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  1. Contact your provider if experiencing new, severe, or persistent symptoms.

    Symptoms can last over a few weeks, months, or even years. The symptoms vary during the manic and depressive phase. And without any symptoms, in between episodes of mania and depression.

    The manic phase is characterized by:

    • Extreme happiness, hopefulness, and excitement
    • Irritability, anger, fits of rage and hostile behavior
    • Restlessness
    • Agitation
    • Rapid speech
    • Poor concentration and judgment
    • Increased energy
    • Less need for sleep
    • Unusually high sex drive
    • Setting unrealistic goals
    • Paranoia

    The depressive phase may include:

    • Sadness and crying
    • Feelings of hopelessness, worthlessness, and guilt
    • Loss of energy
    • Loss of interest or pleasure in everyday activities
    • Trouble concentrating and making decisions
    • Irritability
    • Need for more sleep or sleeplessness
    • Change in appetite
    • Weight loss/gain
    • Suicidal thoughts and attempts at suicide

    See more

    Causes

    Verified Expert

    • The causes of bipolar disorder differ between individuals, and the exact mechanism is not clear.
    • Genetics- often reported in families of affected individuals
    • Brain structure- abnormal brain structure and function
    • Seasonal depression and certain other mental illness such as anxiety disorder
    • The risk factors include:
    • Family history
    • Stress
    • Drug or alcohol abuse

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    Complications

    Verified Expert

    If timely treatment is not provided, bipolar disorder could lead to:

    • Damaged and strained relationships, in and outside the home
    • Poor performance at school or work
    • Alcohol and drug abuse
    • Financial difficulties
    • Suicidal thoughts and attempts

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    Treatment

    Verified Expert

    Bipolar disorder lasts for a lifetime, with treatments aiming at managing the symptoms by psychotherapy and medication.

    Medication

    Mood stabilizers: Helps control extreme mood variations.

    Carbamazepine . Lamotrigine . Valproate

    Antipsychotic drugs: Help reduce symptoms of psychosis such as illusion, hallucination, etc.

    Olanzapine . Quetiapine . Lurasidone . Cariprazine

    Antidepressants: Helps stabilize the mood swings.

    Sertraline . Fluoxetine . Citalopram . Desvenlafaxine . Duloxetine . Levomilnacipran . Venlafaxine

    Antianxiety drugs: Reduces anxiousness.

    Alprazolam . Clonazepam . Diazepam . Lorazepam . Oxazepam

    See more

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  1. Bipolar depressive episodes1234:
    • Are part of the mood cycling in bipolar disorder.
    • Tend to last longer than periods of mania or hypomania.
    • Can last anywhere from 2 weeks to several months.
    • Are similar to "regular" clinical depression, with symptoms such as depressed mood, loss of pleasure, low energy, feelings of guilt or worthlessness, and thoughts of suicide.
    Learn more:
    Bipolar depression refers to the depressive episodes that are part of the mood cycling in bipolar disorder. Evidence shows that bipolar depressive episodes tend to last longer than periods of mania or hypomania. Depressive episodes can last anywhere from 2 weeks to several months.
    www.healthline.com/health/bipolar/bipolar-depressi…
    When your usual mood changes to mania, hypomania, or depression, it's called a mood episode. (You can also have a "mixed" episode which includes both "up" and "down" symptoms.) Your symptoms could last a week or two. They could also last much longer. Without treatment, you're likely to have more frequent mood episodes.
    www.webmd.com/depression/bipolar-disorder-man…
    Depressive episodes in bipolar disorder are similar to "regular" clinical depression, with depressed mood, loss of pleasure, low energy and activity, feelings of guilt or worthlessness, and thoughts of suicide. Depressive symptoms of bipolar disorder can last weeks or months, but rarely longer than one year.
    www.webmd.com/bipolar-disorder/bipolar-1-disorder
    Depressive episodes in bipolar disorder result in a low mood or loss of pleasure in life. Research shows that depressive episodes in bipolar disorder tend to last longer than mania or hypomania episodes. The episodes last at least 2 weeks, but in some cases, they can last for months.
    www.healthline.com/health/bipolar-disorder/bipola…
     
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