swings ranging from depression to manic highs are said to be suffering from bipolar disorder. These extreme moods are known as episodes and usually last for a few days of even a few weeks at a time. A person suffering from bipolar disorder could have an episode several times a year. This is a very common psychological problem and can affect both children and adults. Though it cannot be cured, this disease can be managed with medication.

There are no known causes for bipolar disorder but genetics may play an important role in triggering this disorder. Hence, if a parent or sibling suffers from this condition, you have a risk of developing it as well. An imbalance in the neurotransmitters in the brain may also play a part in the development of this condition. Stress or traumatic events like the loss of a loved one can also increase your risk of suffering from this condition.
Given that mood swings affect almost each one of us, bipolar disorder can be difficult to diagnose. Some of the things to look out for are:

  1. Change in self-esteem
  2. Unusual talkativeness or quietness
  3. Being increasingly prone to distractions
  4. Decreased need for sleep
  5. Agitation
  6. Recklessness in terms of spending decisions, relationships etc

It must be kept in mind that a person must display at least 4 of the above symptoms simultaneously to be diagnosed as bipolar. Also, none of these symptoms should be a result or side effect of any kind of medication, drugs, alcohol or other intoxicants.

There are four main types of bipolar disorder.

  1. Bipolar I: In such cases, the person has at least one episode of elevated moods and associated abnormal behaviour in his or her life. This may be preceded or followed by depressive episodes.
  2. Bipolar II: In these cases, the person must have suffered from at least one depressive episode. It is very similar to bipolar I except that in bipolar II the highs never reach the manic stage.
  3. Rapid Cycling: Some people can have 4 or more manic and depressive episodes a year. In such cases, they are said to be rapid cycling. This condition affects 10-20% of bipolar cases.
  4. Mixed Bipolar: Usually, bipolar patients show mood swings that alternate between manic and depressive moods. However, sometimes a person may experience both elation and depression simultaneously or in rapid succession of each other. These cases are known as mixed bipolar.

Once diagnosed, bipolar disorder can be managed with a combination of medication and psychotherapy. In some cases, electroconvulsive therapy may also be needed. If you wish to discuss about any specific problem, you can consult a Psychiatrist.

5509 people found this helpful

Single Parent - Problems Your Child Might Face!

Ph. D - Psychology
Psychologist, Delhi
Single Parent - Problems Your Child Might Face!

The mother and the father, both clearly play defined roles in the development of a child’s personality. While the mother teaches the child things like kindness and love, the father reinforces messages like hard work and dedication. Due to various reasons, there are a number of children who end up growing up with single parents. Both the child and the parent have to deal with a lot of hardships.

The patterns observed also differ based on whether the single parent is the mother or the father. There are various negative effects to this, and few of them have been listed below.

  1. Social disconnect: Most children growing up with a single parent do not feel normal. There is a constant feeling of confused identity. In some cases, the children may not be able to cope with these hardships leading to depression and decreased self-confidence. In the long run, the child may be less compassionate and supportive and more aggressive and confused. There could be a sense of resentment towards the parents for forcing him to live with a single parent. The kid may also despise other children who grow up with both parents. They may also have very less friends and social connect than kids with both parents
  2. Odd combination: If a single mother is raising a son, her contribution to his growth is very limited from a psychological point of view. They would always look for a father figure whom they can reach out to. Same is the case with a girl growing up with a single father. She misses the mother with whom alone she would be able to share some things. The overall personality in both these cases is significantly altered from boys and girls who grow up with both parents.
  3. Performance levels: The stress of living with single parents puts pressure on the child constantly, and there could be performance dip in academics, sports, and co-curricular activities. These children also tend to become uncooperative; therefore getting them to follow the school curriculum becomes difficult. The chances of them dropping out of education and getting expelled from school are quite high.
  4. Social menaces: The incidence of smoking, alcohol abuse, and substance abuse is quite high and also happens much earlier in these kids. Because of the constant stress they are in, these become outlets for them to be themselves.
  5. Sexual abuse: With single parent children, the chances of sexual abuse (by them and of them) are also quite high.

These are some of the psychological problems that children growing up with single parent face. Although this may not be the case with all the children as every child has a different thinking and reaction. However unpleasant it may be, this continuous battle on raising a child alone and addressing these issues has to be fought every single day. If you wish to discuss about any specific problem, you can consult a Psychologist.

4221 people found this helpful

Bipolar Disorder - Can It Be Detected?

MBBS, MD - Psychiatry
Psychiatrist, Chennai
Bipolar Disorder - Can It Be Detected?

Bipolar disorder is one of the conditions which most people are aware of. However, not many can truly understand. Lets see some signs that inform a person of possible bipolar disorder in a child or a teenager:

While most kids go through a series of ups and downs on a regular basis, in the case of a child who has bipolar disorder, both the ups and downs can be characterised by relative extremes. Not only does the mood of the child change, but also there are other changes which take place. These changes affect the sleep cycle as well as the clarity of the affected child’s intuition and the level of energy that is displayed. The set of people who are at the highest risk of developing bipolar disorder are those who have reached their late teen years and are entering adulthood.

There are ways to treat bipolar disorder, but the fact remains that it stays for life.
When a person has bipolar disorder, the manic phase may result in him or her acting happy or silly in an unusual manner, at least for a person who is around that age. In addition to this, a short temperedness may be displayed and there are problems in getting proper sleep. It is important to keep in mind the fact that in the manic phase, the person is quite likely to commit risky actions. As such, one must keep an eye on his/her affected child.

On the other hand, over the course of the depressive phase, the patient is likely to feel guilty and cut down on the amount of food that is eaten. There is a general loss of energy and even activities, which normally seemed engaging and fun may seem to have lost their allure during this phase. In some cases, thoughts of death and suicide may also be considered.

As a parent, it is important to be aware of the fact that bipolar disorder may not necessarily occur on its own. In fact, there are quite a few cases when it occurs with Attention Deficit Hyperactive Disorder (ADHD). It, in fact, has been seen that ADHD (Attention-Deficit/Hyperactivity Disorder​) has spurred the success of a few sportsmen, like Michael Phelps. Having said that, it is important that we make efforts and ensure that such disorders do not affect the minds of people. Treatment is especially important as bipolar disorder can also lead to substance abuse and in extreme cases untimely death. If you wish to discuss any specific problem, you can consult a psychiatrist.

2656 people found this helpful

Hypersomnolence - How It Can Be Managed?

MD - Psychiatry
Psychiatrist, Ahmedabad
Hypersomnolence - How It Can Be Managed?

Sleep is known to most as a period of rest and relaxation, but there are multiple disorders which are associated with sleep too. Hypersomnolence or hypersomnia is one of the most common sleep disordersThis is characterised by excessive daytime sleepiness and prolonged periods of sleep at night. They wake up fresh in the morning, but can easily go back to sleep any time of the day without feeling strained or tired. There is again no freshness associated upon waking up. Funny as it may sound, they can doze off even during a meal or in the middle of a conversation.

Causes: This condition is most common in men and in the early adolescent days.

  1. There is no underlying cause that has been identified, though there is a genetic predisposition.
  2. People with history of head trauma are more affected
  3. People with anxiety, depression, bipolar disorders, epilepsy, and other mental disorders are also more likely to be affected
  4. People with sleep apnea often are hypersomnolence
  5. Restless legs syndrome, narcolepsy
  6. Neurodegenerative disorders like Parkinson’s and Alzheimer’s tend to sleep more.


  1. Sleeping for longer hours at night time
  2. Excessively sleepy during daytime
  3. Able to doze off anytime during the day
  4. Inappropriate and involuntary sleeping pattern
  5. Having difficulty getting out of bed after waking up, even after prolonged sleep
  6. Feeling of disorientation
  7. Feeling agitated, anxious, lethargic, and irritated
  8. Impaired cognition and memory
  9. All these lead to extreme state of drowsiness
  10. Increased tendency for hallucinations
  11. Reduced appetite and even weight loss in some people
  12. There is restlessness, reduced pace of thinking and speaking
  13. Overall reduced energy levels
  14. Social interactions are affected including work life, social functions, etc.

Diagnostic criteria:

  1. If a person happens to sleep more at night or falls asleep during the day easily for more than 3 times a week, it is usually concerning.
  2. The added feature of no tiring physical activity can also lead to suspicion
  3. In acute cases, these symptoms are present for at least a month and in chronic cases, it could be seen for up to 3 months
  4. It cannot be explained by lack of sleep on a regular basis
  5. One or more of the above conditions could be present, which can help in making the diagnosis

Most cases of hypersomnia would need treatment only to improve their energy levels and improve the quality of life. Very often, treating the underlying condition can lead to improvement of hypersomnia. The tired, lethargic, restless feeling affects the overall performance of a person, leaving them with a lowered self-esteem. Brain stimulating drugs like amphetamines are used to improve daytime alertness and also reduce sleepy feeling during the day. If you wish to discuss about any specific problem, you can consult a Psychiatrist.

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Popular Questions & Answers

Does it possible that diseases like bipolar disorder, depression and other kind of serious brain illness could get complete cure?

M.Phil - Psychology, M.Sc - Clinical Psychology
Psychologist, Zirakpur
A person can have episodes of depression and mania which may last for few months and once they are resolved the person may come back to normal level of functioning. The relapse may or may not occur in these disorders and it depends on many factors e.g. Compliance to treatment, stressful environment, previous level of functionality, family support etc. However if the person is able to function adequately despite few symptoms which may remain, the progress is considered to be good enough.

An you please help me. I have lost all my happiness in my life. I have no one to share my feelings. I am loosing each person of my life day by day. I always think of committing suicide and I had attempted once. Pastly I was a happy guy bt now I am totally opposite. Now I love only silence and darkness. I live in 3 BHK but I always keep myself closed in a single room full of darkness and silence and always thinking of committing suicide. Help me please I do not want to live now.

Ph.D - Psychology, M.Phil - Psychology
Psychologist, Mathura
Without wasting any more time, please immediately seek medicines from a good psychiatrist. Medicines will control your negative thoughts and will be very helpful. You seem to be a very brave person as you managed the guts to write your problem. Please do not feel alone as somewhere there is somebody who cares for you and wants to help you get absolutely fine at the earliest. Medicines will improve your mood and soon you will feel more in control. So go ahead, take treatment and you will be fine.
1 person found this helpful

I am suffering from bipolar depression disorder from 4 years I had a huge problem of sensitivity and shivering causes of medicine what should I do?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
It can be a crippling disease if not treated and if treated early the prognosis is good. So quickly visit a counselor and seek his/her opinion. Comply with all the medical prescriptions and work in tandem with the counselor for a long time and learn coping skills and techniques to handle the daily challenges you will face. There are certain adaptations that will suit you during the elation phase and there are certain behaviors that are required during the depressed phases. In the meantime you can do certain things that will give you benefits anyway. Emotional therapy will alleviate a lot of the problems faced in this condition because it is a mood disorder. You need to particularly look at your levels of anger both for its reasonableness and to express it in appropriate manner. I suspect that much of this anger may have origins in early childhood that you may never be aware of now. Talk to your parents and explore that angle. This information will help the counselor too. Also you will need to check whether there is any genetic factor involved. You must exercise regularly, eat healthily and sleep normally too. If your motivation and cooperation is good much can be achieved. You must have a time-structured schedule filled with interesting and reasonable activities and it must be monitored for compliance and delivery. The reason I say this is that many times you will be inclined to have grandiose notions and confidently believe that you can do without the medication. This will set you back many months in the treatment and delay and sabotage the recovery: forewarned you are forearmed. If this combination of medication with therapy is maintained for at least three years without any episodes or breakdowns, it is possible to taper the medication in consonance with the doctor. Bipolar is characterized by two extreme poles i.e. Feeling very high (mania) and suddenly feeling very low (depression). You can ask the doctor for the symptoms he noticed in you for a personal understanding. You must talk to your doctor about the sensitivity and shivering to get a clarification.
1 person found this helpful

Is there any test available to know if some is suffering from brain illness like bipolar (except clinical assessment)Please suggest.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear lybrate-user. Thanks for the question. There are no tests yet to know about mental status except Mood Disorder Questionnaire (MDQ: The MDQ is designed to provide a tool to aid clinicians in the screening of present and past episodes of mania and hypomania. The MDQ includes 13 questions associated with the symptoms of bipolar disorder plus items assessing clustering of symptoms and functional impairment.

I'm taking stilnoct 12.5 mg and oleanz plus to get sound sleep, as directed by sycatarist, I'm getting very sound sleep, I'm suffering from bipolar disorder, my doctor is giving me Lithosun 300 mg for 3 times, but my kidney report is on higher side, nexito 10 for 1 a day, Please guide me.

Psychiatrist, Bangalore
Dear lybrate-user, Most of these tablets that you are taking has to pass through kidneys daily. Since your kidney report is on higher side you need to avoid few unnecessary drug like Stilnoct. Oleanz plus itself may give sound sleep. Lithosun 900 mg is also one of the culprit for kidney higher side reports. Discuss with your psychiatrist about your kidney reports and your serum lithium level with 300 mg of lithosun three times a day. Depending on the lithium level he may reduce the dose of lithosun or change you to another mood stabiliser. He may check you for other medical diseases causing kidney damage and self medications of painkillers by you.
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Table of Content

Whta is Bipolar Disorder?

Who are affected?

Causes of Bipolar Disorder :

How is the condition treated?

Play video
Know More About Bipolar Disorder

Mai Dr. Rahul Chandhok hun. Mai ek senior consultant psychiatrist hun. Mai apni practice Medoc clinic faridabad me karta hun aur fortis hospital Delhi NCR me parha hun. Aaj mein ap sy bat karu ga bipolar disorder k bary me. Mery khayal sy bohat kam wayaktio ny is ky bary me suna hoga siway unky jinky kisi pariwar ky sadasiye me ye bemari hoti hai. Abhi bhe jisko ye bemari ho jati h uski pehchan karna ar iska ilaj karvana mushkil ho jata h kiu ky bipolar disorder ek tarah ka mood disorder h jis me ya to wayakti usdasi me chala jata h ya phir teji me chala jata .teji ka matlab usy nind kam ati . Usy asal me nind ki zrurat he kam mehsus hoti h. Usy lagta h ky wo 2 ghanty so kr hi itna taro taza hogya jitna ky wo 8 ghanty so kr hva. Wo 2 ghanty sony ku bad apny kariya-karab shuru kar deta h ,baki logo ko jagana shuru kar deta h.Apny kam waghera shuru kar deta h. Usy lagta h ky agr mery pas itni taqat hy to kiu na abi sy he sb kch shuru kar dia jy. Usy esa mehsus hota hy ky mery pas bht rupia pesa h me kuch bhe khareed sakta hu ya koi bhe political activity kar ky jeet sakta hu. Boht sary log apni esi bemari ki episode me jisy ham mania kehty hein kai bar election tk lar jaty h ar jb unki episode thek hota hy tb unhy pta chlta h ky ham ny kitni apna nuqsan karva liya.Is me jo smjhny wali bat hy wo ye hy ky bipolar disorder ek anu-vanshik disorder h. Ye kai bar pariwaro me chalta hy is liye ye boht zruri ho jata hy ke jb ap is ka ilaj karvayn ya koi doctor apko boly kii apky mareez ko bipolar disorder h to wo ilaj poora karvayn is me jo dawaiya istimal ki jati hein Unhy mood stabilizers kaha jata hy yani ki ye man ki awastha ko na to udaasi me jany deti hein ar na he tezi me jany deti hein. Is wja sy inhy lamba chalana parta hy warna jesy he ye dawai chotti hy kai bar episodes dobara hony ky chances bany rehty h. Dono he parikar ky episodes is me dekhy jaty hein, udaasi bhe ar teji bhe jisy ham mania kehty h. Dawai is me mukhiye role play karti hy kiu ke dimagh jo imbalance ho jata h usy dawa ky duwara he balance me rakha ja sakta hy ar ye lamby samay tk chalti h. Agr koi bipolar ka mareez apny substance abuse karta hy yani ky nasheely padarto ka sewan karta hy jesa ky bhaang ,charas,ganja,sharab to usky episode ky bar bar hony ar sath he sath shaak ki samasiya ky chances bhe barh jaty hein. Is lye in sabhi padarto sy dur rahiye par agar ap apni dawa properly lyty hy ar doctor sy milty rehty hein to ap utny he achy reh sakty hein jitna kii koi ar wayakti ar koi bhe ya nahi jan pay ga ki ap ko esa koi rog hy.

Play video
Know More About Bipolar Disorder
Symptoms of Bipolar disorder!
Play video
Schizophrenia and Bipolar Disorder
Here is detail about how to live and cooperate with Schizophrenia and Bipolar Disorder.

Hello! My name is DR. Vikas Khanna and today I ll be talking very briefly about how to live and cope up with problems like Schizophrenia and Bipolar disorder. It is especially for the people and family members of the patients who are suffering from schizophrenia and bipolar disorder. Schizophrenia is a mental disorder in which the patient lives in his own reality, he has his own imagined reality. His behaviors and his actions are totally disassociated with what we call our normal reality. We all have our own set of realities, we perceive the world in through our colored glasses but the reality of schizophrenic patient has no common ground with the world reality. The disease has a very strong genetic disposition and sadly its prognosis is poor.

So how to cope up with it? How to live up with it? Normally we force the patient to fit himself or herself into the reality of the world which is very disturbing for the patient. We are basically perpetuating the conflict by forcing the reality. They cannot change the reality, for them, that s the real world. Can we leave them in their own reality and at least do not aggravate the conflict? Similarly, in bipolar disorder, patients normally have episodes of high and episodes of low but we try to fit their highs into what we call normal. Can we let them enjoy their highs and not struggle with their loss?

If there is any further query, you can approach the platform lybrate and you can pose your question through email or call.
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