Bipolar disorder (formerly called manic-depressive illness or manic depression) is a mental disorder that causes unusual shifts in mood, energy, activity levels, concentration, and the ability to carry out day-to-day tasks. Although bipolar disorder doesn’t have a cure, many effective treatments are available. Our specialists at WCWCW in Bethesda, Maryland, offer the supportive care you need to overcome the challenges of bipolar disorder.
We provide the same high-quality service via telehealth for patients living in Maryland, DC, Virginia, Michigan, and Florida. Call our office or request an appointment online today.
All Services > Our Specialties > Women's Psychiatry > Mood Disorders > Bipolar Disorder
There are three types of bipolar disorder. All three types involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, irritable, or energized behavior (known as manic episodes) to very “down,” sad, indifferent, or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.
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Sometimes a person might experience symptoms of bipolar disorder that do not match the three categories listed above, which is referred to as “other specified and unspecified bipolar and related disorders.”
Bipolar disorder is typically diagnosed during late adolescence (teen years) or early adulthood. Occasionally, bipolar symptoms can appear in children. Bipolar disorder can also first appear during a woman’s pregnancy or following childbirth. Although the symptoms may vary over time, bipolar disorder usually requires lifelong treatment. Following a prescribed treatment plan allows people to manage their symptoms and improve their quality of life.
People with bipolar disorder experience periods of unusually intense emotion, changes in sleep patterns and activity levels, and uncharacteristic behaviors—often without recognizing their likely harmful or undesirable effects. These distinct periods are called “mood episodes.” Mood episodes are very different from the moods and behaviors that are typical for the person. During an episode, the symptoms last every day for most of the day. Episodes may also last for longer periods, such as several days or weeks.
People having a manic episode may: |
People having a depressive episode may: |
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Feel very “up,” “high,” elated, or irritable or touchy |
Feel very sad, “down,” empty, worried, or hopeless |
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Feel “jumpy” or “wired” |
Feel slowed down or restless |
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Have a decreased need for sleep |
Have trouble falling asleep, wake up too early, or sleep too much |
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Have a loss of appetite |
Experience increased appetite and weight gain |
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Talk very fast about a lot of different things |
Talk very slowly, feel like they have nothing to say, forget a lot |
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Feel like their thoughts are racing |
Have trouble concentrating or making decisions |
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Think they can do a lot of things at once |
Feel unable to do even simple things |
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Do risky things that show poor judgment, such as eat and drink excessively, spend or give away a lot of money, or have reckless sex |
Have little interest in almost all activities, a decreased or absent sex drive, or an inability to experience pleasure (“anhedonia”) |
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Feel like they are unusually important, talented, or powerful |
Feel hopeless or worthless, think about death or suicide |
Sometimes people experience both manic and depressive symptoms in the same episode. This kind of episode is called an episode with mixed features. People experiencing an episode with mixed features may feel very sad, empty, or hopeless, while, at the same, time feeling extremely energized.
A person may have bipolar disorder even if their symptoms are less extreme. For example, some people with bipolar disorder (Bipolar II) experience hypomania, a less severe form of mania. During a hypomanic episode, a person may feel very good, be able to get things done, and keep up with day-to-day life. The person may not feel that anything is wrong, but family and friends may recognize the changes in mood or activity levels as possible bipolar disorder. Without proper treatment, people with hypomania can develop severe mania or depression.
Proper diagnosis and treatment helps people with bipolar disorder lead healthy and active lives. Talking with a psychiatrist is the first step. WCWCW psychiatrists have extensive experience in diagnosing and treating bipolar disorder. We provide the same high-quality service via telehealth for patients living in Maryland, DC, Virginia, Michigan, and Florida. Call our office or request an appointment online today.
