Bipolar disorder

Introduction 

Video: bipolar disorder

Professor John Geddes talks about the diagnosis and symptoms of bipolar disorder and the different treatments that may be offered.

Bipolar disorder - previously known as manic depression - is a condition that affects your moods, which can swing from one extreme to another. If you have bipolar disorder you will have periods, or ‘episodes’, of depression and mania.

Depression and mania

The depression and mania that are associated with bipolar disorder are characterised as follows:

  • depression - where you feel very low, and
  • mania - where you feel very high; slightly less severe mania is known as hypomania.

Both extremes of bipolar disorder have a number of other associated symptoms (see the symptoms section). Unlike simple mood swings, each extreme episode of bipolar disorder can last for several weeks or longer. The high and low phases of the illness are often so extreme that they interfere with everyday life.

The depression phase of bipolar disorder often comes first. Initially, you may be diagnosed with clinical depression before having a manic episode some time later (sometimes years later), after which your diagnosis might change. During an episode of depression, you may have overwhelming feelings of worthlessness which often lead to thoughts of suicide (see complications).

During a manic phase of bipolar disorder, you may feel very happy and have lots of ambitious plans and ideas. You may spend large amounts of money on things that you cannot afford. Not feeling like eating or sleeping, talking quickly, and becoming annoyed easily are also common characteristics of bipolar disorder.

During the manic phase, you may feel very creative and view mania as a positive experience. However, during the manic phase of bipolar disorder, you may also have symptoms of psychosis (where you see or hear things that are not there).

How common is bipolar disorder?

Bipolar disorder is a relatively common condition with around one person in 100 being diagnosed with the condition.

Bipolar disorder can occur at any age, although it often develops in people who are between 18-24 years of age. Both men and women, and people from all backgrounds, can develop bipolar disorder.

The pattern of mood swings in bipolar disorder varies widely between individuals. For example, some people will only have a couple of bipolar episodes in their lifetime, and will be stable in between, while others may experience many episodes.

Bipolar disorder and driving

If you have bipolar disorder, it may have implications for driving. You must inform the Driver and Vehicle Licensing Agency (DVLA) about any medical condition that could affect your ability to drive.

  • show glossary terms

Depression

Depression is when you have feelings of extreme sadness, despair, or inadequacy that last for a long time.

Last reviewed: 18/11/2009

Next review due: 18/11/2011

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