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xmlns="http://www.w3.org/2000/svg" width="19" height="19" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M14.95 2.222 13.729 1l-.611.611L5.339 9.39l-.611.61.611.611 7.778 7.779.61.61 1.223-1.222-.611-.611L7.173 10l7.777-7.778z"></path></svg></button><div style="overflow:auto;flex:1;&::-webkit-scrollbar:[object Object];-ms-overflow-style:none;scrollbar-width:none;display:flex"><ul role="menubar" class="css-1iuzp2g"><li class="css-gx0lhm" role="group"><button role="menuitem" class="css-fh467k">Types<svg xmlns="http://www.w3.org/2000/svg" width="30" height="30" viewBox="0 0 30 30"><path d="M27.963 6.75 30 8.787l-1.018 1.018-12.964 12.963L15 23.787 1.018 9.805 0 8.787 2.037 6.75l1.018 1.018L15 19.713 26.945 7.768l1.018-1.018z"></path></svg></button></li><li class="css-gx0lhm" role="group"><button role="menuitem" class="css-fh467k">Symptoms<svg xmlns="http://www.w3.org/2000/svg" width="30" height="30" viewBox="0 0 30 30"><path d="M27.963 6.75 30 8.787l-1.018 1.018-12.964 12.963L15 23.787 1.018 9.805 0 8.787 2.037 6.75l1.018 1.018L15 19.713 26.945 7.768l1.018-1.018z"></path></svg></button></li><li class="css-gx0lhm" role="group"><button role="menuitem" class="css-fh467k">Treatment<svg xmlns="http://www.w3.org/2000/svg" width="30" height="30" viewBox="0 0 30 30"><path d="M27.963 6.75 30 8.787l-1.018 1.018-12.964 12.963L15 23.787 1.018 9.805 0 8.787 2.037 6.75l1.018 1.018L15 19.713 26.945 7.768l1.018-1.018z"></path></svg></button></li><li class="css-gx0lhm" role="group"><button role="menuitem" class="css-fh467k">Complications<svg xmlns="http://www.w3.org/2000/svg" width="30" height="30" viewBox="0 0 30 30"><path d="M27.963 6.75 30 8.787l-1.018 1.018-12.964 12.963L15 23.787 1.018 9.805 0 8.787 2.037 6.75l1.018 1.018L15 19.713 26.945 7.768l1.018-1.018z"></path></svg></button></li><li class="css-gx0lhm" role="group"><button role="menuitem" class="css-fh467k">Stages<svg xmlns="http://www.w3.org/2000/svg" width="30" height="30" viewBox="0 0 30 30"><path d="M27.963 6.75 30 8.787l-1.018 1.018-12.964 12.963L15 23.787 1.018 9.805 0 8.787 2.037 6.75l1.018 1.018L15 19.713 26.945 7.768l1.018-1.018z"></path></svg></button></li><li class="css-gx0lhm" role="group"><button role="menuitem" class="css-fh467k">Related Conditions<svg xmlns="http://www.w3.org/2000/svg" width="30" height="30" viewBox="0 0 30 30"><path d="M27.963 6.75 30 8.787l-1.018 1.018-12.964 12.963L15 23.787 1.018 9.805 0 8.787 2.037 6.75l1.018 1.018L15 19.713 26.945 7.768l1.018-1.018z"></path></svg></button></li><li class="css-gx0lhm" role="group"><button role="menuitem" class="css-fh467k">Causes & Risk Factors<svg xmlns="http://www.w3.org/2000/svg" width="30" height="30" viewBox="0 0 30 30"><path d="M27.963 6.75 30 8.787l-1.018 1.018-12.964 12.963L15 23.787 1.018 9.805 0 8.787 2.037 6.75l1.018 1.018L15 19.713 26.945 7.768l1.018-1.018z"></path></svg></button></li><li class="css-gx0lhm" role="group"><button role="menuitem" class="css-fh467k">Prognosis<svg xmlns="http://www.w3.org/2000/svg" width="30" height="30" viewBox="0 0 30 30"><path d="M27.963 6.75 30 8.787l-1.018 1.018-12.964 12.963L15 23.787 1.018 9.805 0 8.787 2.037 6.75l1.018 1.018L15 19.713 26.945 7.768l1.018-1.018z"></path></svg></button></li><li class="css-gx0lhm" role="group"><button role="menuitem" class="css-fh467k">Management<svg xmlns="http://www.w3.org/2000/svg" width="30" height="30" viewBox="0 0 30 30"><path d="M27.963 6.75 30 8.787l-1.018 1.018-12.964 12.963L15 23.787 1.018 9.805 0 8.787 2.037 6.75l1.018 1.018L15 19.713 26.945 7.768l1.018-1.018z"></path></svg></button></li><li class="css-gx0lhm" role="group"><button role="menuitem" class="css-fh467k">Home Remedies<svg xmlns="http://www.w3.org/2000/svg" width="30" height="30" viewBox="0 0 30 30"><path d="M27.963 6.75 30 8.787l-1.018 1.018-12.964 12.963L15 23.787 1.018 9.805 0 8.787 2.037 6.75l1.018 1.018L15 19.713 26.945 7.768l1.018-1.018z"></path></svg></button></li><li class="css-gx0lhm" role="group"><button role="menuitem" class="css-fh467k">Diet<svg xmlns="http://www.w3.org/2000/svg" width="30" height="30" viewBox="0 0 30 30"><path d="M27.963 6.75 30 8.787l-1.018 1.018-12.964 12.963L15 23.787 1.018 9.805 0 8.787 2.037 6.75l1.018 1.018L15 19.713 26.945 7.768l1.018-1.018z"></path></svg></button></li><li class="css-gx0lhm" role="group"><button role="menuitem" class="css-fh467k">Diagnosis<svg xmlns="http://www.w3.org/2000/svg" width="30" height="30" viewBox="0 0 30 30"><path d="M27.963 6.75 30 8.787l-1.018 1.018-12.964 12.963L15 23.787 1.018 9.805 0 8.787 2.037 6.75l1.018 1.018L15 19.713 26.945 7.768l1.018-1.018z"></path></svg></button></li><span style="width:1px;padding-right:2px"></span></ul></div><button style="opacity:0" aria-label="Scroll Right" class="css-1cm39zl"><svg color="#231F20" xmlns="http://www.w3.org/2000/svg" width="19" height="19" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M4.05 1.222 5.271.001l.611.611 7.779 7.777.611.61-.611.612-7.778 7.778-.61.61-1.223-1.221.611-.611L11.827 9 4.05 1.222z"></path></svg></button></div><div class="css-1be8yb7"><div class="css-1u5qk89">Bipolar</div><button type="button" class="css-pppoc7" aria-pressed="false" aria-label="Open Menu" tabindex="0" data-testid="fries"><span class="css-w70pji"></span><span class="css-1t7sxbc"></span><span class="css-w70pji"></span></button></div><div class="css-f2pndk css-139ev7r"><div class="css-1f582fe"><ul class="css-1wqc4fc"><li><h3><button aria-expanded="false" aria-controls="cluster-category-8e1f6cc7-59cb-4b7e-aab0-285ab4c15589" class="css-145tynm">Types<svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M4.05 1.222 5.271.001l.611.611 7.779 7.777.611.61-.611.612-7.778 7.778-.61.61-1.223-1.221.611-.611L11.827 9 4.05 1.222z"></path></svg></button></h3><div class="css-1f1wri" aria-label="Types sub menu" id="cluster-category-8e1f6cc7-59cb-4b7e-aab0-285ab4c15589"><button class="css-u56rre"><svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M14.95 2.222 13.729 1l-.611.611L5.339 9.39l-.611.61.611.611 7.778 7.779.61.61 1.223-1.222-.611-.611L7.173 10l7.777-7.778z"></path></svg>Types</button><ul class="css-j309u6"><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-1-vs-bipolar-2">Type 1 vs. 2</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/rapid-cycling-bipolar">Rapid Cycling Bipolar</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/high-functioning-bipolar-disorder">High Functioning Bipolar</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/severe-bipolar">Severe Bipolar</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-disorder-in-teens">In Teens</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/mixed-state-bipolar">Mixed State Bipolar</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar/partial-bipolar">Partial Bipolar</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/pregnancy/postpartum-bipolar">Postpartum Bipolar</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-spectrum">Bipolar Spectrum</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/treatment-resistant-bipolar-depression">Treatment-Resistant Bipolar</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/is-bipolar-a-personality-disorder">Is it a Personality Disorder?</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/childrens-health/bipolar-disorder-in-children">In Children</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/later-in-life">Later in Life</a></li></ul></div></li><li><h3><button aria-expanded="false" aria-controls="cluster-category-558bcdaa-12ed-40c9-ad1c-003dcd2ca3bd" class="css-145tynm">Symptoms<svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M4.05 1.222 5.271.001l.611.611 7.779 7.777.611.61-.611.612-7.778 7.778-.61.61-1.223-1.221.611-.611L11.827 9 4.05 1.222z"></path></svg></button></h3><div class="css-1f1wri" aria-label="Symptoms sub menu" id="cluster-category-558bcdaa-12ed-40c9-ad1c-003dcd2ca3bd"><button class="css-u56rre"><svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M14.95 2.222 13.729 1l-.611.611L5.339 9.39l-.611.61.611.611 7.778 7.779.61.61 1.223-1.222-.611-.611L7.173 10l7.777-7.778z"></path></svg>Symptoms</button><ul class="css-j309u6"><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar/bipolar-depression">Bipolar Depression</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/could-it-be-bipolar-signs-to-look-for">Symptoms</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-anger">Anger</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-psychosis">Psychosis</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/effects-on-the-body">Effects on Body</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-eyes">Eye Effects</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/mania-vs-hypomania">Mania vs. Hypomania</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/fatigue">Fatigue</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/pressured-speech">Pressured Speech</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/mania">Mania</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/suicide-and-bipolar">Suicide Risk</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/dysphoric-mania">Dysphoric Mania</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/sundown-syndrome-bipolar">Sundown Syndrome</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar/bipolar-paranoia">Paranoia</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar/bipolar-dissociation">Bipolar Dissociation</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/mental-health/flight-of-ideas">Flight of Ideas</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-hallucinations">Hallucinations</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-disorder-and-delusions">Delusions</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-and-codependency">Codependency</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/lack-of-empathy">Lack of Empathy</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/ultra-rapid-cycling-bipolar">Ultra-Rapid Cycling</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-foh">Fear of Harm (FOH)</a></li></ul></div></li><li><h3><button aria-expanded="false" aria-controls="cluster-category-cf85b521-cd7a-4f20-9a4b-b4098d93c16b" class="css-145tynm">Treatment<svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M4.05 1.222 5.271.001l.611.611 7.779 7.777.611.61-.611.612-7.778 7.778-.61.61-1.223-1.221.611-.611L11.827 9 4.05 1.222z"></path></svg></button></h3><div class="css-1f1wri" aria-label="Treatment sub menu" id="cluster-category-cf85b521-cd7a-4f20-9a4b-b4098d93c16b"><button class="css-u56rre"><svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M14.95 2.222 13.729 1l-.611.611L5.339 9.39l-.611.61.611.611 7.778 7.779.61.61 1.223-1.222-.611-.611L7.173 10l7.777-7.778z"></path></svg>Treatment</button><ul class="css-j309u6"><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-treatment-assessment">Treatment</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/drugs-medications-overview">Medications</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/antidepressants">Antidepressants</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/drugs/vraylar">Vraylar</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/hospitalization">Hospitalization</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/finding-the-right-therapist">Finding a Therapist</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/cognitive-behavioral-therapy">Cognitive Behavioral Therapy (CBT)</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-disorder-supportive-therapy">Supportive Therapy</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/adderall-for-bipolar-disorder">Adderall</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/ldn-and-bipolar">Low Dose Naltrexone (LDN)</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar/bipolar-shot">Injections</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/lithium-use-bipolar">Lithium</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/tms-for-bipolar">Transcranial Magnetic Stimulation (TMS)</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/drugs/quetiapine-er-oral-tablet">Quetiapine</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/ect-for-bipolar">Electroconvulsive Therapy</a></li></ul></div></li><li><h3><button aria-expanded="false" aria-controls="cluster-category-d969d0b0-0bea-4386-961f-ab3be195bcef" class="css-145tynm">Complications<svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M4.05 1.222 5.271.001l.611.611 7.779 7.777.611.61-.611.612-7.778 7.778-.61.61-1.223-1.221.611-.611L11.827 9 4.05 1.222z"></path></svg></button></h3><div class="css-1f1wri" aria-label="Complications sub menu" id="cluster-category-d969d0b0-0bea-4386-961f-ab3be195bcef"><button class="css-u56rre"><svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M14.95 2.222 13.729 1l-.611.611L5.339 9.39l-.611.61.611.611 7.778 7.779.61.61 1.223-1.222-.611-.611L7.173 10l7.777-7.778z"></path></svg>Complications</button><ul class="css-j309u6"><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-brain-damage">Effects on Brain</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/untreated-bipolar-disorder">Untreated Bipolar</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-medications-weight-loss">Weight Loss from Medication</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/managing-medication-side-effects">Medication Side Effects</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-disorder-heart-problems">Heart Problems</a></li></ul></div></li><li><h3><button aria-expanded="false" aria-controls="cluster-category-5d59ca4d-3ea9-4c82-83c4-92b4fc9f3360" class="css-145tynm">Stages<svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M4.05 1.222 5.271.001l.611.611 7.779 7.777.611.61-.611.612-7.778 7.778-.61.61-1.223-1.221.611-.611L11.827 9 4.05 1.222z"></path></svg></button></h3><div class="css-1f1wri" aria-label="Stages sub menu" id="cluster-category-5d59ca4d-3ea9-4c82-83c4-92b4fc9f3360"><button class="css-u56rre"><svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M14.95 2.222 13.729 1l-.611.611L5.339 9.39l-.611.61.611.611 7.778 7.779.61.61 1.223-1.222-.611-.611L7.173 10l7.777-7.778z"></path></svg>Stages</button><ul class="css-j309u6"><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-stages">Stages</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/euthymic">Euthymia</a></li></ul></div></li><li><h3><button aria-expanded="false" aria-controls="cluster-category-1e189271-8f59-4937-8985-ac67cda19a0c" class="css-145tynm">Related Conditions<svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M4.05 1.222 5.271.001l.611.611 7.779 7.777.611.61-.611.612-7.778 7.778-.61.61-1.223-1.221.611-.611L11.827 9 4.05 1.222z"></path></svg></button></h3><div class="css-1f1wri" aria-label="Related Conditions sub menu" id="cluster-category-1e189271-8f59-4937-8985-ac67cda19a0c"><button class="css-u56rre"><svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M14.95 2.222 13.729 1l-.611.611L5.339 9.39l-.611.61.611.611 7.778 7.779.61.61 1.223-1.222-.611-.611L7.173 10l7.777-7.778z"></path></svg>Related Conditions</button><ul class="css-j309u6"><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-and-narcissism">Link to Narcissism</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-vs-schizophrenia">Vs. Schizophrenia</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/ptsd-bipolar">Vs. PTSD</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/your-faqs-answered-bipolar-disorder-vs-borderline-personality-disorder">Vs. Borderline Personality Disorder</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/schizoaffective-disorder-vs-bipolar-disorder">Vs. Schizoaffective Disorder</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar/cyclothymia-vs-bipolar">Vs. Cyclothymia</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-or-adhd">Vs. ADHD</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/epilepsy/epilepsy-and-bipolar-disorder">Link to Epilepsy</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/difference-between-bipolar-and-mood-swings">Vs. Mood Swings</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-schizoaffective-disorder">Schizoaffective Disorder Bipolar Type</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-and-ocd">Co-occurring OCD</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-and-anxiety">Co-occurring Anxiety Disorders</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-and-autism">Co-occurring Autism</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-binge-eating">Link to Binge Eating</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-and-alcohol">Link to Alcohol Use Disorder</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-and-gambling">Link to Gambling</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-and-addiction">Link to Addiction</a></li></ul></div></li><li><h3><button aria-expanded="false" aria-controls="cluster-category-3d6a6118-37cf-499c-ae2b-74c86de7c8b6" class="css-145tynm">Causes & Risk Factors<svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M4.05 1.222 5.271.001l.611.611 7.779 7.777.611.61-.611.612-7.778 7.778-.61.61-1.223-1.221.611-.611L11.827 9 4.05 1.222z"></path></svg></button></h3><div class="css-1f1wri" aria-label="Causes & Risk Factors sub menu" id="cluster-category-3d6a6118-37cf-499c-ae2b-74c86de7c8b6"><button class="css-u56rre"><svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M14.95 2.222 13.729 1l-.611.611L5.339 9.39l-.611.61.611.611 7.778 7.779.61.61 1.223-1.222-.611-.611L7.173 10l7.777-7.778z"></path></svg>Causes & Risk Factors</button><ul class="css-j309u6"><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-abuse">Abuse</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder-and-steroids">Link to Steroid Use</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-causes">Causes</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/is-bipolar-disorder-hereditary">Heredity</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-risk-factors">Risk Factors</a></li></ul></div></li><li><h3><button aria-expanded="false" aria-controls="cluster-category-13889099-2a63-4a79-9250-42ff46ea7417" class="css-145tynm">Prognosis<svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M4.05 1.222 5.271.001l.611.611 7.779 7.777.611.61-.611.612-7.778 7.778-.61.61-1.223-1.221.611-.611L11.827 9 4.05 1.222z"></path></svg></button></h3><div class="css-1f1wri" aria-label="Prognosis sub menu" id="cluster-category-13889099-2a63-4a79-9250-42ff46ea7417"><button class="css-u56rre"><svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M14.95 2.222 13.729 1l-.611.611L5.339 9.39l-.611.61.611.611 7.778 7.779.61.61 1.223-1.222-.611-.611L7.173 10l7.777-7.778z"></path></svg>Prognosis</button><ul class="css-j309u6"><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/life-expectancy-with-bipolar-disorder">Life Expectancy</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar/does-bipolar-get-worse-with-age">Changes with Age</a></li></ul></div></li><li><h3><button aria-expanded="false" aria-controls="cluster-category-43408802-19c9-40ac-b300-65faf0fcb847" class="css-145tynm">Management<svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M4.05 1.222 5.271.001l.611.611 7.779 7.777.611.61-.611.612-7.778 7.778-.61.61-1.223-1.221.611-.611L11.827 9 4.05 1.222z"></path></svg></button></h3><div class="css-1f1wri" aria-label="Management sub menu" id="cluster-category-43408802-19c9-40ac-b300-65faf0fcb847"><button class="css-u56rre"><svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M14.95 2.222 13.729 1l-.611.611L5.339 9.39l-.611.61.611.611 7.778 7.779.61.61 1.223-1.222-.611-.611L7.173 10l7.777-7.778z"></path></svg>Management</button><ul class="css-j309u6"><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/self-care">Management</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/relationship-guide">In Relationships</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/coming-out-of-a-manic-episode">Manic Episode End</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/arguing-with-a-bipolar-person">Conflict Approaches</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/sleep">Sleep Tips</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/seasonal-impact-bipolar-disorder">Seasonal Effects</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/can-someone-with-bipolar-drive">Driving</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/coping-with-bipolar-disorder-stigma-and-other-challenges">Coping with Stigma</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/talking-with-loved-ones">Talking to Loved Ones</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/partner-break-up">Ending a Relationship</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-and-work">At Work</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-mood-episode-triggers">Mood Episode Triggers</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/therapist-visit-guide">Therapy Guide</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/exercise">Exercise</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/meditation">Meditation</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/sexual-health">Sexual Health</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/is-bipolar-a-disability">Disability Benefits</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/finding-caregiver-support">Caregiver Support</a></li></ul></div></li><li><h3><button aria-expanded="false" aria-controls="cluster-category-745a9ead-3719-45c5-814d-83e14914be4b" class="css-145tynm">Home Remedies<svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M4.05 1.222 5.271.001l.611.611 7.779 7.777.611.61-.611.612-7.778 7.778-.61.61-1.223-1.221.611-.611L11.827 9 4.05 1.222z"></path></svg></button></h3><div class="css-1f1wri" aria-label="Home Remedies sub menu" id="cluster-category-745a9ead-3719-45c5-814d-83e14914be4b"><button class="css-u56rre"><svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" 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1.222z"></path></svg></button></h3><div class="css-1f1wri" aria-label="Diet sub menu" id="cluster-category-d4b08608-1472-49e5-9edb-6c09cdc588f1"><button class="css-u56rre"><svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M14.95 2.222 13.729 1l-.611.611L5.339 9.39l-.611.61.611.611 7.778 7.779.61.61 1.223-1.222-.611-.611L7.173 10l7.777-7.778z"></path></svg>Diet</button><ul class="css-j309u6"><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/foods-for-mania-and-depression">Diet</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/ketogenic-diet-treat-bipolar-disorder">Keto Diet</a></li></ul></div></li><li><h3><button aria-expanded="false" aria-controls="cluster-category-71d5bacc-a1b3-48af-bb66-79ec5b63d953" class="css-145tynm">Diagnosis<svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M4.05 1.222 5.271.001l.611.611 7.779 7.777.611.61-.611.612-7.778 7.778-.61.61-1.223-1.221.611-.611L11.827 9 4.05 1.222z"></path></svg></button></h3><div class="css-1f1wri" aria-label="Diagnosis sub menu" id="cluster-category-71d5bacc-a1b3-48af-bb66-79ec5b63d953"><button class="css-u56rre"><svg color="currentColor" width="16px" height="16px" style="flex-shrink:0" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19 19"><path fill="currentColor" fill-rule="evenodd" d="M14.95 2.222 13.729 1l-.611.611L5.339 9.39l-.611.61.611.611 7.778 7.779.61.61 1.223-1.222-.611-.611L7.173 10l7.777-7.778z"></path></svg>Diagnosis</button><ul class="css-j309u6"><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-diagnosis-guide">Diagnosis</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-misdiagnosis">Misdiagnosis</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/bipolar-tests">Tests</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/mental-health/bipolar-brain-scan">Brain Scan</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar-disorder/can-a-blood-test-help-diagnose-and-treat-bipolar-disorder">Blood Tests</a></li><li><a class="css-byqu81" href="https://www.healthline.com/health/bipolar/bipolar-self-test">Self Test</a></li></ul></div></li></ul></div></div></div></nav><div><div class="css-m260rd"><div data-article-body="0" class="css-1h1rean css-1kdolwm"><div class="css-z468a2"><h1>Everything You Need to Know About Bipolar Disorder</h1><div data-preamp="social-proof-lessons"></div><div data-testid="byline"><section data-testid="byline" class="css-4baf7j"><div class="css-1q67gt9"><div class="css-quwpxp"><img src="//i0.wp.com/post.healthline.com/wp-content/uploads/2022/01/Nicole-Washington-500x500-Bio.png?w=105&h=105" alt=""/></div></div><div><span><span><a class="css-1c2ok3c css-ro87dg" target="_blank" rel="noopener noreferrer">Medically reviewed</a> by <a class="css-1c2ok3c css-ro87dg" target="_blank" rel="noopener noreferrer">Nicole Washington, DO, MPH</a></span></span> — <span><span><span><span>Written by <a class="css-1c2ok3c css-ro87dg" target="_blank" rel="noopener noreferrer">Kimberly Holland</a></span></span></span><span><span><span> and <a class="css-1c2ok3c css-ro87dg" target="_blank" rel="noopener noreferrer">Crystal Raypole</a></span></span></span><span><span><span> and <a class="css-1c2ok3c css-ro87dg" target="_blank" rel="noopener noreferrer">Alina Sharon</a></span></span></span></span> — <a class="css-1c2ok3c css-ro87dg" target="_blank" rel="noopener noreferrer"><span> Updated on December 18, 2024</span></a></div></section></div><div><nav class="css-wp9hsz fontWeight" id="tab-bar-0" data-testid="tab-bar"><ul class="css-wy0i0w"><li class="css-a8aps"><a href="#types" class="css-imydbp">Types</a></li><li class="css-a8aps"><a href="#symptoms" class="css-imydbp">Symptoms</a></li><li class="css-a8aps"><a href="#mania-and-hypomania" class="css-imydbp">Mania and hypomania</a></li><li class="css-a8aps"><a href="#depressive-episodes" class="css-imydbp">Depressive episodes</a></li><li class="css-a8aps"><a href="#in-men-vs-women" class="css-imydbp">In men vs. women</a></li><li class="css-a8aps"><a href="#racial-disparities" class="css-imydbp">Racial disparities</a></li><li class="css-a8aps"><a href="#in-children-and-teens" class="css-imydbp">In children and teens</a></li><li class="css-a8aps"><a href="#treatment" class="css-imydbp">Treatment</a></li><li class="css-a8aps"><a href="#causes-and-risk-factors" class="css-imydbp">Causes and risk factors</a></li><li class="css-a8aps"><a href="#prevention" class="css-imydbp">Prevention</a></li><li class="css-a8aps"><a href="#co-occurring-conditions" class="css-imydbp">Co-occurring conditions</a></li><li class="css-a8aps"><a href="#coping-tips" class="css-imydbp">Coping tips</a></li><li class="css-a8aps"><a href="#takeaway" class="css-imydbp">Takeaway</a></li></ul></nav><article class="article-body css-d2znx6 undefined"><div data-testid="tabbed-article-section" class="css-12va8w7"><span style="font-size:0;line-height:0"></span><span style="font-size:0;line-height:0"></span><div><div><p class="css-w2pt6r">Bipolar disorder is a mental health condition marked by large shifts in mood from mania to depression. Although bipolar disorder can be challenging to manage, many effective treatments and strategies are available.</p></div></div><div><div class="wp-block-healthline-jwplayer"><div class="css-1yoergh"><div class="css-oup8q3"><svg viewBox="0 0 16 9" class="css-xcxd8t"></svg></div></div></div></div><div><hr class="wp-block-separator has-alpha-channel-opacity"/></div><div><p>Bipolar disorder isn’t a rare condition. In fact, the National Institute of Mental Health says that <hl-trusted-source source="National Institute of Mental Health" rationale="Governmental authority"><a href="https://www.nimh.nih.gov/health/statistics/bipolar-disorder" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">2.8%</a></hl-trusted-source> of U.S. adults — or about 5 million people — have a bipolar disorder diagnosis. </p></div><div><div data-preamp="serena-chatbot"></div></div><div><p>The condition used to be known as manic depression and bipolar disease.</p></div><div><p>Key symptoms of bipolar disorder include:</p></div><div><ul><li>episodes of <a href="https://www.healthline.com/health/bipolar-disorder/mania" class="content-link css-1c2ok3c">mania</a>, or extremely elevated mood</li><li>episodes of <a href="https://www.healthline.com/health/depression" class="content-link css-1c2ok3c">depression</a>, or low mood</li></ul></div><div><p>These episodes may last from a few days to several weeks or longer.</p></div><div><p>If you’re living with bipolar disorder, the following treatment options can help you learn to manage mood episodes, which can improve not only your symptoms but also your overall quality of life.</p></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline2__slot" data-adbridg-ad-class="inline2__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="types">Types of bipolar disorder</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>There are three main types of bipolar disorder: bipolar I, bipolar II, and cyclothymia.</p></div><div><h3>Bipolar I</h3></div><div><p><a href="https://www.healthline.com/health/bipolar-disorder/bipolar-1-vs-bipolar-2" class="content-link css-1c2ok3c">Bipolar I</a> is defined by the appearance of at least one manic episode. You may experience hypomanic episodes, which are less severe than manic episodes, or major depressive periods before and after the manic episode. A person can also go through a long period of stable mood before experiencing either mania or depression.</p></div><div><p>This type of bipolar disorder affects people of all sexes equally.</p></div><div><div id="widget_call_out_e20a2db3-aec0-425b-a61f-e150dfdafb37" class="css-1k93l86"><span style="font-size:0;line-height:0"></span><div class="css-1r9bcg7"><div class="css-xqvouu"><h3 class="css-2nwgta">Are sex and gender the same thing?</h3><div class="css-h6zl9n"><p>People often use the terms sex and gender interchangeably, but they have different meanings:</p><ul><li>“Sex” refers to the physical characteristics that differentiate male, female, and intersex bodies.</li><li>“Gender” refers to a person’s identity and how they feel inside. Examples include man, woman, nonbinary, agender, bigender, genderfluid, pangender, and trans. A person’s gender identity may differ from the sex they were assigned at birth. </li></ul></div></div></div><div class="css-1uwjw6e"><div></div><div class="css-wvglsa"><svg alt="Healthline" width="75" height="12" xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 113 18"><path fill="#000" d="M14.794 17.497H9.412V8.956c0-.898-.643-1.474-1.4-1.474-.734 0-1.621.599-1.621 1.474v8.541H1.558V3.891L0 2.786C1.78 2.187 4.765.898 6.39 0v7.137c.645-.806 2.222-1.842 4.225-1.842 2.537 0 3.628 1.68 3.628 3.684v7.21c0 .218.184.654.551 1.308Zm55.493 0h-5.383V8.956c0-.898-.643-1.474-1.4-1.474-.734 0-1.621.599-1.621 1.474v8.541H57.05V3.891l-1.558-1.105c1.78-.599 4.765-1.888 6.39-2.786v7.137c.645-.806 2.222-1.842 4.225-1.842 2.537 0 3.628 1.68 3.628 3.684v7.21c0 .218.184.654.551 1.308Zm-43.724-2.031v.852C25.492 17.24 24.309 18 21.764 18c-4.018 0-6.473-2.695-6.473-6.013 0-3.962 2.522-6.657 6.228-6.657 3.66 0 5.044 2.51 5.044 5.667h-6.691c.29 3.64 2.316 5.298 4.169 5.298.893 0 1.897-.3 2.522-.83ZM21.29 10.28c1.077 0 1.2-.307 1.2-1.208 0-.69-.123-2.393-1.2-2.393s-1.2 1.702-1.2 2.393c0 .9.123 1.208 1.2 1.208Zm91.21 5.181v.853c-1.071.921-2.254 1.681-4.799 1.681-4.018 0-6.473-2.695-6.473-6.012 0-3.963 2.522-6.658 6.228-6.658 3.66 0 5.044 2.511 5.044 5.667h-6.691c.29 3.64 2.316 5.299 4.169 5.299.893 0 1.897-.3 2.522-.83Zm-5.273-5.185c1.077 0 1.2-.307 1.2-1.208 0-.69-.123-2.393-1.2-2.393s-1.2 1.703-1.2 2.393c0 .901.123 1.208 1.2 1.208Zm-67.008 5.084.534.113c-.244.988-.957 2.526-3.249 2.526-1.914 0-2.451-1.175-2.852-2.419C34.32 16.733 33.008 18 30.516 18c-2.226 0-3.45-.99-3.45-2.857 0-2.073 2.023-3.593 7.075-5.09v-2.19c0-1.128-.601-1.52-1.27-1.52-.6 0-1.554.645-1.554 1.659 0 .484.089.852.156 1.336 0 .622-.712 1.567-1.803 1.567-1.202 0-1.78-.876-1.78-1.89 0-1.658 1.535-3.685 5.563-3.685 4.184 0 5.52 2.211 5.52 4.33v5.622c0 .345.133.69.512.69.334 0 .56-.189.734-.611Zm-6.052-.425v-4.174c-1.693.688-2.279 2.385-2.279 3.692 0 1.055.326 1.537 1.107 1.537.684 0 1.172-.436 1.172-1.055Zm12.971 2.561H41.58V3.891L40.1 2.786C41.791 2.187 44.901.898 46.445 0v16.19c0 .207.231.642.693 1.307Zm30.457 0h-5.558V3.891l-1.481-1.105C72.248 2.187 75.358.898 76.903 0v16.19c0 .207.23.642.692 1.307Zm-22.122-1.41v.853c-.81.691-2.153 1.06-3.602 1.06-2.387 0-3.218-1.774-3.218-3.272V6.72H47.5l6.053-5.313v4.378h1.919v.935h-1.919v8.675c0 .691.405 1.014.896 1.014.298 0 .83-.138 1.023-.323Zm26.74-10.946c-1.375 0-2.471-1.14-2.471-2.57C79.742 1.14 80.838 0 82.213 0c1.376 0 2.472 1.14 2.472 2.57 0 1.431-1.096 2.571-2.472 2.571Zm3.254 12.356h-5.674V8.93l-1.561-1.108c1.784-.6 4.776-1.894 6.405-2.794V16.19c0 .215.276.65.83 1.307Zm15.398 0h-5.558V8.93c0-.9-.643-1.477-1.4-1.477-.734 0-1.621.6-1.621 1.477v8.567h-4.832V8.93l-1.558-1.108c1.78-.6 4.638-1.894 6.263-2.794v2.355c.801-1.062 2.35-2.124 4.352-2.124 2.537 0 3.628 1.685 3.628 3.694v7.237c0 .21.242.647.726 1.307Z"></path></svg></div></div></div></div><div><h3>Bipolar II</h3></div><div><p>People with bipolar II experience one major depressive episode that lasts at least 2 weeks. They also have at least 1 hypomanic episode that lasts about 4 days. According to a <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5461862/" data-type="URL" data-id="https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5461862/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">2017 review</a></hl-trusted-source>, this type of bipolar disorder may be more common in females.</p></div><div><h3><strong>Cyclothymia</strong></h3></div><div><p>People with <a href="https://www.healthline.com/health/depression/cyclothymia" class="content-link css-1c2ok3c">cyclothymia</a> experience some symptoms of <a href="https://www.healthline.com/health/mania-vs-hypomania" class="content-link css-1c2ok3c">hypomania</a> and depression, but not enough to characterize an episode of hypomania or <a href="https://www.healthline.com/health/depression/unipolar-depression" class="content-link css-1c2ok3c">depression</a>.</p></div><div><p>These episodes also involve symptoms that are shorter and less severe than the episodes associated with bipolar I or bipolar II disorder. Most people with this condition experience <a href="https://www.healthline.com/health/euthymic" class="content-link css-1c2ok3c">no mood symptoms</a> for <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/books/NBK557877/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">1 to 2 months</a></hl-trusted-source> at a time.</p></div><div><p>Your doctor can explain more about what kind of bipolar disorder you have when discussing your diagnosis. </p></div><div><p>Some people experience distinct mood symptoms that resemble but don’t align with these three types. If that’s the case for you, you might get a diagnosis of:</p></div><div><ul><li>other specified bipolar and related disorders</li><li>unspecified bipolar and related disorders</li></ul></div><div><div><span style="font-size:0;line-height:0"></span><strong><span class="css-8q8l90">»</span></strong><a class="css-kzen5x" rel="endofsectionlink noopener noreferrer" target="_blank" href="/health/could-it-be-bipolar-seven-signs-to-look-for">MORE: Learn more about the types of bipolar disorder.</a></div></div><span class="css-zya54r"></span></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="symptoms">Bipolar disorder symptoms</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>To receive a diagnosis of bipolar disorder, you must experience at least one period of mania or hypomania. </p></div><div><p>These both involve feelings of excitement, impulsivity, and high energy, but hypomania is considered less severe than mania. Mania symptoms can affect your day-to-day life at work or home. Hypomania symptoms typically don’t cause as much disruption, but they can still be distressing.</p></div><div><p>Some people living with bipolar disorder also experience <a href="https://www.healthline.com/health/depression/strategies-for-dealing-with-depressive-episode" class="content-link css-1c2ok3c">major depressive episodes</a> or “down” moods.</p></div><div><p>These three main symptoms — mania, hypomania, and depression — are the main features of bipolar disorder. Different types of bipolar disorder involve different combinations of these symptoms.</p></div><div><h3>Bipolar I symptoms</h3></div><div><p>According to the <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t7/?report=objectonly" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5)</a></hl-trusted-source>, a diagnosis of bipolar I disorder requires the following:</p></div><div><ul><li>at least one episode of mania that lasts at least 1 week</li><li>symptoms that affect daily function</li><li>symptoms that don’t relate to another medical or mental health condition or substance use</li></ul></div><div><p>You could also experience symptoms of psychosis or both mania and depression (known as <a href="https://www.healthline.com/health/bipolar-disorder/mixed-state-bipolar" class="content-link css-1c2ok3c">mixed features</a>). These symptoms can have more impact on your life. If you have them, it’s worth reaching out for professional support as soon as possible.</p></div><div><p>While you don’t need to experience episodes of hypomania or depression to receive a bipolar I diagnosis, many people with bipolar I do report these symptoms.</p></div><div><h3>Bipolar II symptoms</h3></div><div><p>A diagnosis of bipolar II requires:</p></div><div><ul><li>at least one episode of hypomania that lasts <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t9/?report=objectonly" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">4 days or longer</a></hl-trusted-source> and involves 3 or more symptoms of hypomania</li><li>hypomania-related changes in mood and usual function that others can notice, though these may not necessarily affect your daily life</li><li><span style="">at least one episode of major depression that lasts <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t4/?report=objectonly" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">2 weeks or longer</a></hl-trusted-source></span></li><li>at least one episode of major depression involving five or more key depression symptoms that have a significant impact on your day-to-day life</li><li>symptoms that don’t relate to another medical or mental health condition or substance use</li></ul></div><div><p>Bipolar II can also involve symptoms of psychosis, but only during an episode of depression. You could also experience mixed mood episodes, which means you’ll have symptoms of depression and hypomania simultaneously.</p></div><div><p>With bipolar II, though, you won’t experience mania. If you have a manic episode, you’ll receive a diagnosis of bipolar I.</p></div><div><h3>Cyclothymia symptoms</h3></div><div><p>A diagnosis of cyclothymia requires:</p></div><div><ul><li>periods of hypomanic symptoms and periods of depression symptoms, off and on, over <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/books/NBK557877/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">2 years or longer</a></hl-trusted-source> (<hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3609426/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">1 year</a></hl-trusted-source> for children and adolescents)</li><li>symptoms that never meet the full criteria for an episode of hypomania or depression</li><li>symptoms that are present for at least half of the 2 years and never absent for longer than 2 months at a time</li><li>symptoms that don’t relate to another medical or mental health condition or substance use</li><li>symptoms that cause significant distress and affect daily life</li></ul></div><div><p>Fluctuating mood symptoms characterize cyclothymia. These symptoms may be less severe than those of bipolar I or II. Still, they tend to last longer, so you’ll generally have less time when you experience no symptoms.</p></div><div><p>Hypomania may not have a big impact on your daily life. Depression, on the other hand, often leads to more serious distress and affects day-to-day function, even if your symptoms don’t qualify for a major depressive episode.</p></div><div><p>If you <em>do</em> experience enough symptoms to meet the criteria for a hypomanic or depressive episode, your diagnosis will likely change to another type of bipolar disorder or major depression, depending on your symptoms.</p></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline7__slot" data-adbridg-ad-class="inline7__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="mania-and-hypomania">Mania and hypomania</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>An episode of mania often involves an emotional high. You might feel excited, impulsive, euphoric, and full of energy. You might also feel jumpy or notice your thoughts seem to race. Some people also experience <a href="https://www.healthline.com/health/bipolar-disorder/bipolar-hallucinations" class="content-link css-1c2ok3c">hallucinations and other symptoms of psychosis</a>.</p></div><div><p>Manic episodes can involve behavior that’s more impulsive than usual, often because you feel invincible or untouchable. Commonly cited examples of this kind of behavior include:</p></div><div><ul><li>having sex without using a <a href="https://www.healthline.com/health/birth-control/barrier-methods-of-birth-control" class="content-link css-1c2ok3c">barrier method</a></li><li>misusing alcohol and drugs </li><li>going on spending sprees</li></ul></div><div><p>But impulsiveness can also show up in plenty of other ways. Maybe you:</p></div><div><ul><li>quit your job abruptly</li><li>take off on a road trip by yourself without telling anyone</li><li>make a big investment on a whim</li><li>drive much faster than usual, well above the speed limit</li><li>participate in extreme sports you wouldn’t ordinarily consider</li></ul></div><div><p>While there are many reasons why a person might engage in these behaviors, the key to mania is that these are not things you would choose to engage in periods of stable mood.</p></div><div><p><a href="https://www.healthline.com/health/mania-vs-hypomania" class="content-link css-1c2ok3c">Hypomania</a>, generally associated with bipolar II disorder, involves many of the same symptoms, though they’re less severe. Unlike mania, hypomania often <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/books/NBK493168/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">doesn’t lead</a></hl-trusted-source> to consequences at work, school, or in your relationships. Episodes of hypomania don’t involve <a href="https://www.healthline.com/health/bipolar-disorder/bipolar-psychosis" class="content-link css-1c2ok3c">psychosis</a>. They typically won’t last as long as episodes of mania or require inpatient care.</p></div><div><p>With hypomania, you might feel very productive and energized, but you may not notice other changes in your mood. People who don’t know you well may not, either. Those closest to you, however, will usually pick up on your shifting mood and energy levels.</p></div><div><div class="livedExperience"></div></div><span class="css-zya54r"></span></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="depressive-episodes">Major depressive episodes</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>A “down” change in mood can leave you feeling lethargic, unmotivated, and sad.</p></div><div><p>Bipolar-related episodes of <a href="https://www.healthline.com/health/depression" class="content-link css-1c2ok3c">major depression</a> will involve at least five of these symptoms:</p></div><div><ul><li>a lasting low mood marked by <a href="https://www.healthline.com/health/depression/depression-vs-sadness" class="content-link css-1c2ok3c">deep sadness</a>, <a href="https://www.healthline.com/health/feeling-hopeless" class="content-link css-1c2ok3c">hopelessness</a>, or feelings of emptiness</li><li><a href="https://www.healthline.com/health/bipolar-disorder/fatigue" class="content-link css-1c2ok3c">loss of energy</a></li><li>a sense of feeling slower than usual or persistent restlessness</li><li>lack of interest in activities you once enjoyed</li><li>periods of <a href="https://www.healthline.com/health/bipolar-disorder/sleep" class="content-link css-1c2ok3c">too little or too much sleep</a></li><li>a sense of <a href="https://www.healthline.com/health/mental-health/how-to-stop-feeling-guilty" class="content-link css-1c2ok3c">guilt</a> or worthlessness</li><li>trouble concentrating, focusing, and making decisions</li><li><a href="https://www.healthline.com/health/depression/suicidal-thoughts" class="content-link css-1c2ok3c">thoughts of death, dying, or suicide</a></li><li><span style="">changes in appetite or weight</span></li></ul></div><div><p>Not everyone with bipolar disorder <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5953021/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">experiences</a></hl-trusted-source> major depressive episodes, though many people do. Depending on your type of bipolar disorder, you might experience only a few symptoms of depression but not the full five needed for a major episode.</p></div><div><p>It’s also worth noting that sometimes, but not always, the euphoria of mania can feel enjoyable. Once you get treatment for mania, the symptom-free mood you experience might feel more like a “down” shift, or a period of depression, than a more typical mood state.</p></div><div><p>While bipolar disorder can cause a depressed mood, bipolar disorder and depression have one major difference. With bipolar disorder, you might have “up” and “down” mood states. With depression, though, your mood and emotions <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/books/NBK559078/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">might remain</a></hl-trusted-source> “down” until you get treatment.</p></div><div><div><span style="font-size:0;line-height:0"></span><strong><span class="css-8q8l90">»</span></strong><a class="css-kzen5x" rel="endofsectionlink noopener noreferrer" target="_blank" href="/health/bipolar-disorder-vs-depression">MORE: Discover the differences between bipolar disorder and depression.</a></div></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline12__slot" data-adbridg-ad-class="inline12__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="in-men-vs-women">Bipolar disorder symptoms in women vs. men</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Most research suggests that males and females receive bipolar disorder diagnoses <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/books/NBK558998/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">roughly equally</a></hl-trusted-source>, though some studies <a href="https://journalbipolardisorders.springeropen.com/articles/10.1186/s40345-020-00207-z" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">suggest</a> it may be more prevalent in females. However, the main symptoms of the disorder may vary, depending on the sex you were assigned at birth and your gender.</p></div><div><p>Females with bipolar disorder <a href="https://www.frontiersin.org/articles/10.3389/fpsyt.2022.926594/full" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">tend to receive</a> diagnoses later in life, often in their 20s or 30s. Sometimes, they might first notice symptoms during pregnancy or after childbirth. They’re also more likely to be diagnosed with bipolar II than bipolar I.</p></div><div><p>Additionally, females living with bipolar disorder tend to experience:</p></div><div><ul><li><span style="">milder episodes of mania</span></li><li>more depressive episodes than manic episodes</li><li><a href="https://www.healthline.com/health/rapid-cycling-bipolar" class="content-link css-1c2ok3c">rapid cycling</a>, or <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4539870/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">four or more episodes</a></hl-trusted-source> of mania and depression in 1 year</li><li>more co-occurring conditions</li></ul></div><div><p>Females with bipolar disorder may also experience relapse more often, partly due to hormone changes related to <a href="https://www.medicalnewstoday.com/articles/bipolar-and-pms" target="_blank" rel="noopener noreferrer nofollow" class="content-link css-1c2ok3c">menstruation</a>, <a href="https://www.healthline.com/health/bipolar-disorder/bipolar-pregnancy" class="content-link css-1c2ok3c">pregnancy</a>, and <a href="https://www.healthline.com/health/menopause/mental-health" class="content-link css-1c2ok3c">menopause</a>. In terms of bipolar disorder, relapse means having a mood episode after not having one for some time.</p></div><div><div><span style="font-size:0;line-height:0"></span><strong><span class="css-8q8l90">»</span></strong><a class="css-kzen5x" rel="endofsectionlink noopener noreferrer" target="_blank" href="/health/bipolar-disorder/bipolar-symptoms-in-women">MORE: Get the facts about bipolar disorder in females.</a></div></div><div><p>Males with bipolar disorder, on the other hand, may:</p></div><div><ul><li>get a diagnosis earlier in life</li><li>experience less frequent but more severe episodes, especially manic episodes</li><li>be more likely to also have a <a href="https://www.healthline.com/health/bipolar-disorder/bipolar-and-alcohol" class="content-link css-1c2ok3c">substance use disorder</a></li><li><span style="">show more <a href="https://www.healthline.com/health/aggressive-behavior" class="content-link css-1c2ok3c">aggression</a> during episodes of mania</span></li></ul></div><span class="css-zya54r"></span></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="racial-disparities">Bipolar disorder in historically marginalized groups</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p><hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175457/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">Research</a></hl-trusted-source> shows that people from historically marginalized groups, particularly those of African ancestry, are frequently misdiagnosed with other conditions like <a href="https://www.healthline.com/health/schizophrenia" class="content-link css-1c2ok3c">schizophrenia</a>, especially if they exhibit symptoms of psychosis.</p></div><div><p>While the symptoms of bipolar disorder can vary somewhat from person to person and can depend on the type, there are clear criteria for diagnosis. </p></div><div><p>Research also suggests <a href="https://journalbipolardisorders.springeropen.com/articles/10.1186/s40345-022-00280-6#:~:text=Clinical%20studies%20have%20estimated%20the,2001%3B%20Azorin%20et%20al." target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">50-75%</a> of people living with bipolar disorder will experience some symptoms of psychosis, but this is stable across all racial and ethnic groups. </p></div><div><p>Both these factors suggest that bias may play a role in this frequent misdiagnosis.</p></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="in-children-and-teens">Bipolar disorder in children and teens</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Diagnosing bipolar disorder in children is controversial, largely because children don’t always display the same bipolar disorder symptoms as adults. Their moods and behaviors may also not follow the standards doctors use to diagnose the disorder in adults.</p></div><div><p>Many bipolar disorder symptoms that occur in children also overlap with symptoms of other conditions that commonly occur in children, such as <a href="https://www.healthline.com/health/adhd" class="content-link css-1c2ok3c">attention deficit hyperactivity disorder (ADHD)</a>.</p></div><div><p>However, in the last few decades, doctors and mental health professionals have come to recognize the condition in children. A diagnosis can help children get treatment, but reaching a diagnosis may take many weeks or months. It may be worth seeking care from a professional who specializes in treating children with mental health conditions.</p></div><div><p>Like adults, children with bipolar disorder experience extreme mood shifts. They <hl-trusted-source source="National Institute of Mental Health" rationale="Governmental authority"><a href="https://www.nimh.nih.gov/health/publications/bipolar-disorder-in-children-and-teens" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">can appear</a></hl-trusted-source> very happy and show signs of excitable behavior, or seem very tearful, low, and irritable.</p></div><div><p>All children experience mood changes, but bipolar disorder causes distinct and noticeable mood symptoms. Mood changes are also usually more extreme than a child’s typical change in mood.</p></div><div><h3>Manic symptoms in children</h3></div><div><p>Symptoms of mania in children can include:</p></div><div><ul><li>acting very silly and feeling overly happy</li><li>talking fast and rapidly changing subjects</li><li>having trouble focusing or concentrating</li><li>engaging in behaviors that can have harmful effects</li><li>having a very short temper that leads quickly to outbursts of anger</li><li>having trouble sleeping and not feeling tired after sleep loss</li></ul></div><div><h3>Depressive symptoms in children</h3></div><div><p>With bipolar disorder, symptoms of depressive episodes in children can include:</p></div><div><ul><li>moping around, acting very sad, or crying frequently</li><li>sleeping too much or too little</li><li>having little energy for usual activities or showing no signs of interest in anything</li><li>complaining about not feeling well, including having frequent headaches or stomachaches</li><li>feelings of worthlessness or guilt</li><li>eating too little or too much</li><li>thoughts of death or <a href="https://www.healthline.com/health-news/why-are-young-children-killing-themselves" class="content-link css-1c2ok3c">suicide</a></li></ul></div><div><h3>Other possible diagnoses</h3></div><div><p>Some of the behavior issues you notice in your child could suggest other mental health conditions, such as <a href="https://www.healthline.com/health/bipolar-disorder/bipolar-or-adhd" class="content-link css-1c2ok3c">ADHD</a> or <a href="https://www.healthline.com/health/mental-health/childhood-depression" class="content-link css-1c2ok3c">depression</a>. It’s also possible for children to have bipolar disorder with another condition.</p></div><div><p>Your child’s doctor can offer more guidance and support with noting and tracking your child’s behaviors, which can help them find the right diagnosis.</p></div><div><p>The correct diagnosis can play a major role in finding the most effective treatment for your child. Treatment, of course, can make a big difference in your child’s symptoms, not to mention their quality of life.</p></div><div><div><span style="font-size:0;line-height:0"></span><strong><span class="css-8q8l90">»</span></strong><a class="css-kzen5x" rel="endofsectionlink noopener noreferrer" target="_blank" href="/health/childrens-health/bipolar-disorder-in-children">MORE: Read more about bipolar disorder in children.</a></div></div><div><h3>Symptoms in teens</h3></div><div><p>Shifting hormones, plus the life changes that naturally happen with <a href="https://www.healthline.com/health/parenting/stages-of-puberty" class="content-link css-1c2ok3c">puberty</a>, can make teens seem extremely emotional from time to time.</p></div><div><p>Yet drastic or rapidly fluctuating changes in mood may suggest a more serious condition, such as bipolar disorder, rather than <a href="https://www.healthline.com/health-news/teen-behavior" class="content-link css-1c2ok3c">typical teenage development</a>.</p></div><div><p>A bipolar disorder diagnosis is most common during the late teen and early adult years.</p></div><div><p>Common symptoms of mania in teenagers include:</p></div><div><ul><li>being very happy</li><li>“acting out” or misbehaving</li><li>taking part in behaviors that may have a harmful effect, like substance use</li><li>thinking about sex more than usual</li><li>becoming overly sexual or <a href="https://www.healthline.com/health/parenting/ultimate-guide-to-sex-talk" class="content-link css-1c2ok3c">sexually active</a></li><li>having trouble sleeping, without signs of fatigue or being tired</li><li>having a very short temper</li><li>having trouble staying focused or getting distracted easily</li></ul></div><div><p>Common symptoms of a <a href="https://www.healthline.com/health/depression/teenage-depression" class="content-link css-1c2ok3c">depressive episode</a> include:</p></div><div><ul><li>sleeping too much or too little</li><li>eating too much or too little</li><li>feeling very sad and showing little excitability</li><li>withdrawing from activities and friends</li><li>thinking or talking about death and suicide</li></ul></div><div><p>Remember that many of these signs, like experimenting with substances and thinking about sex, aren’t uncommon teenage behaviors. But if they seem part of a larger pattern of shifting moods or start to affect their day-to-day life, they could be a sign of bipolar disorder or another condition.</p></div><div><div><span style="font-size:0;line-height:0"></span><strong><span class="css-8q8l90">»</span></strong><a class="css-kzen5x" rel="endofsectionlink noopener noreferrer" target="_blank" href="/health/bipolar-disorder/bipolar-disorder-in-teens">MORE: Learn more about bipolar disorder in teenagers and how to treat it.</a></div></div><div id="hl-incontent-video-ad" data-adbridg-ad-class="hl-incontent" class="css-pp6cpn"></div><div id="div-gpt-ad-out-of-page"></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="treatment">Bipolar disorder treatment</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p><a href="https://www.healthline.com/health/bipolar-disorder/treatments" class="content-link css-1c2ok3c">Several treatments</a> can help you manage bipolar disorder symptoms. These <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5310104/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">include</a></hl-trusted-source> medications, counseling, and lifestyle measures. Some <a href="https://www.healthline.com/health/bipolar-disorder/alternative-treatments" class="content-link css-1c2ok3c">natural remedies</a> can also have benefits.</p></div><div><h3>Medications</h3></div><div><p>Recommended <a href="https://www.healthline.com/health/bipolar-disorder/drugs-medications-overview" class="content-link css-1c2ok3c">medications</a> may include:</p></div><div><ul><li>mood stabilizers, such as <a href="https://www.healthline.com/health/bipolar-disorder/lithium-use-bipolar" class="content-link css-1c2ok3c">lithium</a> (Lithobid)</li><li>antipsychotics, such as <a href="https://www.healthline.com/health/drugs/olanzapine-oral-tablet" class="content-link css-1c2ok3c">olanzapine</a> (Zyprexa)</li><li>antidepressant-antipsychotics, such as fluoxetine-olanzapine (Symbyax)</li><li><a href="https://www.healthline.com/health/bipolar-disorder/benzodiazepines" class="content-link css-1c2ok3c">benzodiazepines</a>, a type of anti-anxiety medication used for short-term treatment</li></ul></div><div><h3>Psychotherapy</h3></div><div><p>Recommended therapy approaches may include:</p></div><div><h4>Cognitive behavioral therapy</h4></div><div><p><a href="https://www.healthline.com/health/bipolar-disorder/cognitive-behavioral-therapy" class="content-link css-1c2ok3c">Cognitive behavioral therapy</a> is a type of talk therapy that helps you identify and address unhelpful thoughts and change unwanted behavior patterns.</p></div><div><p>Therapy offers a safe space to discuss ways to manage your symptoms. Your therapist can also offer support with:</p></div><div><ul><li>understanding thought patterns</li><li>reframing <a href="https://www.healthline.com/health/mental-health/developing-self-awareness" class="content-link css-1c2ok3c">distressing emotions</a></li><li>learning and practicing more helpful <a href="https://www.healthline.com/health/mental-health/how-to-practice-healthy-coping-strategies" class="content-link css-1c2ok3c">coping strategies</a></li></ul></div><div><div><span style="font-size:0;line-height:0"></span><strong><span class="css-8q8l90">»</span></strong><a class="css-kzen5x" rel="endofsectionlink noopener noreferrer" target="_blank" href="/health/how-to-find-a-therapist">MORE: Get tips on finding the right therapist.</a></div></div><div><h4>Psychoeducation</h4></div><div><p>Psychoeducation is a therapeutic approach centered around helping you learn about a condition and its treatment. This knowledge can go a long way toward helping you and the supportive people in your life recognize early mood symptoms and manage them more effectively.</p></div><div><h4>Interpersonal and social rhythm therapy</h4></div><div><p><a href="https://www.healthline.com/health/bipolar-disorder/alternative-treatments" class="content-link css-1c2ok3c">Interpersonal and social rhythm therapy</a> focuses on regulating daily habits, such as sleeping, eating, and exercising. Balancing these everyday basics could lead to fewer mood episodes and less severe symptoms.</p></div><div><div id="widget_call_out_f0d4f283-330a-44c3-9414-9653e1479b70" class="css-1k93l86"><span style="font-size:0;line-height:0"></span><div class="css-1r9bcg7"><div class="css-xqvouu"><h3 class="css-2nwgta">Online therapy options</h3><div class="css-19f8tkk"><p class="standout--body">Interested in online therapy? Our review of the <a href="https://www.healthline.com/health/our-top-10-online-therapy-picks" class="content-link css-1c2ok3c">best teletherapy options</a> can help you find the right fit.</p></div></div></div><div class="css-1uwjw6e"><div></div><div class="css-wvglsa"><svg alt="Healthline" width="75" height="12" xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 113 18"><path fill="#000" d="M14.794 17.497H9.412V8.956c0-.898-.643-1.474-1.4-1.474-.734 0-1.621.599-1.621 1.474v8.541H1.558V3.891L0 2.786C1.78 2.187 4.765.898 6.39 0v7.137c.645-.806 2.222-1.842 4.225-1.842 2.537 0 3.628 1.68 3.628 3.684v7.21c0 .218.184.654.551 1.308Zm55.493 0h-5.383V8.956c0-.898-.643-1.474-1.4-1.474-.734 0-1.621.599-1.621 1.474v8.541H57.05V3.891l-1.558-1.105c1.78-.599 4.765-1.888 6.39-2.786v7.137c.645-.806 2.222-1.842 4.225-1.842 2.537 0 3.628 1.68 3.628 3.684v7.21c0 .218.184.654.551 1.308Zm-43.724-2.031v.852C25.492 17.24 24.309 18 21.764 18c-4.018 0-6.473-2.695-6.473-6.013 0-3.962 2.522-6.657 6.228-6.657 3.66 0 5.044 2.51 5.044 5.667h-6.691c.29 3.64 2.316 5.298 4.169 5.298.893 0 1.897-.3 2.522-.83ZM21.29 10.28c1.077 0 1.2-.307 1.2-1.208 0-.69-.123-2.393-1.2-2.393s-1.2 1.702-1.2 2.393c0 .9.123 1.208 1.2 1.208Zm91.21 5.181v.853c-1.071.921-2.254 1.681-4.799 1.681-4.018 0-6.473-2.695-6.473-6.012 0-3.963 2.522-6.658 6.228-6.658 3.66 0 5.044 2.511 5.044 5.667h-6.691c.29 3.64 2.316 5.299 4.169 5.299.893 0 1.897-.3 2.522-.83Zm-5.273-5.185c1.077 0 1.2-.307 1.2-1.208 0-.69-.123-2.393-1.2-2.393s-1.2 1.703-1.2 2.393c0 .901.123 1.208 1.2 1.208Zm-67.008 5.084.534.113c-.244.988-.957 2.526-3.249 2.526-1.914 0-2.451-1.175-2.852-2.419C34.32 16.733 33.008 18 30.516 18c-2.226 0-3.45-.99-3.45-2.857 0-2.073 2.023-3.593 7.075-5.09v-2.19c0-1.128-.601-1.52-1.27-1.52-.6 0-1.554.645-1.554 1.659 0 .484.089.852.156 1.336 0 .622-.712 1.567-1.803 1.567-1.202 0-1.78-.876-1.78-1.89 0-1.658 1.535-3.685 5.563-3.685 4.184 0 5.52 2.211 5.52 4.33v5.622c0 .345.133.69.512.69.334 0 .56-.189.734-.611Zm-6.052-.425v-4.174c-1.693.688-2.279 2.385-2.279 3.692 0 1.055.326 1.537 1.107 1.537.684 0 1.172-.436 1.172-1.055Zm12.971 2.561H41.58V3.891L40.1 2.786C41.791 2.187 44.901.898 46.445 0v16.19c0 .207.231.642.693 1.307Zm30.457 0h-5.558V3.891l-1.481-1.105C72.248 2.187 75.358.898 76.903 0v16.19c0 .207.23.642.692 1.307Zm-22.122-1.41v.853c-.81.691-2.153 1.06-3.602 1.06-2.387 0-3.218-1.774-3.218-3.272V6.72H47.5l6.053-5.313v4.378h1.919v.935h-1.919v8.675c0 .691.405 1.014.896 1.014.298 0 .83-.138 1.023-.323Zm26.74-10.946c-1.375 0-2.471-1.14-2.471-2.57C79.742 1.14 80.838 0 82.213 0c1.376 0 2.472 1.14 2.472 2.57 0 1.431-1.096 2.571-2.472 2.571Zm3.254 12.356h-5.674V8.93l-1.561-1.108c1.784-.6 4.776-1.894 6.405-2.794V16.19c0 .215.276.65.83 1.307Zm15.398 0h-5.558V8.93c0-.9-.643-1.477-1.4-1.477-.734 0-1.621.6-1.621 1.477v8.567h-4.832V8.93l-1.558-1.108c1.78-.6 4.638-1.894 6.263-2.794v2.355c.801-1.062 2.35-2.124 4.352-2.124 2.537 0 3.628 1.685 3.628 3.694v7.237c0 .21.242.647.726 1.307Z"></path></svg></div></div></div></div><div><h3>Other options</h3></div><div><p>Other approaches that can help ease symptoms include:</p></div><div><ul><li><a href="https://www.healthline.com/health/electroconvulsive-therapy" class="content-link css-1c2ok3c">electroconvulsive therapy</a></li><li><a href="https://www.healthline.com/health/insomnia-treatments" class="content-link css-1c2ok3c">sleep medications</a></li><li><a href="https://www.healthline.com/health/bipolar-disorder/supplements" class="content-link css-1c2ok3c">supplements</a></li><li><a href="https://www.healthline.com/health/acupuncture-how-does-it-work-scientifically" class="content-link css-1c2ok3c">acupuncture</a></li></ul></div><div><h3>Natural remedies for bipolar disorder</h3></div><div><p>Some natural remedies might also help with bipolar disorder symptoms.</p></div><div><p>You’ll always want to check with your doctor or psychiatrist before trying these remedies, though. In some cases, they could interfere with any medications you’re taking.</p></div><div><p>The following herbs and supplements may help stabilize your mood and reduce symptoms of bipolar disorder when combined with medication and therapy:</p></div><div><ul><li><strong>Omega-3:</strong> Some <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882968/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">2016 research</a></hl-trusted-source> suggests that taking an omega-3 supplement may help with symptoms of bipolar I. However, a <a href="https://www.tandfonline.com/doi/pdf/10.1080/15622975.2021.2013041?needAccess=true" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">2021 study</a> found weak support for using the supplement to treat depression symptoms in bipolar disorder.</li><li><strong>Rhodiola rosea:</strong> A <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3660126/" target="_blank" class="content-link css-1c2ok3c">2013 review</a></hl-trusted-source> suggests <a href="https://www.healthline.com/health/rhodiola-rosea" class="content-link css-1c2ok3c">this plant</a> may help with moderate depression, so it could help treat depression associated with bipolar disorder, but this, too, has not been substantiated with newer research.</li><li><strong>S-adenosylmethionine (SAMe):</strong> SAMe is an amino acid supplement that may <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3660126/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">help ease</a></hl-trusted-source> symptoms of major depression and other mood disorders. However, it <a href="https://www.tandfonline.com/doi/pdf/10.1080/15622975.2021.2013041?needAccess=true" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">can induce</a> mania and may interact with other medications. </li></ul></div><div><p>You should consult with a doctor before trying SAMe or any other herbal or natural remedies to help you manage your bipolar symptoms.</p></div><div><div><span style="font-size:0;line-height:0"></span><strong><span class="css-8q8l90">»</span></strong><a class="css-kzen5x" rel="endofsectionlink noopener noreferrer" target="_blank" href="/health/bipolar-disorder/alternative-treatments">MORE: Looking for more options? Consider these 10 alternative treatments.</a></div></div><div><h3>Lifestyle changes</h3></div><div><p>Some studies suggest that lifestyle measures can help <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4744495/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">reduce the severity</a></hl-trusted-source> of your bipolar disorder symptoms. These can include the following:</p></div><div><ul><li>eating a balanced diet</li><li>getting at least 150 minutes of exercise a week</li><li>managing your weight</li><li>getting weekly counseling or therapy</li></ul></div><div><p>That said, the improvements reported by many of these studies were <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676479/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">not significant</a></hl-trusted-source>, indicating that lifestyle interventions alone may not be enough to manage the condition. They may work better when combined with other treatments.</p></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="causes-and-risk-factors">Causes and risk factors</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Bipolar disorder is a fairly common mental health condition, but experts have yet to determine why some people develop the condition.</p></div><div><p>Some potential causes of bipolar disorder include:</p></div><div><h3>Genetics</h3></div><div><p>If your parent or sibling has bipolar disorder, you’re more likely to develop the condition. The risk of developing bipolar disorder is <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/books/NBK558998/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">10% to 25%</a></hl-trusted-source> if one of your parents has the condition.</p></div><div><p>Keep in mind, though, that most people who have a history of bipolar disorder in their family history don’t develop it.</p></div><div><div><span style="font-size:0;line-height:0"></span><strong><span class="css-8q8l90">»</span></strong><a class="css-kzen5x" rel="endofsectionlink noopener noreferrer" target="_blank" href="/health/is-bipolar-disorder-hereditary">MORE: Learn more about the hereditary aspect of bipolar disorder.</a></div></div><div><h3>Your brain</h3></div><div><p>Your brain structure may affect your risk of developing bipolar disorder. Irregularities in brain chemistry, or the structure or functions of your brain, may increase this risk.</p></div><div><h3>Environmental factors</h3></div><div><p>It’s not just what’s in your body that can affect your chances of developing bipolar disorder. Outside factors can also play a part. These might include:</p></div><div><ul><li>extreme stress</li><li>traumatic experiences</li><li>physical illness</li></ul></div><div><div><span style="font-size:0;line-height:0"></span><strong><span class="css-8q8l90">»</span></strong><a class="css-kzen5x" rel="endofsectionlink noopener noreferrer" target="_blank" href="/health/bipolar-disorder/bipolar-causes">MORE: Learn more about the potential causes of bipolar disorder.</a></div></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline23__slot" data-adbridg-ad-class="inline23__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="prevention">Can you prevent bipolar disorder?</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Once you begin to experience mood episodes, you <em>can </em>take steps to help reduce the severity of those episodes and lower your chances of experiencing additional mood episodes. But you can’t always prevent mood episodes entirely or keep the condition from developing in the first place.</p></div><div><p>Future research may reveal more about the specific causes of bipolar disorder and give researchers more insight into potential ways of preventing the condition.</p></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="co-occurring-conditions">Common co-occurring conditions</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Some people living with bipolar disorder also have other mental health conditions. A <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC6323556/" data-type="URL" data-id="https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC6323556/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">2019 research review</a></hl-trusted-source> suggests that anxiety disorders are among the most common.</p></div><div><p>Other conditions that might occur alongside bipolar disorder include:</p></div><div><ul><li>substance use disorders</li><li><a href="https://www.healthline.com/nutrition/common-eating-disorders" class="content-link css-1c2ok3c">eating disorders</a></li><li><a href="https://www.healthline.com/health/phobia-simple-specific" class="content-link css-1c2ok3c">specific phobia</a></li><li>ADHD</li></ul></div><div><p>Symptoms of these conditions might show up more severely depending on your mood state. Anxiety, for example, tends to happen more commonly with depression, while substance use might be more likely with mania.</p></div><div><p>If you have bipolar disorder, you may also have a higher chance of developing certain medical conditions, including:</p></div><div><ul><li><a href="https://www.healthline.com/health/migraine" class="content-link css-1c2ok3c">migraine</a></li><li><a href="https://www.healthline.com/health/heart-disease" class="content-link css-1c2ok3c">heart disease</a></li><li><a href="https://www.healthline.com/health/diabetes" class="content-link css-1c2ok3c">diabetes</a></li><li><a href="https://www.healthline.com/health/common-thyroid-disorders" class="content-link css-1c2ok3c">thyroid disorders</a></li></ul></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="coping-tips">Tips for coping and support</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>If you’ve noticed symptoms of bipolar disorder, a good first step involves reaching out to a doctor or therapist as soon as possible.</p></div><div><p>Similarly, if a friend or loved one has symptoms, consider encouraging them to connect with a therapist as soon as possible. It never hurts to remind them that they have your understanding and support.</p></div><div><div><span style="font-size:0;line-height:0"></span><strong><span class="css-8q8l90">»</span></strong><a class="css-kzen5x" rel="endofsectionlink noopener noreferrer" target="_blank" href="/health/bipolar-disorder/caregiver-support">MORE: Here's how you can support a loved one living with bipolar disorder.</a></div></div><div><div id="widget_call_out_5c2f3fa4-da20-42ce-9d37-384f6b22ea11" class="css-1k93l86"><span style="font-size:0;line-height:0"></span><div class="css-1r9bcg7"><div class="css-xqvouu"><h3 class="css-2nwgta">Always take suicidal thoughts and behavior seriously</h3><div class="css-h6zl9n"><p>It’s not uncommon to have thoughts of suicide during an episode of depression or a mixed features mood episode.</p><p>Remember that you’re not alone, and help is available 24/7, 365 days a year. To get confidential support, reach out to the <a href="https://suicidepreventionlifeline.org/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">Suicide and Crisis Lifeline</a> at 988 or <a href="https://www.crisistextline.org/?gclid=EAIaIQobChMIsPDQrdXH5wIVBRx9Ch1YdQjIEAAYASAAEgJ_1_D_BwE" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">text “HOME”</a> to 741741.</p><p>If you think someone is at immediate risk of hurting themselves or someone else:</p><ul><li><span style="">Stay with them if you can. If not, call for help and support.</span></li><li>Remove any guns, knives, medications, or other things that may cause harm.</li><li>Listen, but don’t judge, argue, threaten, or yell.</li></ul><p>Learn more about <a href="https://www.healthline.com/health/mental-health/supporting-someone-in-a-mental-health-crisis" class="content-link css-1c2ok3c">helping someone during a crisis</a> and <a href="https://www.healthline.com/health/mental-health/suicide-resource-guide" class="content-link css-1c2ok3c">get more crisis resources</a>.</p></div></div></div><div class="css-1uwjw6e"><div></div><div class="css-wvglsa"><svg alt="Healthline" width="75" height="12" xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 113 18"><path fill="#000" d="M14.794 17.497H9.412V8.956c0-.898-.643-1.474-1.4-1.474-.734 0-1.621.599-1.621 1.474v8.541H1.558V3.891L0 2.786C1.78 2.187 4.765.898 6.39 0v7.137c.645-.806 2.222-1.842 4.225-1.842 2.537 0 3.628 1.68 3.628 3.684v7.21c0 .218.184.654.551 1.308Zm55.493 0h-5.383V8.956c0-.898-.643-1.474-1.4-1.474-.734 0-1.621.599-1.621 1.474v8.541H57.05V3.891l-1.558-1.105c1.78-.599 4.765-1.888 6.39-2.786v7.137c.645-.806 2.222-1.842 4.225-1.842 2.537 0 3.628 1.68 3.628 3.684v7.21c0 .218.184.654.551 1.308Zm-43.724-2.031v.852C25.492 17.24 24.309 18 21.764 18c-4.018 0-6.473-2.695-6.473-6.013 0-3.962 2.522-6.657 6.228-6.657 3.66 0 5.044 2.51 5.044 5.667h-6.691c.29 3.64 2.316 5.298 4.169 5.298.893 0 1.897-.3 2.522-.83ZM21.29 10.28c1.077 0 1.2-.307 1.2-1.208 0-.69-.123-2.393-1.2-2.393s-1.2 1.702-1.2 2.393c0 .9.123 1.208 1.2 1.208Zm91.21 5.181v.853c-1.071.921-2.254 1.681-4.799 1.681-4.018 0-6.473-2.695-6.473-6.012 0-3.963 2.522-6.658 6.228-6.658 3.66 0 5.044 2.511 5.044 5.667h-6.691c.29 3.64 2.316 5.299 4.169 5.299.893 0 1.897-.3 2.522-.83Zm-5.273-5.185c1.077 0 1.2-.307 1.2-1.208 0-.69-.123-2.393-1.2-2.393s-1.2 1.703-1.2 2.393c0 .901.123 1.208 1.2 1.208Zm-67.008 5.084.534.113c-.244.988-.957 2.526-3.249 2.526-1.914 0-2.451-1.175-2.852-2.419C34.32 16.733 33.008 18 30.516 18c-2.226 0-3.45-.99-3.45-2.857 0-2.073 2.023-3.593 7.075-5.09v-2.19c0-1.128-.601-1.52-1.27-1.52-.6 0-1.554.645-1.554 1.659 0 .484.089.852.156 1.336 0 .622-.712 1.567-1.803 1.567-1.202 0-1.78-.876-1.78-1.89 0-1.658 1.535-3.685 5.563-3.685 4.184 0 5.52 2.211 5.52 4.33v5.622c0 .345.133.69.512.69.334 0 .56-.189.734-.611Zm-6.052-.425v-4.174c-1.693.688-2.279 2.385-2.279 3.692 0 1.055.326 1.537 1.107 1.537.684 0 1.172-.436 1.172-1.055Zm12.971 2.561H41.58V3.891L40.1 2.786C41.791 2.187 44.901.898 46.445 0v16.19c0 .207.231.642.693 1.307Zm30.457 0h-5.558V3.891l-1.481-1.105C72.248 2.187 75.358.898 76.903 0v16.19c0 .207.23.642.692 1.307Zm-22.122-1.41v.853c-.81.691-2.153 1.06-3.602 1.06-2.387 0-3.218-1.774-3.218-3.272V6.72H47.5l6.053-5.313v4.378h1.919v.935h-1.919v8.675c0 .691.405 1.014.896 1.014.298 0 .83-.138 1.023-.323Zm26.74-10.946c-1.375 0-2.471-1.14-2.471-2.57C79.742 1.14 80.838 0 82.213 0c1.376 0 2.472 1.14 2.472 2.57 0 1.431-1.096 2.571-2.472 2.571Zm3.254 12.356h-5.674V8.93l-1.561-1.108c1.784-.6 4.776-1.894 6.405-2.794V16.19c0 .215.276.65.83 1.307Zm15.398 0h-5.558V8.93c0-.9-.643-1.477-1.4-1.477-.734 0-1.621.6-1.621 1.477v8.567h-4.832V8.93l-1.558-1.108c1.78-.6 4.638-1.894 6.263-2.794v2.355c.801-1.062 2.35-2.124 4.352-2.124 2.537 0 3.628 1.685 3.628 3.694v7.237c0 .21.242.647.726 1.307Z"></path></svg></div></div></div></div><div><h3>Living with bipolar disorder</h3></div><div><p>Treatment can help you manage mood episodes and cope with the symptoms they cause.</p></div><div><p>Creating a care team can help you get the most out of treatment. Your team might involve:</p></div><div><ul><li>your primary doctor</li><li>a psychiatrist who manages your medications</li><li>a therapist or counselor who provides talk therapy</li><li>other professionals or specialists, such as a sleep specialist, acupuncturist, or massage therapist</li><li>a <a href="http://healthline.com/health/mental-health/bipolar-support-groups" class="content-link css-1c2ok3c">bipolar disorder support group</a> or community of other people also living with bipolar disorder</li></ul></div><div><p>You may need to try a few treatments before you find one that leads to improvement. Some medications work well for some people but not others. In a similar vein, some people find CBT very helpful, while others may see little improvement.</p></div><div><p>It’s always best to be open with your care team about what works and what doesn’t. If something doesn’t help or makes you feel even worse, don’t hold back from letting them know. Your mental health matters and your care team should always support you in finding the most helpful approach.</p></div><div><p>A little self-compassion can go a long way, too. Remember that bipolar disorder, like any other mental health condition, didn’t happen by choice. It’s not caused by anything you did or didn’t do.</p></div><div><p>It’s OK (and pretty common) to feel frustrated when treatment doesn’t seem to work. Try to have patience and treat yourself kindly as you explore new approaches.</p></div><div><h3>Bipolar disorder and relationships</h3></div><div><p>Bipolar disorder can affect your relationships. But these effects might appear most clearly in your closest relationships, like those with family members and romantic partners.</p></div><div><p>When it comes to managing a relationship while living with bipolar disorder, honesty can always help. Being open about your condition can help your partner better understand your symptoms and how they can offer support.</p></div><div><p>You might consider starting with a few basic details, including:</p></div><div><ul><li>how long you’ve had the condition</li><li>how episodes of depression usually affect you</li><li>how episodes of mania usually affect you</li><li>your treatment approach, including therapy, medication, and coping strategies</li><li>anything they can do to help</li></ul></div><div><p>Want more tips on maintaining a healthy relationship when you or a partner has bipolar disorder? <a href="https://www.healthline.com/health/bipolar-disorder/relationship-guide" class="content-link css-1c2ok3c">Our guide can help.</a></p></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="takeaway">The bottom line</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Bipolar disorder is a lifelong condition, but that doesn’t mean it has to completely disrupt your life. While living with bipolar disorder certainly creates some challenges, sticking with your treatment plan, practicing regular <a href="https://www.healthline.com/health/self-care-checklist" class="content-link css-1c2ok3c">self-care</a>, and leaning on your support system can boost your overall well-being and keep symptoms to a minimum.</p></div><div><p>Educating yourself and your loved ones about the condition can also have a lot of benefits. Get started with these resources:</p></div><div><ul><li><a href="https://www.dbsalliance.org/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">Depression and Bipolar Support Alliance</a></li><li><a href="https://www.psychiatry.org/patients-families/bipolar-disorders" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">Help with Bipolar Disorder</a></li><li><a href="https://ibpf.org/" target="_blank" rel="noopener noreferrer" class="content-link css-1c2ok3c">International Bipolar Foundation</a></li></ul></div></div></article><span class="css-zya54r"></span></div><p data-testid="last-medically-reviewed" class="css-1kir5of"><span> </span></p><div><div class="css-140fa3i"><div class="css-15lc7zf"><h3 id="bylineArticleTools">How we reviewed this article:</h3><div class="css-vrhe66"><button type="button" class="css-5sudr5"><div class="css-rre5oz"><span class="css-1d75hb8"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" fill="none" viewBox="0 0 20 20"><path fill="currentColor" fill-rule="evenodd" d="M0 10C0 4.477 4.477 0 10 0s10 4.477 10 10-4.477 10-10 10S0 15.523 0 10Zm18.5 0a8.5 8.5 0 1 0-17 0 8.5 8.5 0 0 0 17 0ZM10 4c-.823 0-1.5.677-1.5 1.518C8.5 6.323 9.177 7 10 7c.841 0 1.5-.677 1.5-1.482A1.5 1.5 0 0 0 10 4Zm0 4.5a1 1 0 0 1 1 1V15a1 1 0 1 1-2 0V9.5a1 1 0 0 1 1-1Z" clip-rule="evenodd"></path></svg></span><span>Sources</span></div></button><button type="button" open="" class="css-5sudr5"><div class="css-rre5oz"><span class="css-1d75hb8"><svg xmlns="http://www.w3.org/2000/svg" width="22" height="20" fill="none" viewBox="0 0 22 20"><path fill="currentColor" d="M3.181 9.732c.43 0 .793-.003 1.157 0 .66.007 1.023.613.696 1.19a221.037 221.037 0 0 1-1.774 3.072c-.329.557-1.038.553-1.366-.007-.6-1.02-1.191-2.043-1.774-3.072-.325-.575.043-1.177.708-1.183h.808c.055-.447.088-.882.165-1.309.557-3.104 2.187-5.489 4.913-7.056 3.679-2.114 8.05-1.75 11.352.913 2.062 1.664 3.29 3.84 3.625 6.473.678 5.323-3.012 10.254-8.308 11.103-3.215.515-6.044-.356-8.476-2.515-.297-.259-.373-.598-.233-.92.14-.323.454-.52.805-.454.187.04.361.13.504.26a8.618 8.618 0 0 0 4.383 2.108c3.72.63 7.513-1.394 9.084-4.846a8.521 8.521 0 0 0-6.047-11.911C8.763.618 4.201 3.71 3.353 8.4c-.078.427-.112.863-.172 1.331Z"></path><path fill="currentColor" d="M10.12 7.212V3.711a.778.778 0 0 1 1.535-.171c.017.104.024.21.02.314v6.25a.412.412 0 0 0 .168.368c1.125.89 2.241 1.791 3.362 2.686.26.208.405.466.342.803-.11.583-.76.829-1.244.459-.485-.37-.952-.756-1.427-1.135-.79-.633-1.578-1.27-2.373-1.898a.933.933 0 0 1-.385-.793c.008-1.125.003-2.252.003-3.382Z"></path></svg></span><span>History</span></div></button></div><div class="css-1ndif92"><div class="css-1xn3edc css-1rkrrlx"><div id="article-resources" role="region" class="css-1ugaz02"><div class="css-0">Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our <a class="css-1c2ok3c" href="https://www.healthline.com/about/process">editorial policy</a>.</div><ul class="css-1vedeqe"><li class="css-1ti7iub"><cite><span>Akinhanmi MO, et al. (2018). Racial disparities in bipolar disorder treatment and research: A call to action.</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175457/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175457/</a></cite></li><li class="css-1ti7iub"><cite><span>Amamou B, et al. (2018). 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Bipolar affective disorder.</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/books/NBK558998/">https://www.ncbi.nlm.nih.gov/books/NBK558998/</a></cite></li><li class="css-1ti7iub"><cite><span>Menculini G, et al. (2022). Sex differences in bipolar disorders: Impact on psychopathological features and treatment response.</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.frontiersin.org/articles/10.3389/fpsyt.2022.926594/full">https://www.frontiersin.org/articles/10.3389/fpsyt.2022.926594/full</a></cite></li><li class="css-1ti7iub"><cite><span>Naguy A. (2017). Bipolar in women: Any gender-based difference?</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461862/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461862/</a></cite></li><li class="css-1ti7iub"><cite><span>Parial S. (2015). Bipolar disorder in women.</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4539870/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4539870/</a></cite></li><li class="css-1ti7iub"><cite><span>Qureshi NA, et al. (2013). Mood disorders and complementary and alternative medicine: a literature review.</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3660126/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3660126/</a></cite></li><li class="css-1ti7iub"><cite><span>Sarris J, et al. (2022). Clinician guidelines for the treatment of psychiatric disorders with nutraceuticals and phytoceuticals: The World Federation of Societies of Biological Psychiatry (WFSBP) and Canadian Network for Mood and Anxiety Treatments (CANMAT) Taskforce.</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.tandfonline.com/doi/pdf/10.1080/15622975.2021.2013041?needAccess=true">https://www.tandfonline.com/doi/pdf/10.1080/15622975.2021.2013041?needAccess=true</a></cite></li><li class="css-1ti7iub"><cite><span>Shah N, et al. (2017). Clinical practice guidelines for management of bipolar disorder.</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5310104/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5310104/</a></cite></li><li class="css-1ti7iub"><cite><span>Shakeri J, et al. (2016). Effects of omega-3 supplement in the treatment of patients with bipolar I disorder.</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC4882968/">https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC4882968/</a></cite></li><li class="css-1ti7iub"><cite><span>Spoorthy MS, et al. (2019). Comorbidity of bipolar and anxiety disorders: An overview of trends in research.</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323556/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323556/</a></cite></li><li class="css-1ti7iub"><cite><span>Sylvia LG, et al. (2019). Pilot study of a lifestyle intervention for bipolar disorder: Nutrition exercise wellness treatment (new tx).</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676479/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676479/</a></cite></li><li class="css-1ti7iub"><cite><span>Table 3.4 DSM-IV to DSM-5 Major Depressive Episode/Disorder Comparison. (2016).</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t4/?report=objectonly">https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t4/?report=objectonly</a></cite></li><li class="css-1ti7iub"><cite><span>Table 3.8 DSM-IV to DSM-5 Major Depressive Episode/Disorder Comparison. (2016).</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t9/?report=objectonly">https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t9/?report=objectonly</a></cite></li><li class="css-1ti7iub"><cite><span>Table 11 DSM-IV to DSM-5 Major Depressive Episode/Disorder Comparison. (2016).</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t7/?report=objectonly">https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t7/?report=objectonly</a></cite></li><li class="css-1ti7iub"><cite><span>Van Meter AR, et al. (2012). Cyclothymic disorder in youth: why is it overlooked, what do we know and where is the field headed?</span><br/><a class="css-1c2ok3c css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3609426/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3609426/</a></cite></li></ul></div></div></div><div open="" class="css-1ndif92"></div></div><div class="css-1289m5j" data-testid="share-tools"><p>Share this article</p><div class="css-14uyzrw"><div class="button-wrapper print"><a class="css-j5n0jw print button icon icon-hl-print" target="_blank" title="Print this page"></a></div><div class="button-wrapper email"><a class="css-j5n0jw email button icon icon-hl-email" target="_blank" title="Email this page"></a></div><div class="button-wrapper facebook"><a class="css-j5n0jw facebook button icon icon-hl-facebook" 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href="https://www.healthline.com/health/bipolar-disorder/self-care?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Self-care can improve quality of life and help lessen the everyday impact of bipolar disorder.</a></p><a class="css-1c2ok3c css-y30xg1" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/self-care;engagement|bottom page content promo click index|2" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Tips for Practicing Self-Care with Bipolar Disorder|rn1" href="https://www.healthline.com/health/bipolar-disorder/self-care?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right css-1bisyf5"></span></a></div></div></div><section class="css-17lceqi css-1ub4i5m"></section></div></div></li><li class="css-1d1kvj4"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-z468a2 css-t8t3ia"><div class="css-k3xa71"><span style="font-size:0;line-height:0"></span><figure class="css-1pvwan1"><a class="css-j5n0jw" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/bipolar-brain-scan;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Can a Brain Scan Detect Bipolar Disorder?|rn2" href="https://www.healthline.com/health/bipolar-disorder/bipolar-brain-scan?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Can a Brain Scan Detect Bipolar Disorder?" src="https://media.post.rvohealth.io/wp-content/uploads/2022/05/brain-scan-mri-732x549-thumbnail-732x549.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/2022/05/brain-scan-mri-732x549-thumbnail-732x549.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-u8uhak"><a class="css-j5n0jw css-1hjyqqq" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/bipolar-brain-scan;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Can a Brain Scan Detect Bipolar Disorder?|rn2" href="https://www.healthline.com/health/bipolar-disorder/bipolar-brain-scan?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Can a Brain Scan Detect Bipolar Disorder?</a><section data-testid="byline" class="css-ra9ywe"><div class="css-1pz7193"><div class="css-quwpxp"><lazy-image alt="" src="https://media.post.rvohealth.io/wp-content/uploads/2022/01/Nicole-Washington-500x500-Bio.png"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-1c2ok3c css-ro87dg" href="https://www.healthline.com/medical-team">Nicole Washington, DO, MPH</a></span></span></div></section><p><a class="css-2fdibo css-v34bze" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/bipolar-brain-scan;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Can a Brain Scan Detect Bipolar Disorder?|rn2" href="https://www.healthline.com/health/bipolar-disorder/bipolar-brain-scan?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Brain scans are an essential part of bipolar disorder research, but not of diagnosis. Psychiatrists usually diagnose bipolar disorder based on your…</a></p><a class="css-1c2ok3c css-y30xg1" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/bipolar-brain-scan;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Can a Brain Scan Detect Bipolar Disorder?|rn2" href="https://www.healthline.com/health/bipolar-disorder/bipolar-brain-scan?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right css-1bisyf5"></span></a></div></div></div><section class="css-17lceqi css-1ub4i5m"><div data-empty="true" class="css-vhteyv"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="DCMR2__slot" data-adbridg-ad-class="DCMR2" data-ad="true" class="css-prb4v6"></div></div></section></div></div></li><li class="css-1d1kvj4"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-z468a2 css-t8t3ia"><div class="css-k3xa71"><span style="font-size:0;line-height:0"></span><figure class="css-1pvwan1"><a class="css-j5n0jw" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/finding-the-right-therapist;engagement|bottom page content promo click index|4" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Finding the Right Therapist for Bipolar Disorder|rn3" href="https://www.healthline.com/health/bipolar-disorder/finding-the-right-therapist?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Finding the Right Therapist for Bipolar Disorder" src="https://media.post.rvohealth.io/wp-content/uploads/2022/03/therapy-session-therapist-732x549-thumbnail-732x549.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/2022/03/therapy-session-therapist-732x549-thumbnail-732x549.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-u8uhak"><a class="css-j5n0jw css-1hjyqqq" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/finding-the-right-therapist;engagement|bottom page content promo click index|4" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Finding the Right Therapist for Bipolar Disorder|rn3" href="https://www.healthline.com/health/bipolar-disorder/finding-the-right-therapist?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Finding the Right Therapist for Bipolar Disorder</a><p><a class="css-2fdibo css-v34bze" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/finding-the-right-therapist;engagement|bottom page content promo click index|4" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Finding the Right Therapist for Bipolar Disorder|rn3" href="https://www.healthline.com/health/bipolar-disorder/finding-the-right-therapist?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Finding a good therapist is a crucial part of treatment for bipolar disorder.</a></p><a class="css-1c2ok3c css-y30xg1" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/finding-the-right-therapist;engagement|bottom page content promo click index|4" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Finding the Right Therapist for Bipolar Disorder|rn3" href="https://www.healthline.com/health/bipolar-disorder/finding-the-right-therapist?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right css-1bisyf5"></span></a></div></div></div><section class="css-17lceqi css-1ub4i5m"></section></div></div></li><li class="css-1d1kvj4"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-z468a2 css-t8t3ia"><div class="css-k3xa71"><span style="font-size:0;line-height:0"></span><figure class="css-1pvwan1"><a class="css-j5n0jw" data-event="engagement|bottom page content promo click|/health/bipolar-and-work;engagement|bottom page content promo click index|5" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|How to Handle a Bipolar Diagnosis and Work|rn4" href="https://www.healthline.com/health/bipolar-and-work?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="How to Handle a Bipolar Diagnosis and Work" src="https://media.post.rvohealth.io/wp-content/uploads/2020/09/2045-Bipolar_Work-732x549-thumbnail-1-732x549.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/2020/09/2045-Bipolar_Work-732x549-thumbnail-1-732x549.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-u8uhak"><a class="css-j5n0jw css-1hjyqqq" data-event="engagement|bottom page content promo click|/health/bipolar-and-work;engagement|bottom page content promo click index|5" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|How to Handle a Bipolar Diagnosis and Work|rn4" href="https://www.healthline.com/health/bipolar-and-work?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">How to Handle a Bipolar Diagnosis and Work</a><p><a class="css-2fdibo css-v34bze" data-event="engagement|bottom page content promo click|/health/bipolar-and-work;engagement|bottom page content promo click index|5" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|How to Handle a Bipolar Diagnosis and Work|rn4" href="https://www.healthline.com/health/bipolar-and-work?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Bipolar disorder is a mental condition causing severe shifts in mood. Learn how can to overcome the challenges of working with bipolar disorder.</a></p><a class="css-1c2ok3c css-y30xg1" data-event="engagement|bottom page content promo click|/health/bipolar-and-work;engagement|bottom page content promo click index|5" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|How to Handle a Bipolar Diagnosis and Work|rn4" href="https://www.healthline.com/health/bipolar-and-work?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right css-1bisyf5"></span></a></div></div></div><section class="css-17lceqi css-1ub4i5m"></section></div></div></li><li class="css-1d1kvj4"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-z468a2 css-t8t3ia"><div class="css-k3xa71"><span style="font-size:0;line-height:0"></span><figure class="css-1pvwan1"><a class="css-j5n0jw" data-event="engagement|bottom page content promo click|/health/bipolar-and-anxiety;engagement|bottom page content promo click index|6" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Can You Have Bipolar Disorder and an Anxiety Disorder at the Same Time?|rn5" href="https://www.healthline.com/health/bipolar-and-anxiety?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Can You Have Bipolar Disorder and an Anxiety Disorder at the Same Time?" src="https://media.post.rvohealth.io/wp-content/uploads/2020/08/serious-portrait-sad-thinking-alone-1200x628-facebook-732x549.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/2020/08/serious-portrait-sad-thinking-alone-1200x628-facebook-732x549.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-u8uhak"><a class="css-j5n0jw css-1hjyqqq" data-event="engagement|bottom page content promo click|/health/bipolar-and-anxiety;engagement|bottom page content promo click index|6" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Can You Have Bipolar Disorder and an Anxiety Disorder at the Same Time?|rn5" href="https://www.healthline.com/health/bipolar-and-anxiety?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Can You Have Bipolar Disorder and an Anxiety Disorder at the Same Time?</a><section data-testid="byline" class="css-ra9ywe"><div class="css-1pz7193"><div class="css-quwpxp"><lazy-image alt="" src="https://media.post.rvohealth.io/wp-content/uploads/2022/01/Marney-White-500x500-Bio.png"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-1c2ok3c css-ro87dg" href="https://www.healthline.com/medical-team">Marney A. White, PhD, MS</a></span></span></div></section><p><a class="css-2fdibo css-v34bze" data-event="engagement|bottom page content promo click|/health/bipolar-and-anxiety;engagement|bottom page content promo click index|6" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Can You Have Bipolar Disorder and an Anxiety Disorder at the Same Time?|rn5" href="https://www.healthline.com/health/bipolar-and-anxiety?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Discover the relationship between bipolar and anxiety disorders, which can often co-occur. Learn about shared symptoms, challenges, therapy, and more.</a></p><a class="css-1c2ok3c css-y30xg1" data-event="engagement|bottom page content promo click|/health/bipolar-and-anxiety;engagement|bottom page content promo click index|6" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Can You Have Bipolar Disorder and an Anxiety Disorder at the Same Time?|rn5" href="https://www.healthline.com/health/bipolar-and-anxiety?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right css-1bisyf5"></span></a></div></div></div><section class="css-17lceqi css-1ub4i5m"></section></div></div></li><li class="css-1d1kvj4"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-z468a2 css-t8t3ia"><div class="css-k3xa71"><span style="font-size:0;line-height:0"></span><figure class="css-1pvwan1"><a class="css-j5n0jw" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/later-in-life;engagement|bottom page content promo click index|7" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Can I Get Bipolar Disorder Later in Life?|rn6" href="https://www.healthline.com/health/bipolar-disorder/later-in-life?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Can I Get Bipolar Disorder Later in Life?" src="https://media.post.rvohealth.io/wp-content/uploads/2025/02/man-outdoors-forest-winter-nature-wearing-hat-732x549-thumbnail.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/2025/02/man-outdoors-forest-winter-nature-wearing-hat-732x549-thumbnail.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-u8uhak"><a class="css-j5n0jw css-1hjyqqq" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/later-in-life;engagement|bottom page content promo click index|7" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Can I Get Bipolar Disorder Later in Life?|rn6" href="https://www.healthline.com/health/bipolar-disorder/later-in-life?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Can I Get Bipolar Disorder Later in Life?</a><p><a class="css-2fdibo css-v34bze" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/later-in-life;engagement|bottom page content promo click index|7" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Can I Get Bipolar Disorder Later in Life?|rn6" href="https://www.healthline.com/health/bipolar-disorder/later-in-life?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">While more common earlier in life, some people are diagnosed with bipolar disorder when they’re older. Learn more about late onset bipolar disorder…</a></p><a class="css-1c2ok3c css-y30xg1" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/later-in-life;engagement|bottom page content promo click index|7" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Can I Get Bipolar Disorder Later in Life?|rn6" href="https://www.healthline.com/health/bipolar-disorder/later-in-life?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right css-1bisyf5"></span></a></div></div></div><section class="css-17lceqi css-1ub4i5m"></section></div></div></li><li class="css-1d1kvj4"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-z468a2 css-t8t3ia"><div class="css-k3xa71"><span style="font-size:0;line-height:0"></span><figure class="css-1pvwan1"><a class="css-j5n0jw" data-event="engagement|bottom page content promo click|/health/unipolar-vs-bipolar;engagement|bottom page content promo click index|8" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Unipolar vs. Bipolar Depression: Differences and Similarities|rn7" href="https://www.healthline.com/health/unipolar-vs-bipolar?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Unipolar vs. Bipolar Depression: Differences and Similarities" src="https://media.post.rvohealth.io/wp-content/uploads/2025/02/solemn-serious-woman-red-hair-depressed-sad-732x549-thumbnail.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/2025/02/solemn-serious-woman-red-hair-depressed-sad-732x549-thumbnail.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-u8uhak"><a class="css-j5n0jw css-1hjyqqq" data-event="engagement|bottom page content promo click|/health/unipolar-vs-bipolar;engagement|bottom page content promo click index|8" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Unipolar vs. Bipolar Depression: Differences and Similarities|rn7" href="https://www.healthline.com/health/unipolar-vs-bipolar?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Unipolar vs. Bipolar Depression: Differences and Similarities</a><p><a class="css-2fdibo css-v34bze" data-event="engagement|bottom page content promo click|/health/unipolar-vs-bipolar;engagement|bottom page content promo click index|8" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Unipolar vs. Bipolar Depression: Differences and Similarities|rn7" href="https://www.healthline.com/health/unipolar-vs-bipolar?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Learn the difference between having unipolar and bipolar depression and what mental health conditions they are categorized under.</a></p><a class="css-1c2ok3c css-y30xg1" data-event="engagement|bottom page content promo click|/health/unipolar-vs-bipolar;engagement|bottom page content promo click index|8" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Unipolar vs. Bipolar Depression: Differences and Similarities|rn7" href="https://www.healthline.com/health/unipolar-vs-bipolar?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right css-1bisyf5"></span></a></div></div></div><section class="css-17lceqi css-1ub4i5m"></section></div></div></li><li class="css-1d1kvj4"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-z468a2 css-t8t3ia"><div class="css-k3xa71"><span style="font-size:0;line-height:0"></span><figure class="css-1pvwan1"><a class="css-j5n0jw" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/connected-by-bipolar-disorder;engagement|bottom page content promo click index|9" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Connected by Bipolar Disorder|rn8" href="https://www.healthline.com/health/bipolar-disorder/connected-by-bipolar-disorder?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Connected by Bipolar Disorder" src="https://media.post.rvohealth.io/wp-content/uploads/2024/12/connected-by-bipolar-disorder-300x225-1.png" srcSet="https://media.post.rvohealth.io/wp-content/uploads/2024/12/connected-by-bipolar-disorder-300x225-1.png 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-u8uhak"><a class="css-j5n0jw css-1hjyqqq" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/connected-by-bipolar-disorder;engagement|bottom page content promo click index|9" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Connected by Bipolar Disorder|rn8" href="https://www.healthline.com/health/bipolar-disorder/connected-by-bipolar-disorder?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Connected by Bipolar Disorder</a><p><a class="css-2fdibo css-v34bze" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/connected-by-bipolar-disorder;engagement|bottom page content promo click index|9" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Connected by Bipolar Disorder|rn8" href="https://www.healthline.com/health/bipolar-disorder/connected-by-bipolar-disorder?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">People with bipolar disorder face stigma and treatment challenges. Despite these barriers, it's possible to live a full and productive life. Here are…</a></p><a class="css-1c2ok3c css-y30xg1" data-event="engagement|bottom page content promo click|/health/bipolar-disorder/connected-by-bipolar-disorder;engagement|bottom page content promo click index|9" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Connected by Bipolar Disorder|rn8" href="https://www.healthline.com/health/bipolar-disorder/connected-by-bipolar-disorder?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right css-1bisyf5"></span></a></div></div></div><section class="css-17lceqi css-1ub4i5m"></section></div></div></li><li class="css-1d1kvj4"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-z468a2 css-t8t3ia"><div class="css-k3xa71"><span style="font-size:0;line-height:0"></span><figure class="css-1pvwan1"><a class="css-j5n0jw" data-event="engagement|bottom page content promo click|/health/bipolar-and-pms;engagement|bottom page content promo click index|10" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Are Bipolar Disorder and PMS Related?|rn9" href="https://www.healthline.com/health/bipolar-and-pms?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Are Bipolar Disorder and PMS Related?" src="https://media.post.rvohealth.io/wp-content/uploads/2024/08/portrait-mature-woman-sitting-at-kitchen-table-looking-at-camera-natural-sunlight-732x549-thumbnail.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/2024/08/portrait-mature-woman-sitting-at-kitchen-table-looking-at-camera-natural-sunlight-732x549-thumbnail.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-u8uhak"><a class="css-j5n0jw css-1hjyqqq" data-event="engagement|bottom page content promo click|/health/bipolar-and-pms;engagement|bottom page content promo click index|10" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Are Bipolar Disorder and PMS Related?|rn9" href="https://www.healthline.com/health/bipolar-and-pms?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Are Bipolar Disorder and PMS Related?</a><section data-testid="byline" class="css-ra9ywe"><div class="css-1pz7193"><div class="css-quwpxp"><lazy-image alt="" src="https://media.post.rvohealth.io/wp-content/uploads/2022/01/Nicole-Washington-500x500-Bio.png"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-1c2ok3c css-ro87dg" href="https://www.healthline.com/medical-team">Nicole Washington, DO, MPH</a></span></span></div></section><p><a class="css-2fdibo css-v34bze" data-event="engagement|bottom page content promo click|/health/bipolar-and-pms;engagement|bottom page content promo click index|10" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Are Bipolar Disorder and PMS Related?|rn9" href="https://www.healthline.com/health/bipolar-and-pms?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">There’s no evidence to suggest that bipolar disorder causes premenstrual syndrome (PMS) or vice versa. However, premenstrual exacerbations are common.</a></p><a class="css-1c2ok3c css-y30xg1" data-event="engagement|bottom page content promo click|/health/bipolar-and-pms;engagement|bottom page content promo click index|10" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Are Bipolar Disorder and PMS Related?|rn9" href="https://www.healthline.com/health/bipolar-and-pms?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right css-1bisyf5"></span></a></div></div></div><section class="css-17lceqi css-1ub4i5m"></section></div></div></li></ul></div></div></div></div><span class="css-zya54r"></span><span class="css-zya54r"></span></div><div class="css-i9gxme"></div><footer class="css-180m1xi"><div class="css-1dppxl0"><hl-social-nav></hl-social-nav><div class="css-1b2ri56"><div class="css-uktbta css-1tn87m4"><hl-newsletter-cta buttonText="SIGN UP" source="footer_widget" subscribeEventTracking="Newsletter Acquisition|footer_widget|submit" className="css-13njx2h" category="Newsletter Acquisition" formatType="footer" name="footer_widget" productId="footer_widget" variant="footer_widget"></hl-newsletter-cta><div class="css-16bllps css-17cs55w">© 2025 Healthline Media LLC. 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She speaks several languages fluently and has worked as a journalist and editor for more than 10 years for U.S. and international media. She’s excited to dedicate herself to her passion for the creation of informative and reliable health content. Outside of work, she’s also the mom of two rambunctious boys.\u0026quot;}\" data-sheets-userformat=\"{\u0026quot;2\u0026quot;:8961,\u0026quot;3\u0026quot;:{\u0026quot;1\u0026quot;:0},\u0026quot;11\u0026quot;:4,\u0026quot;12\u0026quot;:0,\u0026quot;16\u0026quot;:10}\"\u003eAlina Sharon is a Chicago-based editor for Medical News Today, Healthline, Healthgrades, and HelloMedicare focusing on health, wellness, and Medicare content. She has a master\u0026#8217;s degree in journalism and has worked as a writer and editor for over 10 years for U.S. and international media. She’s excited to dedicate herself to her passion for creating informative and reliable content that makes it easier for people to navigate their healthcare. 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Connect with her on \u003ca href=\"https://www.linkedin.com/in/adsharon\"\u003eLinkedIn.\u003c/a\u003e\u003c/span\u003e\u003c/p\u003e\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.healthline.com/wp-content/uploads/2021/06/Alina-Sharon-500x500-Bio.png"},"bioBlurb":{"nodes":["Alina Sharon is a Chicago-based editor for Medical News Today, Healthline, Healthgrades, and HelloMedicare focusing on health, wellness, and Medicare content…"]}}],"medicalReviewers":[{"id":4990,"name":{"display":"Nicole Washington, DO, MPH","first":"Nicole","last":"Washington, DO, MPH"},"userLogin":"nwashington","links":{"website":"http://www.drnicolepsych.com","facebook":"www.facebook.com/drnicolepsych","linkedin":"www.linkedin/in/drnicolepsych","twitter":"www.twitter.com/drnicolepsych","instagram":"www.instagram.com/drnicolepsych","tiktok":"https://www.tiktok.com/@drnicolepsych"},"link":"/reviewers/nicole-washington-do-mph","type":{"value":"medical_reviewer","label":"Medical Advisor"},"nid":"164742","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003eDr. Nicole Washington is an \u003c/span\u003e\u003ca href=\"https://www.abms.org/board-certification/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eABMS board certified\u003c/span\u003e\u003c/a\u003e\u003cspan style=\"font-weight: 400;\"\u003e psychiatrist and the chief medical officer of Elocin Psychiatric Services, a primarily virtual practice where she focuses on the mental health needs of the busy professional. Dr. Washington has spent most of her career caring and advocating for people who aren\u0026#8217;t typically consumers of mental health services, namely underserved communities and high-performing professionals.\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEducation\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eOklahoma State University College of Osteopathic Medicine, DO\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eUniversity of Illinois at Chicago, MPH\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eUniversity of Oklahoma School of Community Medicine, Psychiatric Residency\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eCertifications\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAmerican Board of Psychiatry and Neurology \u0026#8211; Psychiatry\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eProfessional Accomplishments\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAuthor of \u0026#8220;From Introspection to Action: The High-Level Professional’s 28 Day Journey to Improving Mental Health\u0026#8221;\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003cspan style=\"font-weight: 400;\"\u003ePodcast host of \u0026#8220;The C-Suite Confidant”\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eCompleted an internship at Griffin Memorial 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Schizophrenia"},{"url":"/health/drugs/lamictal-side-effects","title":"Lamictal Side Effects"},{"url":"/health/drugs/seroquel-side-effects","title":"Seroquel Side Effects"},{"url":"/health/bipolar/bipolar-paranoia","title":"Bipolar Paranoia"},{"url":"/health/drugs/lamictal-dosage","title":"Lamictal Dosage"},{"url":"/health/bipolar-disorder/cognitive-behavioral-therapy","title":"CBT for Bipolar"},{"url":"/health/epilepsy/epilepsy-and-bipolar-disorder","title":"Epilepsy and Bipolar"},{"url":"/health/drugs/seroquel-dosage","title":"Seroquel Dosage"},{"url":"/health/bipolar/cyclothymia-vs-bipolar","title":"Cyclothymia vs Bipolar"},{"url":"/health/drugs/lamictal-interactions","title":"Lamictal Interactions"},{"url":"/health/can-someone-with-bipolar-drive","title":"Driving with Bipolar"},{"url":"/health/drugs/quetiapine-er-oral-tablet","title":"Quetiapine ER"},{"url":"/health/drugs/quetiapine-tablet-side-effects","title":"Quetiapine Side Effect"},{"url":"/health/bipolar-foh","title":"Bipolar Foh"},{"url":"/health/pregnancy/postpartum-bipolar","title":"Postpartum Bipolar"},{"url":"/health/bipolar/getting-a-bipolar-disorder-diagnosis","title":"Fear of Diagnosis"},{"url":"/health/drugs/lybalvi-interactions","title":"Lybalvi Interactions"}]},"pathingTilesData":{"pathingTiles":[{"title":"Diabetes Essentials","url":"https://www.healthline.com/type-2-diabetes/essentials"},{"title":"What To Eat","url":"https://www.healthline.com/type-2-diabetes/what-to-eat"},{"title":"Medications","url":"https://www.healthline.com/type-2-diabetes/medications"},{"title":"Blood Sugar \u0026 A1C","url":"https://www.healthline.com/type-2-diabetes/essentials/blood-sugar-management"}]},"pathingCardsData":{},"inArticlePathingCardsData":[],"quantitativeTrustData":{"cbd-all":{"metrics":[{"description":"CBD products evaluated","count":"950+"},{"description":"CBD brands evaluated","count":"190+"},{"description":"CBD products personally tested","count":"115+"}],"explanationTitle":"How we vet CBD products","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate ingredients, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the brands on this page, we considered all the CBD brands that passed our vetting process. Then, we personally tested some of them to narrow down our list even further. \u003ca href=\"https://www.healthline.com/health/how-we-test-cbd\"\u003eRead more about how we test CBD products.\u003c/a\u003e\u003c/p\u003e"},"cbd-gummies":{"metrics":[{"description":"CBD gummies evaluated","count":"150+"},{"description":"CBD gummy brands evaluated","count":"50+"},{"description":"CBD gummies personally tested","count":"20"}],"explanationTitle":"How we vet CBD gummies","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate ingredients, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the products on this page, we considered all the CBD gummies that passed our vetting process. Then, we personally tested some of them to narrow down our list even further. \u003ca href=\"https://www.healthline.com/health/how-we-test-cbd\"\u003eRead more about how we test CBD products.\u003c/a\u003e\u003c/p\u003e"},"cbd-oils":{"metrics":[{"description":"CBD oils \u0026 tinctures evaluated","count":"460+"},{"description":"CBD oil \u0026 tincture brands evaluated","count":"85+"},{"description":"CBD oils \u0026 tinctures personally tested","count":"25"}],"explanationTitle":"How we evaluate CBD oils and tinctures","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate ingredients, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the products on this page, we considered all the CBD oils that passed our vetting process. Then, we personally tested some of them to narrow down our list even further. \u003ca href=\"https://www.healthline.com/health/how-we-test-cbd\"\u003eRead more about how we test CBD products.\u003c/a\u003e\u003c/p\u003e"},"cbd-lotions-creams":{"metrics":[{"description":"CBD lotions, creams, \u0026 balms evaluated","count":"150+"},{"description":"brands of CBD lotions, creams, \u0026 balms evaluated","count":"75+"},{"description":"CBD lotions, creams, \u0026 balms personally tested","count":"20+"}],"explanationTitle":"How we evaluate CBD lotions, creams, and balms","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate ingredients, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the products on this page, we considered all the CBD lotions, creams, and balms that passed our vetting process. Then, we personally tested some of them to narrow down our list even further. \u003ca href=\"https://www.healthline.com/health/how-we-test-cbd\"\u003eRead more about how we test CBD products.\u003c/a\u003e\u003c/p\u003e"},"cbd-capsules":{"metrics":[{"description":"CBD products evaluated","count":"950+"},{"description":"CBD capsules evaluated","count":"75+"},{"description":"CBD capsule brands evaluated","count":"30+"}],"explanationTitle":"How we evaluate CBD capsules","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate ingredients, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the products on this page, we considered all the CBD capsules that passed our vetting process. Then, we personally tested some of them to narrow down our list even further. \u003ca href=\"https://www.healthline.com/health/how-we-test-cbd\"\u003eRead more about how we test CBD products.\u003c/a\u003e\u003c/p\u003e"},"online-therapy":{"metrics":[{"description":"online therapy platforms evaluated","count":"35+"},{"description":"online therapy platforms personally tested","count":"12"}],"explanationTitle":"How we evaluate online therapy platforms","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We evaluate services for consistency with standards of care and best practices, and we look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the online therapy platforms on this page, we considered all the platforms that passed our vetting process. Then, we personally tested some of them to narrow down our list even further.\u003c/p\u003e"},"meal-delivery":{"metrics":[{"description":"meal delivery services evaluated","count":"70+"},{"description":"meal delivery services personally tested","count":"35+"}],"explanationTitle":"How we evaluate meal delivery services","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate menus and ingredients, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the meal delivery services on this page, we considered all the services that passed our vetting process. Then, we personally tested some of them to narrow down our list even further. \u003ca href=\"https://www.healthline.com/nutrition/how-we-test-meal-kits\"\u003eRead more about how we test meal delivery services.\u003c/a\u003e\u003c/p\u003e"},"protein-powders":{"metrics":[{"description":"protein powders evaluated by our medical standards team","count":"75"},{"description":"protein powders met our criteria","count":"58"},{"description":"protein powders personally tested by our team","count":"19"}],"explanationTitle":"How we evaluate protein powders","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate ingredients, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the products on this page, we considered all the protein powders that passed our vetting process. Then, we personally tested some of them to narrow down our list even further.\u003c/p\u003e"},"glp1-telehealth":{"metrics":[{"description":"telehealth companies evaluated","count":"200+"},{"description":"online GLP-1 providers evaluated","count":"13+"}],"explanationTitle":"How we evaluate online GLP-1 services","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We evaluate services for consistency with standards of care and best practices, and we look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the services on this page, we considered all the GLP-1 services that passed our vetting process. Then, we looked at availability, cost, and the additional resources each service provides to narrow down our list even further.\u003c/p\u003e"},"all-vitamins":{"metrics":[{"description":"vitamins, minerals, and supplements evaluated","count":"1320+"},{"description":"vitamins, minerals, and supplements personally tested","count":"95+"},{"description":"vitamin, mineral, and supplement brands personally tested","count":"40+"}],"explanationTitle":"How we evaluate vitamins, minerals, and supplements","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate ingredients, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the brands on this page, we considered all the vitamin brands that passed our vetting process. Then, we personally tested some of them to narrow down our list even further.\u003c/p\u003e"},"multivitamins":{"metrics":[{"description":"multivitamins evaluated","count":"100+"},{"description":"multivitamin brands evaluated","count":"55+"},{"description":"multivitamins personally tested","count":"20+"}],"explanationTitle":"How we evaluate multivitamins","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate ingredients, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the products on this page, we considered all the multivitamins that passed our vetting process. Then, we personally tested some of them to narrow down our list even further.\u003c/p\u003e"},"prenatals":{"metrics":[{"description":"vitamins, minerals, and supplements evaluated","count":"1320+"},{"description":"prenatal vitamins evaluated","count":"35+"},{"description":"prenatal vitamin brands evaluated","count":"30+"}],"explanationTitle":"How we evaluate prenatals","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate ingredients, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the products on this page, we considered all the prenatal vitamins that passed our vetting process. Then, we personally tested some of them to narrow down our list even further.\u003c/p\u003e"},"probiotics":{"metrics":[{"description":"vitamins, minerals, and supplements evaluated","count":"1320+"},{"description":"probiotic supplements evaluated","count":"55"},{"description":"probiotic brands evaluated","count":"35"}],"explanationTitle":"How we evaluate probiotics","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate ingredients, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the products on this page, we considered all the probiotics that passed our vetting process. Then, we personally tested some of them to narrow down our list even further.\u003c/p\u003e"},"vitamin-d":{"metrics":[{"description":"vitamins, minerals, and supplements evaluated","count":"1320+"},{"description":"vitamin D supplements evaluated","count":"40+"},{"description":"vitamin D brands evaluated","count":"25+"}],"explanationTitle":"How we evaluate vitamin D supplements","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate ingredients, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the products on this page, we considered all the vitamin D supplements that passed our vetting process. Then, we personally tested some of them to narrow down our list even further.\u003c/p\u003e"},"creatine":{"metrics":[{"description":"creatine supplements evaluated by our medical standards team","count":"35"},{"description":"creatine supplements met our criteria","count":"28"},{"description":"creatine supplements personally tested by our team","count":"9"}],"explanationTitle":"How we evaluate creatine supplements","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate ingredients, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the products on this page, we considered all the creatine supplements that passed our vetting process. Then, we personally tested some of them to narrow down our list even further.\u003c/p\u003e"},"mattresses":{"metrics":[{"description":"mattresses evaluated","count":"250+"},{"description":"mattress brands evaluated","count":"80+"}],"explanationTitle":"How we evaluate mattresses","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate materials, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the products on this page, we considered all the mattresses that passed our vetting process. Then, we \u003ca href=\"https://www.healthline.com/health/sleep/healthline-scores-how-we-rate-mattresses\"\u003escored each mattress\u003c/a\u003e to narrow down our list even further.\u003c/p\u003e"},"pillows":{"metrics":[{"description":"pillows evaluated","count":"210"},{"description":"pillow brands evaluated","count":"140+"}],"explanationTitle":"How we evaluate pillows","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate materials, and look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the products on this page, we considered all the pillows that passed our vetting process.\u003c/p\u003e"},"ed-telehealth":{"metrics":[{"description":"telehealth companies evaluated","count":"200+"},{"description":"online ED treatment providers evaluated","count":"20+"}],"explanationTitle":"How we evaluate online ED services","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We evaluate services for consistency with standards of care and best practices, and we look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the services on this page, we considered all the ED treatment services that passed our vetting process. Then, we \u003ca href=\"https://www.healthline.com/health/healthline-scores-how-we-evaluate-mens-telehealth-platforms\"\u003escored each service\u003c/a\u003e to narrow down our list even further.\u003c/p\u003e"},"birth-control-telehealth":{"metrics":[{"description":"telehealth companies evaluated","count":"200+"},{"description":"online birth control providers evaluated","count":"14"}],"explanationTitle":"How we evaluate online birth control services","explanationDescription":"\u003cp\u003eOur \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eMedical Standards and Insights team\u003c/a\u003e has carefully researched and vetted over 11,000 products and services. We evaluate services for consistency with standards of care and best practices, and we look into each brand’s reputation before sharing products and services on Healthline.\u003c/p\u003e\u003cp\u003eTo choose the services on this page, we considered all the birth control services that passed our vetting process. Then, we \u003ca href=\"https://www.healthline.com/health/how-we-review-birth-control\"\u003escored each service\u003c/a\u003e to narrow down our list even further.\u003c/p\u003e"},"hemp":{"metrics":[{"description":"hemp brands evaluated","count":"230+"},{"description":"hemp brands met our criteria","count":"57"},{"description":"hemp brands we've personally tested","count":"30+"}],"explanationTitle":"How we evaluate hemp products","explanationDescription":"\u003cp\u003eOur Medical Standards and Insights team has carefully researched and vetted over 11,000 products and services. We fact-check health claims, evaluate ingredients, and look into each brand’s reputation before sharing products and services on Healthline. The brand we feature in this article has passed our strict vetting process and has been thoroughly tested by our reviewers. \u003ca href=\"https://www.healthline.com/about/vet-brands-and-products\"\u003eRead more about how we vet brands and products.\u003c/a\u003e\u003c/p\u003e"}},"isPrependRecipeH2":false,"recipes":[],"breadcrumbsV2":[],"hideTabs":false,"tabs":[{"id":"_noHeaderPrefixedContent","title":null,"header":null,"body":[{"tagName":"div","source":"\u003cp class=\"css-w2pt6r\"\u003eBipolar disorder is a mental health condition marked by large shifts in mood from mania to depression. Although bipolar disorder can be challenging to manage, many effective treatments and strategies are available.\u003c/p\u003e"},{"tagName":"div","attributes":{"className":"wp-block-healthline-jwplayer"},"children":[{"widget":{"widgetFormat":"embed","video":"jwplayer","id":"JRDLLqpm","autoplay":true}}]},{"tagName":"hr","attributes":{"className":"wp-block-separator has-alpha-channel-opacity"}},{"tagName":"p","source":"Bipolar disorder isn’t a rare condition. In fact, the National Institute of Mental Health says that \u003chl-trusted-source source=\"National Institute of Mental Health\" rationale=\"Governmental authority\"\u003e\u003ca href=\"https://www.nimh.nih.gov/health/statistics/bipolar-disorder\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003e2.8%\u003c/a\u003e\u003c/hl-trusted-source\u003e of U.S. adults — or about 5 million people — have a bipolar disorder diagnosis. "},{"tagName":"div","attributes":{"data-preamp":"serena-chatbot"},"source":""},{"tagName":"p","source":"The condition used to be known as manic depression and bipolar disease."},{"tagName":"p","source":"Key symptoms of bipolar disorder include:"},{"tagName":"ul","source":"\u003cli\u003eepisodes of \u003ca href=\"https://www.healthline.com/health/bipolar-disorder/mania\" class=\"content-link css-1c2ok3c\"\u003emania\u003c/a\u003e, or extremely elevated mood\u003c/li\u003e\u003cli\u003eepisodes of \u003ca href=\"https://www.healthline.com/health/depression\" class=\"content-link css-1c2ok3c\"\u003edepression\u003c/a\u003e, or low mood\u003c/li\u003e"},{"tagName":"p","source":"These episodes may last from a few days to several weeks or longer."},{"tagName":"p","source":"If you’re living with bipolar disorder, the following treatment options can help you learn to manage mood episodes, which can improve not only your symptoms but also your overall quality of life."}]},{"id":"types","title":"Types","isCollapsable":false,"header":["Types of bipolar disorder"],"body":[{"tagName":"p","source":"There are three main types of bipolar disorder: bipolar I, bipolar II, and cyclothymia."},{"tagName":"h3","source":"Bipolar I"},{"tagName":"p","source":"\u003ca href=\"https://www.healthline.com/health/bipolar-disorder/bipolar-1-vs-bipolar-2\" class=\"content-link css-1c2ok3c\"\u003eBipolar I\u003c/a\u003e is defined by the appearance of at least one manic episode. You may experience hypomanic episodes, which are less severe than manic episodes, or major depressive periods before and after the manic episode. A person can also go through a long period of stable mood before experiencing either mania or depression."},{"tagName":"p","source":"This type of bipolar disorder affects people of all sexes equally."},{"widget":{"widgetFormat":"widget-call-out","items":[{"isBullets":true,"list":true,"headerTitle":["Are sex and gender the same thing?"],"content":[{"tagName":"p","source":"People often use the terms sex and gender interchangeably, but they have different meanings:"},{"tagName":"ul","source":"\u003cli\u003e“Sex” refers to the physical characteristics that differentiate male, female, and intersex bodies.\u003c/li\u003e\u003cli\u003e“Gender” refers to a person’s identity and how they feel inside. Examples include man, woman, nonbinary, agender, bigender, genderfluid, pangender, and trans. A person’s gender identity may differ from the sex they were assigned at birth. \u003c/li\u003e"}]}]},"brandPage":{}},{"tagName":"h3","source":"Bipolar II"},{"tagName":"p","source":"People with bipolar II experience one major depressive episode that lasts at least 2 weeks. They also have at least 1 hypomanic episode that lasts about 4 days. According to a \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5461862/\" data-type=\"URL\" data-id=\"https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5461862/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003e2017 review\u003c/a\u003e\u003c/hl-trusted-source\u003e, this type of bipolar disorder may be more common in females."},{"tagName":"h3","source":"\u003cstrong\u003eCyclothymia\u003c/strong\u003e"},{"tagName":"p","source":"People with \u003ca href=\"https://www.healthline.com/health/depression/cyclothymia\" class=\"content-link css-1c2ok3c\"\u003ecyclothymia\u003c/a\u003e experience some symptoms of \u003ca href=\"https://www.healthline.com/health/mania-vs-hypomania\" class=\"content-link css-1c2ok3c\"\u003ehypomania\u003c/a\u003e and depression, but not enough to characterize an episode of hypomania or \u003ca href=\"https://www.healthline.com/health/depression/unipolar-depression\" class=\"content-link css-1c2ok3c\"\u003edepression\u003c/a\u003e."},{"tagName":"p","source":"These episodes also involve symptoms that are shorter and less severe than the episodes associated with bipolar I or bipolar II disorder. Most people with this condition experience \u003ca href=\"https://www.healthline.com/health/euthymic\" class=\"content-link css-1c2ok3c\"\u003eno mood symptoms\u003c/a\u003e for \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK557877/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003e1 to 2 months\u003c/a\u003e\u003c/hl-trusted-source\u003e at a time."},{"tagName":"p","source":"Your doctor can explain more about what kind of bipolar disorder you have when discussing your diagnosis. "},{"tagName":"p","source":"Some people experience distinct mood symptoms that resemble but don’t align with these three types. If that’s the case for you, you might get a diagnosis of:"},{"tagName":"ul","source":"\u003cli\u003eother specified bipolar and related disorders\u003c/li\u003e\u003cli\u003eunspecified bipolar and related disorders\u003c/li\u003e"},{"widget":{"widgetFormat":"end-of-section-link","htmlAttrs":{"className":"end-of-section-link","data-destination-url":"/health/could-it-be-bipolar-seven-signs-to-look-for","data-display-text":"MORE: Learn more about the types of bipolar disorder.","data-prompt":""}}}]},{"id":"symptoms","title":"Symptoms","isCollapsable":false,"header":["Bipolar disorder symptoms"],"body":[{"tagName":"p","source":"To receive a diagnosis of bipolar disorder, you must experience at least one period of mania or hypomania. "},{"tagName":"p","source":"These both involve feelings of excitement, impulsivity, and high energy, but hypomania is considered less severe than mania. Mania symptoms can affect your day-to-day life at work or home. Hypomania symptoms typically don’t cause as much disruption, but they can still be distressing."},{"tagName":"p","source":"Some people living with bipolar disorder also experience \u003ca href=\"https://www.healthline.com/health/depression/strategies-for-dealing-with-depressive-episode\" class=\"content-link css-1c2ok3c\"\u003emajor depressive episodes\u003c/a\u003e or “down” moods."},{"tagName":"p","source":"These three main symptoms — mania, hypomania, and depression — are the main features of bipolar disorder. Different types of bipolar disorder involve different combinations of these symptoms."},{"tagName":"h3","source":"Bipolar I symptoms"},{"tagName":"p","source":"According to the \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t7/?report=objectonly\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003eDiagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5)\u003c/a\u003e\u003c/hl-trusted-source\u003e, a diagnosis of bipolar I disorder requires the following:"},{"tagName":"ul","source":"\u003cli\u003eat least one episode of mania that lasts at least 1 week\u003c/li\u003e\u003cli\u003esymptoms that affect daily function\u003c/li\u003e\u003cli\u003esymptoms that don’t relate to another medical or mental health condition or substance use\u003c/li\u003e"},{"tagName":"p","source":"You could also experience symptoms of psychosis or both mania and depression (known as \u003ca href=\"https://www.healthline.com/health/bipolar-disorder/mixed-state-bipolar\" class=\"content-link css-1c2ok3c\"\u003emixed features\u003c/a\u003e). These symptoms can have more impact on your life. If you have them, it’s worth reaching out for professional support as soon as possible."},{"tagName":"p","source":"While you don’t need to experience episodes of hypomania or depression to receive a bipolar I diagnosis, many people with bipolar I do report these symptoms."},{"tagName":"h3","source":"Bipolar II symptoms"},{"tagName":"p","source":"A diagnosis of bipolar II requires:"},{"tagName":"ul","source":"\u003cli\u003eat least one episode of hypomania that lasts \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t9/?report=objectonly\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003e4 days or longer\u003c/a\u003e\u003c/hl-trusted-source\u003e and involves 3 or more symptoms of hypomania\u003c/li\u003e\u003cli\u003ehypomania-related changes in mood and usual function that others can notice, though these may not necessarily affect your daily life\u003c/li\u003e\u003cli\u003e\u003cspan style=\"\"\u003eat least one episode of major depression that lasts \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t4/?report=objectonly\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003e2 weeks or longer\u003c/a\u003e\u003c/hl-trusted-source\u003e\u003c/span\u003e\u003c/li\u003e\u003cli\u003eat least one episode of major depression involving five or more key depression symptoms that have a significant impact on your day-to-day life\u003c/li\u003e\u003cli\u003esymptoms that don’t relate to another medical or mental health condition or substance use\u003c/li\u003e"},{"tagName":"p","source":"Bipolar II can also involve symptoms of psychosis, but only during an episode of depression. You could also experience mixed mood episodes, which means you’ll have symptoms of depression and hypomania simultaneously."},{"tagName":"p","source":"With bipolar II, though, you won’t experience mania. If you have a manic episode, you’ll receive a diagnosis of bipolar I."},{"tagName":"h3","source":"Cyclothymia symptoms"},{"tagName":"p","source":"A diagnosis of cyclothymia requires:"},{"tagName":"ul","source":"\u003cli\u003eperiods of hypomanic symptoms and periods of depression symptoms, off and on, over \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK557877/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003e2 years or longer\u003c/a\u003e\u003c/hl-trusted-source\u003e (\u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3609426/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003e1 year\u003c/a\u003e\u003c/hl-trusted-source\u003e for children and adolescents)\u003c/li\u003e\u003cli\u003esymptoms that never meet the full criteria for an episode of hypomania or depression\u003c/li\u003e\u003cli\u003esymptoms that are present for at least half of the 2 years and never absent for longer than 2 months at a time\u003c/li\u003e\u003cli\u003esymptoms that don’t relate to another medical or mental health condition or substance use\u003c/li\u003e\u003cli\u003esymptoms that cause significant distress and affect daily life\u003c/li\u003e"},{"tagName":"p","source":"Fluctuating mood symptoms characterize cyclothymia. These symptoms may be less severe than those of bipolar I or II. Still, they tend to last longer, so you’ll generally have less time when you experience no symptoms."},{"tagName":"p","source":"Hypomania may not have a big impact on your daily life. Depression, on the other hand, often leads to more serious distress and affects day-to-day function, even if your symptoms don’t qualify for a major depressive episode."},{"tagName":"p","source":"If you \u003cem\u003edo\u003c/em\u003e experience enough symptoms to meet the criteria for a hypomanic or depressive episode, your diagnosis will likely change to another type of bipolar disorder or major depression, depending on your symptoms."}]},{"id":"mania-and-hypomania","title":"Mania and hypomania","isCollapsable":false,"header":["Mania and hypomania"],"body":[{"tagName":"p","source":"An episode of mania often involves an emotional high. You might feel excited, impulsive, euphoric, and full of energy. You might also feel jumpy or notice your thoughts seem to race. Some people also experience \u003ca href=\"https://www.healthline.com/health/bipolar-disorder/bipolar-hallucinations\" class=\"content-link css-1c2ok3c\"\u003ehallucinations and other symptoms of psychosis\u003c/a\u003e."},{"tagName":"p","source":"Manic episodes can involve behavior that’s more impulsive than usual, often because you feel invincible or untouchable. Commonly cited examples of this kind of behavior include:"},{"tagName":"ul","source":"\u003cli\u003ehaving sex without using a \u003ca href=\"https://www.healthline.com/health/birth-control/barrier-methods-of-birth-control\" class=\"content-link css-1c2ok3c\"\u003ebarrier method\u003c/a\u003e\u003c/li\u003e\u003cli\u003emisusing alcohol and drugs \u003c/li\u003e\u003cli\u003egoing on spending sprees\u003c/li\u003e"},{"tagName":"p","source":"But impulsiveness can also show up in plenty of other ways. Maybe you:"},{"tagName":"ul","source":"\u003cli\u003equit your job abruptly\u003c/li\u003e\u003cli\u003etake off on a road trip by yourself without telling anyone\u003c/li\u003e\u003cli\u003emake a big investment on a whim\u003c/li\u003e\u003cli\u003edrive much faster than usual, well above the speed limit\u003c/li\u003e\u003cli\u003eparticipate in extreme sports you wouldn’t ordinarily consider\u003c/li\u003e"},{"tagName":"p","source":"While there are many reasons why a person might engage in these behaviors, the key to mania is that these are not things you would choose to engage in periods of stable mood."},{"tagName":"p","source":"\u003ca href=\"https://www.healthline.com/health/mania-vs-hypomania\" class=\"content-link css-1c2ok3c\"\u003eHypomania\u003c/a\u003e, generally associated with bipolar II disorder, involves many of the same symptoms, though they’re less severe. Unlike mania, hypomania often \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK493168/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003edoesn’t lead\u003c/a\u003e\u003c/hl-trusted-source\u003e to consequences at work, school, or in your relationships. Episodes of hypomania don’t involve \u003ca href=\"https://www.healthline.com/health/bipolar-disorder/bipolar-psychosis\" class=\"content-link css-1c2ok3c\"\u003epsychosis\u003c/a\u003e. They typically won’t last as long as episodes of mania or require inpatient care."},{"tagName":"p","source":"With hypomania, you might feel very productive and energized, but you may not notice other changes in your mood. People who don’t know you well may not, either. Those closest to you, however, will usually pick up on your shifting mood and energy levels."},{"tagName":"div","attributes":{"className":"livedExperience"}}]},{"id":"depressive-episodes","title":"Depressive episodes","isCollapsable":false,"header":["Major depressive episodes"],"body":[{"tagName":"p","source":"A “down” change in mood can leave you feeling lethargic, unmotivated, and sad."},{"tagName":"p","source":"Bipolar-related episodes of \u003ca href=\"https://www.healthline.com/health/depression\" class=\"content-link css-1c2ok3c\"\u003emajor depression\u003c/a\u003e will involve at least five of these symptoms:"},{"tagName":"ul","source":"\u003cli\u003ea lasting low mood marked by \u003ca href=\"https://www.healthline.com/health/depression/depression-vs-sadness\" class=\"content-link css-1c2ok3c\"\u003edeep sadness\u003c/a\u003e, \u003ca href=\"https://www.healthline.com/health/feeling-hopeless\" class=\"content-link css-1c2ok3c\"\u003ehopelessness\u003c/a\u003e, or feelings of emptiness\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.healthline.com/health/bipolar-disorder/fatigue\" class=\"content-link css-1c2ok3c\"\u003eloss of energy\u003c/a\u003e\u003c/li\u003e\u003cli\u003ea sense of feeling slower than usual or persistent restlessness\u003c/li\u003e\u003cli\u003elack of interest in activities you once enjoyed\u003c/li\u003e\u003cli\u003eperiods of \u003ca href=\"https://www.healthline.com/health/bipolar-disorder/sleep\" class=\"content-link css-1c2ok3c\"\u003etoo little or too much sleep\u003c/a\u003e\u003c/li\u003e\u003cli\u003ea sense of \u003ca href=\"https://www.healthline.com/health/mental-health/how-to-stop-feeling-guilty\" class=\"content-link css-1c2ok3c\"\u003eguilt\u003c/a\u003e or worthlessness\u003c/li\u003e\u003cli\u003etrouble concentrating, focusing, and making decisions\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.healthline.com/health/depression/suicidal-thoughts\" class=\"content-link css-1c2ok3c\"\u003ethoughts of death, dying, or suicide\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003cspan style=\"\"\u003echanges in appetite or weight\u003c/span\u003e\u003c/li\u003e"},{"tagName":"p","source":"Not everyone with bipolar disorder \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5953021/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003eexperiences\u003c/a\u003e\u003c/hl-trusted-source\u003e major depressive episodes, though many people do. Depending on your type of bipolar disorder, you might experience only a few symptoms of depression but not the full five needed for a major episode."},{"tagName":"p","source":"It’s also worth noting that sometimes, but not always, the euphoria of mania can feel enjoyable. Once you get treatment for mania, the symptom-free mood you experience might feel more like a “down” shift, or a period of depression, than a more typical mood state."},{"tagName":"p","source":"While bipolar disorder can cause a depressed mood, bipolar disorder and depression have one major difference. With bipolar disorder, you might have “up” and “down” mood states. With depression, though, your mood and emotions \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK559078/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003emight remain\u003c/a\u003e\u003c/hl-trusted-source\u003e “down” until you get treatment."},{"widget":{"widgetFormat":"end-of-section-link","htmlAttrs":{"className":"end-of-section-link","data-destination-url":"/health/bipolar-disorder-vs-depression","data-display-text":"MORE: Discover the differences between bipolar disorder and depression.","data-prompt":""}}}]},{"id":"in-men-vs-women","title":"In men vs. women","isCollapsable":false,"header":["Bipolar disorder symptoms in women vs. men"],"body":[{"tagName":"p","source":"Most research suggests that males and females receive bipolar disorder diagnoses \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK558998/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003eroughly equally\u003c/a\u003e\u003c/hl-trusted-source\u003e, though some studies \u003ca href=\"https://journalbipolardisorders.springeropen.com/articles/10.1186/s40345-020-00207-z\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003esuggest\u003c/a\u003e it may be more prevalent in females. However, the main symptoms of the disorder may vary, depending on the sex you were assigned at birth and your gender."},{"tagName":"p","source":"Females with bipolar disorder \u003ca href=\"https://www.frontiersin.org/articles/10.3389/fpsyt.2022.926594/full\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003etend to receive\u003c/a\u003e diagnoses later in life, often in their 20s or 30s. Sometimes, they might first notice symptoms during pregnancy or after childbirth. They’re also more likely to be diagnosed with bipolar II than bipolar I."},{"tagName":"p","source":"Additionally, females living with bipolar disorder tend to experience:"},{"tagName":"ul","source":"\u003cli\u003e\u003cspan style=\"\"\u003emilder episodes of mania\u003c/span\u003e\u003c/li\u003e\u003cli\u003emore depressive episodes than manic episodes\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.healthline.com/health/rapid-cycling-bipolar\" class=\"content-link css-1c2ok3c\"\u003erapid cycling\u003c/a\u003e, or \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4539870/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003efour or more episodes\u003c/a\u003e\u003c/hl-trusted-source\u003e of mania and depression in 1 year\u003c/li\u003e\u003cli\u003emore co-occurring conditions\u003c/li\u003e"},{"tagName":"p","source":"Females with bipolar disorder may also experience relapse more often, partly due to hormone changes related to \u003ca href=\"https://www.medicalnewstoday.com/articles/bipolar-and-pms\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" class=\"content-link css-1c2ok3c\"\u003emenstruation\u003c/a\u003e, \u003ca href=\"https://www.healthline.com/health/bipolar-disorder/bipolar-pregnancy\" class=\"content-link css-1c2ok3c\"\u003epregnancy\u003c/a\u003e, and \u003ca href=\"https://www.healthline.com/health/menopause/mental-health\" class=\"content-link css-1c2ok3c\"\u003emenopause\u003c/a\u003e. In terms of bipolar disorder, relapse means having a mood episode after not having one for some time."},{"widget":{"widgetFormat":"end-of-section-link","htmlAttrs":{"className":"end-of-section-link","data-destination-url":"/health/bipolar-disorder/bipolar-symptoms-in-women","data-display-text":"MORE: Get the facts about bipolar disorder in females.","data-prompt":""}}},{"tagName":"p","source":"Males with bipolar disorder, on the other hand, may:"},{"tagName":"ul","source":"\u003cli\u003eget a diagnosis earlier in life\u003c/li\u003e\u003cli\u003eexperience less frequent but more severe episodes, especially manic episodes\u003c/li\u003e\u003cli\u003ebe more likely to also have a \u003ca href=\"https://www.healthline.com/health/bipolar-disorder/bipolar-and-alcohol\" class=\"content-link css-1c2ok3c\"\u003esubstance use disorder\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003cspan style=\"\"\u003eshow more \u003ca href=\"https://www.healthline.com/health/aggressive-behavior\" class=\"content-link css-1c2ok3c\"\u003eaggression\u003c/a\u003e during episodes of mania\u003c/span\u003e\u003c/li\u003e"}]},{"id":"racial-disparities","title":"Racial disparities","isCollapsable":false,"header":["Bipolar disorder in historically marginalized groups"],"body":[{"tagName":"p","source":"\u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175457/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003eResearch\u003c/a\u003e\u003c/hl-trusted-source\u003e shows that people from historically marginalized groups, particularly those of African ancestry, are frequently misdiagnosed with other conditions like \u003ca href=\"https://www.healthline.com/health/schizophrenia\" class=\"content-link css-1c2ok3c\"\u003eschizophrenia\u003c/a\u003e, especially if they exhibit symptoms of psychosis."},{"tagName":"p","source":"While the symptoms of bipolar disorder can vary somewhat from person to person and can depend on the type, there are clear criteria for diagnosis. "},{"tagName":"p","source":"Research also suggests \u003ca href=\"https://journalbipolardisorders.springeropen.com/articles/10.1186/s40345-022-00280-6#:~:text=Clinical%20studies%20have%20estimated%20the,2001%3B%20Azorin%20et%20al.\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003e50-75%\u003c/a\u003e of people living with bipolar disorder will experience some symptoms of psychosis, but this is stable across all racial and ethnic groups. "},{"tagName":"p","source":"Both these factors suggest that bias may play a role in this frequent misdiagnosis."}]},{"id":"in-children-and-teens","title":"In children and teens","isCollapsable":false,"header":["Bipolar disorder in children and teens"],"body":[{"tagName":"p","source":"Diagnosing bipolar disorder in children is controversial, largely because children don’t always display the same bipolar disorder symptoms as adults. Their moods and behaviors may also not follow the standards doctors use to diagnose the disorder in adults."},{"tagName":"p","source":"Many bipolar disorder symptoms that occur in children also overlap with symptoms of other conditions that commonly occur in children, such as \u003ca href=\"https://www.healthline.com/health/adhd\" class=\"content-link css-1c2ok3c\"\u003eattention deficit hyperactivity disorder (ADHD)\u003c/a\u003e."},{"tagName":"p","source":"However, in the last few decades, doctors and mental health professionals have come to recognize the condition in children. A diagnosis can help children get treatment, but reaching a diagnosis may take many weeks or months. It may be worth seeking care from a professional who specializes in treating children with mental health conditions."},{"tagName":"p","source":"Like adults, children with bipolar disorder experience extreme mood shifts. They \u003chl-trusted-source source=\"National Institute of Mental Health\" rationale=\"Governmental authority\"\u003e\u003ca href=\"https://www.nimh.nih.gov/health/publications/bipolar-disorder-in-children-and-teens\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003ecan appear\u003c/a\u003e\u003c/hl-trusted-source\u003e very happy and show signs of excitable behavior, or seem very tearful, low, and irritable."},{"tagName":"p","source":"All children experience mood changes, but bipolar disorder causes distinct and noticeable mood symptoms. Mood changes are also usually more extreme than a child’s typical change in mood."},{"tagName":"h3","source":"Manic symptoms in children"},{"tagName":"p","source":"Symptoms of mania in children can include:"},{"tagName":"ul","source":"\u003cli\u003eacting very silly and feeling overly happy\u003c/li\u003e\u003cli\u003etalking fast and rapidly changing subjects\u003c/li\u003e\u003cli\u003ehaving trouble focusing or concentrating\u003c/li\u003e\u003cli\u003eengaging in behaviors that can have harmful effects\u003c/li\u003e\u003cli\u003ehaving a very short temper that leads quickly to outbursts of anger\u003c/li\u003e\u003cli\u003ehaving trouble sleeping and not feeling tired after sleep loss\u003c/li\u003e"},{"tagName":"h3","source":"Depressive symptoms in children"},{"tagName":"p","source":"With bipolar disorder, symptoms of depressive episodes in children can include:"},{"tagName":"ul","source":"\u003cli\u003emoping around, acting very sad, or crying frequently\u003c/li\u003e\u003cli\u003esleeping too much or too little\u003c/li\u003e\u003cli\u003ehaving little energy for usual activities or showing no signs of interest in anything\u003c/li\u003e\u003cli\u003ecomplaining about not feeling well, including having frequent headaches or stomachaches\u003c/li\u003e\u003cli\u003efeelings of worthlessness or guilt\u003c/li\u003e\u003cli\u003eeating too little or too much\u003c/li\u003e\u003cli\u003ethoughts of death or \u003ca href=\"https://www.healthline.com/health-news/why-are-young-children-killing-themselves\" class=\"content-link css-1c2ok3c\"\u003esuicide\u003c/a\u003e\u003c/li\u003e"},{"tagName":"h3","source":"Other possible diagnoses"},{"tagName":"p","source":"Some of the behavior issues you notice in your child could suggest other mental health conditions, such as \u003ca href=\"https://www.healthline.com/health/bipolar-disorder/bipolar-or-adhd\" class=\"content-link css-1c2ok3c\"\u003eADHD\u003c/a\u003e or \u003ca href=\"https://www.healthline.com/health/mental-health/childhood-depression\" class=\"content-link css-1c2ok3c\"\u003edepression\u003c/a\u003e. It’s also possible for children to have bipolar disorder with another condition."},{"tagName":"p","source":"Your child’s doctor can offer more guidance and support with noting and tracking your child’s behaviors, which can help them find the right diagnosis."},{"tagName":"p","source":"The correct diagnosis can play a major role in finding the most effective treatment for your child. Treatment, of course, can make a big difference in your child’s symptoms, not to mention their quality of life."},{"widget":{"widgetFormat":"end-of-section-link","htmlAttrs":{"className":"end-of-section-link","data-destination-url":"/health/childrens-health/bipolar-disorder-in-children","data-display-text":"MORE: Read more about bipolar disorder in children.","data-prompt":""}}},{"tagName":"h3","source":"Symptoms in teens"},{"tagName":"p","source":"Shifting hormones, plus the life changes that naturally happen with \u003ca href=\"https://www.healthline.com/health/parenting/stages-of-puberty\" class=\"content-link css-1c2ok3c\"\u003epuberty\u003c/a\u003e, can make teens seem extremely emotional from time to time."},{"tagName":"p","source":"Yet drastic or rapidly fluctuating changes in mood may suggest a more serious condition, such as bipolar disorder, rather than \u003ca href=\"https://www.healthline.com/health-news/teen-behavior\" class=\"content-link css-1c2ok3c\"\u003etypical teenage development\u003c/a\u003e."},{"tagName":"p","source":"A bipolar disorder diagnosis is most common during the late teen and early adult years."},{"tagName":"p","source":"Common symptoms of mania in teenagers include:"},{"tagName":"ul","source":"\u003cli\u003ebeing very happy\u003c/li\u003e\u003cli\u003e“acting out” or misbehaving\u003c/li\u003e\u003cli\u003etaking part in behaviors that may have a harmful effect, like substance use\u003c/li\u003e\u003cli\u003ethinking about sex more than usual\u003c/li\u003e\u003cli\u003ebecoming overly sexual or \u003ca href=\"https://www.healthline.com/health/parenting/ultimate-guide-to-sex-talk\" class=\"content-link css-1c2ok3c\"\u003esexually active\u003c/a\u003e\u003c/li\u003e\u003cli\u003ehaving trouble sleeping, without signs of fatigue or being tired\u003c/li\u003e\u003cli\u003ehaving a very short temper\u003c/li\u003e\u003cli\u003ehaving trouble staying focused or getting distracted easily\u003c/li\u003e"},{"tagName":"p","source":"Common symptoms of a \u003ca href=\"https://www.healthline.com/health/depression/teenage-depression\" class=\"content-link css-1c2ok3c\"\u003edepressive episode\u003c/a\u003e include:"},{"tagName":"ul","source":"\u003cli\u003esleeping too much or too little\u003c/li\u003e\u003cli\u003eeating too much or too little\u003c/li\u003e\u003cli\u003efeeling very sad and showing little excitability\u003c/li\u003e\u003cli\u003ewithdrawing from activities and friends\u003c/li\u003e\u003cli\u003ethinking or talking about death and suicide\u003c/li\u003e"},{"tagName":"p","source":"Remember that many of these signs, like experimenting with substances and thinking about sex, aren’t uncommon teenage behaviors. But if they seem part of a larger pattern of shifting moods or start to affect their day-to-day life, they could be a sign of bipolar disorder or another condition."},{"widget":{"widgetFormat":"end-of-section-link","htmlAttrs":{"className":"end-of-section-link","data-destination-url":"/health/bipolar-disorder/bipolar-disorder-in-teens","data-display-text":"MORE: Learn more about bipolar disorder in teenagers and how to treat it.","data-prompt":""}}}]},{"id":"treatment","title":"Treatment","isCollapsable":false,"header":["Bipolar disorder treatment"],"body":[{"tagName":"p","source":"\u003ca href=\"https://www.healthline.com/health/bipolar-disorder/treatments\" class=\"content-link css-1c2ok3c\"\u003eSeveral treatments\u003c/a\u003e can help you manage bipolar disorder symptoms. These \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5310104/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003einclude\u003c/a\u003e\u003c/hl-trusted-source\u003e medications, counseling, and lifestyle measures. Some \u003ca href=\"https://www.healthline.com/health/bipolar-disorder/alternative-treatments\" class=\"content-link css-1c2ok3c\"\u003enatural remedies\u003c/a\u003e can also have benefits."},{"tagName":"h3","source":"Medications"},{"tagName":"p","source":"Recommended \u003ca href=\"https://www.healthline.com/health/bipolar-disorder/drugs-medications-overview\" class=\"content-link css-1c2ok3c\"\u003emedications\u003c/a\u003e may include:"},{"tagName":"ul","source":"\u003cli\u003emood stabilizers, such as \u003ca href=\"https://www.healthline.com/health/bipolar-disorder/lithium-use-bipolar\" class=\"content-link css-1c2ok3c\"\u003elithium\u003c/a\u003e (Lithobid)\u003c/li\u003e\u003cli\u003eantipsychotics, such as \u003ca href=\"https://www.healthline.com/health/drugs/olanzapine-oral-tablet\" class=\"content-link css-1c2ok3c\"\u003eolanzapine\u003c/a\u003e (Zyprexa)\u003c/li\u003e\u003cli\u003eantidepressant-antipsychotics, such as fluoxetine-olanzapine (Symbyax)\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.healthline.com/health/bipolar-disorder/benzodiazepines\" class=\"content-link css-1c2ok3c\"\u003ebenzodiazepines\u003c/a\u003e, a type of anti-anxiety medication used for short-term treatment\u003c/li\u003e"},{"tagName":"h3","source":"Psychotherapy"},{"tagName":"p","source":"Recommended therapy approaches may include:"},{"tagName":"h4","source":"Cognitive behavioral therapy"},{"tagName":"p","source":"\u003ca href=\"https://www.healthline.com/health/bipolar-disorder/cognitive-behavioral-therapy\" class=\"content-link css-1c2ok3c\"\u003eCognitive behavioral therapy\u003c/a\u003e is a type of talk therapy that helps you identify and address unhelpful thoughts and change unwanted behavior patterns."},{"tagName":"p","source":"Therapy offers a safe space to discuss ways to manage your symptoms. Your therapist can also offer support with:"},{"tagName":"ul","source":"\u003cli\u003eunderstanding thought patterns\u003c/li\u003e\u003cli\u003ereframing \u003ca href=\"https://www.healthline.com/health/mental-health/developing-self-awareness\" class=\"content-link css-1c2ok3c\"\u003edistressing emotions\u003c/a\u003e\u003c/li\u003e\u003cli\u003elearning and practicing more helpful \u003ca href=\"https://www.healthline.com/health/mental-health/how-to-practice-healthy-coping-strategies\" class=\"content-link css-1c2ok3c\"\u003ecoping strategies\u003c/a\u003e\u003c/li\u003e"},{"widget":{"widgetFormat":"end-of-section-link","htmlAttrs":{"className":"end-of-section-link","data-destination-url":"/health/how-to-find-a-therapist","data-display-text":"MORE: Get tips on finding the right therapist.","data-prompt":""}}},{"tagName":"h4","source":"Psychoeducation"},{"tagName":"p","source":"Psychoeducation is a therapeutic approach centered around helping you learn about a condition and its treatment. This knowledge can go a long way toward helping you and the supportive people in your life recognize early mood symptoms and manage them more effectively."},{"tagName":"h4","source":"Interpersonal and social rhythm therapy"},{"tagName":"p","source":"\u003ca href=\"https://www.healthline.com/health/bipolar-disorder/alternative-treatments\" class=\"content-link css-1c2ok3c\"\u003eInterpersonal and social rhythm therapy\u003c/a\u003e focuses on regulating daily habits, such as sleeping, eating, and exercising. Balancing these everyday basics could lead to fewer mood episodes and less severe symptoms."},{"widget":{"widgetFormat":"widget-call-out","items":[{"headerTitle":["Online therapy options"],"content":[{"tagName":"p","attributes":{"className":"standout--body"},"source":"Interested in online therapy? Our review of the \u003ca href=\"https://www.healthline.com/health/our-top-10-online-therapy-picks\" class=\"content-link css-1c2ok3c\"\u003ebest teletherapy options\u003c/a\u003e can help you find the right fit."}]}]},"brandPage":{}},{"tagName":"h3","source":"Other options"},{"tagName":"p","source":"Other approaches that can help ease symptoms include:"},{"tagName":"ul","source":"\u003cli\u003e\u003ca href=\"https://www.healthline.com/health/electroconvulsive-therapy\" class=\"content-link css-1c2ok3c\"\u003eelectroconvulsive therapy\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.healthline.com/health/insomnia-treatments\" class=\"content-link css-1c2ok3c\"\u003esleep medications\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.healthline.com/health/bipolar-disorder/supplements\" class=\"content-link css-1c2ok3c\"\u003esupplements\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.healthline.com/health/acupuncture-how-does-it-work-scientifically\" class=\"content-link css-1c2ok3c\"\u003eacupuncture\u003c/a\u003e\u003c/li\u003e"},{"tagName":"h3","source":"Natural remedies for bipolar disorder"},{"tagName":"p","source":"Some natural remedies might also help with bipolar disorder symptoms."},{"tagName":"p","source":"You’ll always want to check with your doctor or psychiatrist before trying these remedies, though. In some cases, they could interfere with any medications you’re taking."},{"tagName":"p","source":"The following herbs and supplements may help stabilize your mood and reduce symptoms of bipolar disorder when combined with medication and therapy:"},{"tagName":"ul","source":"\u003cli\u003e\u003cstrong\u003eOmega-3:\u003c/strong\u003e Some \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882968/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003e2016 research\u003c/a\u003e\u003c/hl-trusted-source\u003e suggests that taking an omega-3 supplement may help with symptoms of bipolar I. However, a \u003ca href=\"https://www.tandfonline.com/doi/pdf/10.1080/15622975.2021.2013041?needAccess=true\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003e2021 study\u003c/a\u003e found weak support for using the supplement to treat depression symptoms in bipolar disorder.\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eRhodiola rosea:\u003c/strong\u003e A \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca rel=\"noopener noreferrer\" href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3660126/\" target=\"_blank\" class=\"content-link css-1c2ok3c\"\u003e2013 review\u003c/a\u003e\u003c/hl-trusted-source\u003e suggests \u003ca href=\"https://www.healthline.com/health/rhodiola-rosea\" class=\"content-link css-1c2ok3c\"\u003ethis plant\u003c/a\u003e may help with moderate depression, so it could help treat depression associated with bipolar disorder, but this, too, has not been substantiated with newer research.\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eS-adenosylmethionine (SAMe):\u003c/strong\u003e SAMe is an amino acid supplement that may \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3660126/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003ehelp ease\u003c/a\u003e\u003c/hl-trusted-source\u003e symptoms of major depression and other mood disorders. However, it \u003ca href=\"https://www.tandfonline.com/doi/pdf/10.1080/15622975.2021.2013041?needAccess=true\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003ecan induce\u003c/a\u003e mania and may interact with other medications. \u003c/li\u003e"},{"tagName":"p","source":"You should consult with a doctor before trying SAMe or any other herbal or natural remedies to help you manage your bipolar symptoms."},{"widget":{"widgetFormat":"end-of-section-link","htmlAttrs":{"className":"end-of-section-link","data-destination-url":"/health/bipolar-disorder/alternative-treatments","data-display-text":"MORE: Looking for more options? Consider these 10 alternative treatments.","data-prompt":""}}},{"tagName":"h3","source":"Lifestyle changes"},{"tagName":"p","source":"Some studies suggest that lifestyle measures can help \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4744495/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003ereduce the severity\u003c/a\u003e\u003c/hl-trusted-source\u003e of your bipolar disorder symptoms. These can include the following:"},{"tagName":"ul","source":"\u003cli\u003eeating a balanced diet\u003c/li\u003e\u003cli\u003egetting at least 150 minutes of exercise a week\u003c/li\u003e\u003cli\u003emanaging your weight\u003c/li\u003e\u003cli\u003egetting weekly counseling or therapy\u003c/li\u003e"},{"tagName":"p","source":"That said, the improvements reported by many of these studies were \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676479/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003enot significant\u003c/a\u003e\u003c/hl-trusted-source\u003e, indicating that lifestyle interventions alone may not be enough to manage the condition. They may work better when combined with other treatments."}]},{"id":"causes-and-risk-factors","title":"Causes and risk factors","isCollapsable":false,"header":["Causes and risk factors"],"body":[{"tagName":"p","source":"Bipolar disorder is a fairly common mental health condition, but experts have yet to determine why some people develop the condition."},{"tagName":"p","source":"Some potential causes of bipolar disorder include:"},{"tagName":"h3","source":"Genetics"},{"tagName":"p","source":"If your parent or sibling has bipolar disorder, you’re more likely to develop the condition. The risk of developing bipolar disorder is \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK558998/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003e10% to 25%\u003c/a\u003e\u003c/hl-trusted-source\u003e if one of your parents has the condition."},{"tagName":"p","source":"Keep in mind, though, that most people who have a history of bipolar disorder in their family history don’t develop it."},{"widget":{"widgetFormat":"end-of-section-link","htmlAttrs":{"className":"end-of-section-link","data-destination-url":"/health/is-bipolar-disorder-hereditary","data-display-text":"MORE: Learn more about the hereditary aspect of bipolar disorder.","data-prompt":""}}},{"tagName":"h3","source":"Your brain"},{"tagName":"p","source":"Your brain structure may affect your risk of developing bipolar disorder. Irregularities in brain chemistry, or the structure or functions of your brain, may increase this risk."},{"tagName":"h3","source":"Environmental factors"},{"tagName":"p","source":"It’s not just what’s in your body that can affect your chances of developing bipolar disorder. Outside factors can also play a part. These might include:"},{"tagName":"ul","source":"\u003cli\u003eextreme stress\u003c/li\u003e\u003cli\u003etraumatic experiences\u003c/li\u003e\u003cli\u003ephysical illness\u003c/li\u003e"},{"widget":{"widgetFormat":"end-of-section-link","htmlAttrs":{"className":"end-of-section-link","data-destination-url":"/health/bipolar-disorder/bipolar-causes","data-display-text":"MORE: Learn more about the potential causes of bipolar disorder.","data-prompt":""}}}]},{"id":"prevention","title":"Prevention","isCollapsable":false,"header":["Can you prevent bipolar disorder?"],"body":[{"tagName":"p","source":"Once you begin to experience mood episodes, you \u003cem\u003ecan \u003c/em\u003etake steps to help reduce the severity of those episodes and lower your chances of experiencing additional mood episodes. But you can’t always prevent mood episodes entirely or keep the condition from developing in the first place."},{"tagName":"p","source":"Future research may reveal more about the specific causes of bipolar disorder and give researchers more insight into potential ways of preventing the condition."}]},{"id":"co-occurring-conditions","title":"Co-occurring conditions","isCollapsable":false,"header":["Common co-occurring conditions"],"body":[{"tagName":"p","source":"Some people living with bipolar disorder also have other mental health conditions. A \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC6323556/\" data-type=\"URL\" data-id=\"https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC6323556/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003e2019 research review\u003c/a\u003e\u003c/hl-trusted-source\u003e suggests that anxiety disorders are among the most common."},{"tagName":"p","source":"Other conditions that might occur alongside bipolar disorder include:"},{"tagName":"ul","source":"\u003cli\u003esubstance use disorders\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.healthline.com/nutrition/common-eating-disorders\" class=\"content-link css-1c2ok3c\"\u003eeating disorders\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.healthline.com/health/phobia-simple-specific\" class=\"content-link css-1c2ok3c\"\u003especific phobia\u003c/a\u003e\u003c/li\u003e\u003cli\u003eADHD\u003c/li\u003e"},{"tagName":"p","source":"Symptoms of these conditions might show up more severely depending on your mood state. Anxiety, for example, tends to happen more commonly with depression, while substance use might be more likely with mania."},{"tagName":"p","source":"If you have bipolar disorder, you may also have a higher chance of developing certain medical conditions, including:"},{"tagName":"ul","source":"\u003cli\u003e\u003ca href=\"https://www.healthline.com/health/migraine\" class=\"content-link css-1c2ok3c\"\u003emigraine\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.healthline.com/health/heart-disease\" class=\"content-link css-1c2ok3c\"\u003eheart disease\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.healthline.com/health/diabetes\" class=\"content-link css-1c2ok3c\"\u003ediabetes\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.healthline.com/health/common-thyroid-disorders\" class=\"content-link css-1c2ok3c\"\u003ethyroid disorders\u003c/a\u003e\u003c/li\u003e"}]},{"id":"coping-tips","title":"Coping tips","isCollapsable":false,"header":["Tips for coping and support"],"body":[{"tagName":"p","source":"If you’ve noticed symptoms of bipolar disorder, a good first step involves reaching out to a doctor or therapist as soon as possible."},{"tagName":"p","source":"Similarly, if a friend or loved one has symptoms, consider encouraging them to connect with a therapist as soon as possible. It never hurts to remind them that they have your understanding and support."},{"widget":{"widgetFormat":"end-of-section-link","htmlAttrs":{"className":"end-of-section-link","data-destination-url":"/health/bipolar-disorder/caregiver-support","data-display-text":"MORE: Here's how you can support a loved one living with bipolar disorder.","data-prompt":""}}},{"widget":{"widgetFormat":"widget-call-out","items":[{"isBullets":true,"list":true,"headerTitle":["Always take suicidal thoughts and behavior seriously"],"content":[{"tagName":"p","source":"It’s not uncommon to have thoughts of suicide during an episode of depression or a mixed features mood episode."},{"tagName":"p","source":"Remember that you’re not alone, and help is available 24/7, 365 days a year. To get confidential support, reach out to the \u003ca href=\"https://suicidepreventionlifeline.org/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003eSuicide and Crisis Lifeline\u003c/a\u003e at 988 or \u003ca href=\"https://www.crisistextline.org/?gclid=EAIaIQobChMIsPDQrdXH5wIVBRx9Ch1YdQjIEAAYASAAEgJ_1_D_BwE\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003etext “HOME”\u003c/a\u003e to 741741."},{"tagName":"p","source":"If you think someone is at immediate risk of hurting themselves or someone else:"},{"tagName":"ul","source":"\u003cli\u003e\u003cspan style=\"\"\u003eStay with them if you can. If not, call for help and support.\u003c/span\u003e\u003c/li\u003e\u003cli\u003eRemove any guns, knives, medications, or other things that may cause harm.\u003c/li\u003e\u003cli\u003eListen, but don’t judge, argue, threaten, or yell.\u003c/li\u003e"},{"tagName":"p","source":"Learn more about \u003ca href=\"https://www.healthline.com/health/mental-health/supporting-someone-in-a-mental-health-crisis\" class=\"content-link css-1c2ok3c\"\u003ehelping someone during a crisis\u003c/a\u003e and \u003ca href=\"https://www.healthline.com/health/mental-health/suicide-resource-guide\" class=\"content-link css-1c2ok3c\"\u003eget more crisis resources\u003c/a\u003e."}]}]},"brandPage":{}},{"tagName":"h3","source":"Living with bipolar disorder"},{"tagName":"p","source":"Treatment can help you manage mood episodes and cope with the symptoms they cause."},{"tagName":"p","source":"Creating a care team can help you get the most out of treatment. Your team might involve:"},{"tagName":"ul","source":"\u003cli\u003eyour primary doctor\u003c/li\u003e\u003cli\u003ea psychiatrist who manages your medications\u003c/li\u003e\u003cli\u003ea therapist or counselor who provides talk therapy\u003c/li\u003e\u003cli\u003eother professionals or specialists, such as a sleep specialist, acupuncturist, or massage therapist\u003c/li\u003e\u003cli\u003ea \u003ca href=\"http://healthline.com/health/mental-health/bipolar-support-groups\" class=\"content-link css-1c2ok3c\"\u003ebipolar disorder support group\u003c/a\u003e or community of other people also living with bipolar disorder\u003c/li\u003e"},{"tagName":"p","source":"You may need to try a few treatments before you find one that leads to improvement. Some medications work well for some people but not others. In a similar vein, some people find CBT very helpful, while others may see little improvement."},{"tagName":"p","source":"It’s always best to be open with your care team about what works and what doesn’t. If something doesn’t help or makes you feel even worse, don’t hold back from letting them know. Your mental health matters and your care team should always support you in finding the most helpful approach."},{"tagName":"p","source":"A little self-compassion can go a long way, too. Remember that bipolar disorder, like any other mental health condition, didn’t happen by choice. It’s not caused by anything you did or didn’t do."},{"tagName":"p","source":"It’s OK (and pretty common) to feel frustrated when treatment doesn’t seem to work. Try to have patience and treat yourself kindly as you explore new approaches."},{"tagName":"h3","source":"Bipolar disorder and relationships"},{"tagName":"p","source":"Bipolar disorder can affect your relationships. But these effects might appear most clearly in your closest relationships, like those with family members and romantic partners."},{"tagName":"p","source":"When it comes to managing a relationship while living with bipolar disorder, honesty can always help. Being open about your condition can help your partner better understand your symptoms and how they can offer support."},{"tagName":"p","source":"You might consider starting with a few basic details, including:"},{"tagName":"ul","source":"\u003cli\u003ehow long you’ve had the condition\u003c/li\u003e\u003cli\u003ehow episodes of depression usually affect you\u003c/li\u003e\u003cli\u003ehow episodes of mania usually affect you\u003c/li\u003e\u003cli\u003eyour treatment approach, including therapy, medication, and coping strategies\u003c/li\u003e\u003cli\u003eanything they can do to help\u003c/li\u003e"},{"tagName":"p","source":"Want more tips on maintaining a healthy relationship when you or a partner has bipolar disorder? \u003ca href=\"https://www.healthline.com/health/bipolar-disorder/relationship-guide\" class=\"content-link css-1c2ok3c\"\u003eOur guide can help.\u003c/a\u003e"}]},{"id":"takeaway","title":"Takeaway","isCollapsable":false,"header":["The bottom line"],"body":[{"tagName":"p","source":"Bipolar disorder is a lifelong condition, but that doesn’t mean it has to completely disrupt your life. While living with bipolar disorder certainly creates some challenges, sticking with your treatment plan, practicing regular \u003ca href=\"https://www.healthline.com/health/self-care-checklist\" class=\"content-link css-1c2ok3c\"\u003eself-care\u003c/a\u003e, and leaning on your support system can boost your overall well-being and keep symptoms to a minimum."},{"tagName":"p","source":"Educating yourself and your loved ones about the condition can also have a lot of benefits. Get started with these resources:"},{"tagName":"ul","source":"\u003cli\u003e\u003ca href=\"https://www.dbsalliance.org/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003eDepression and Bipolar Support Alliance\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.psychiatry.org/patients-families/bipolar-disorders\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003eHelp with Bipolar Disorder\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://ibpf.org/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1c2ok3c\"\u003eInternational Bipolar Foundation\u003c/a\u003e\u003c/li\u003e"}]}],"hasAffiliateLinks":false,"affiliates":[],"isDisclaimer":false,"isOwnedAndOperatedPresent":false,"propsFor":{"articleResources":[{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC6175457/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175457/","title":{"tagName":"span","source":"Akinhanmi MO, et al. (2018). Racial disparities in bipolar disorder treatment and research: A call to action."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC5953021/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5953021/","title":{"tagName":"span","source":"Amamou B, et al. (2018). Unipolar mania: A particular aspect of bipolar disorder in Tunisia."}},{"displayLink":"ncbi.nlm.nih.gov/books/NBK559078/","link":"https://www.ncbi.nlm.nih.gov/books/NBK559078/","title":{"tagName":"span","source":"Bains N, et al. (2022). Major depressive disorder."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC4744495/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4744495/","title":{"tagName":"span","source":"Bauer IE, et al. (2017). Lifestyle interventions targeting dietary habits and exercise in bipolar disorder: A systematic review."}},{"displayLink":"ncbi.nlm.nih.gov/books/NBK557877/","link":"https://www.ncbi.nlm.nih.gov/books/NBK557877/","title":{"tagName":"span","source":"Bielecki JE, et al. (2022). Cyclothymic disorder."}},{"displayLink":"nimh.nih.gov/health/statistics/bipolar-disorder","link":"https://www.nimh.nih.gov/health/topics/bipolar-disorder/index.shtml","title":{"tagName":"span","source":"Bipolar disorder. (n.d.)."}},{"displayLink":"nimh.nih.gov/health/publications/bipolar-disorder-in-children-and-teens/index.shtml","link":"https://www.nimh.nih.gov/health/publications/bipolar-disorder-in-children-and-teens/index.shtml","title":{"tagName":"span","source":"Bipolar disorder in children and teens. (2020)."}},{"displayLink":"ncbi.nlm.nih.gov/books/NBK493168/","link":"https://www.ncbi.nlm.nih.gov/books/NBK493168/","title":{"tagName":"span","source":"Dailey MW, et al. (2022). Mania."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC7779377","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7779377","title":{"tagName":"span","source":"Dell\u0026apos;Osso B, et al. (2021). Has bipolar disorder become a predominantly female gender related condition? Analysis of recently published large sample studies."}},{"displayLink":"journalbipolardisorders.springeropen.com/articles/10.1186/s40345-022-00280-6","link":"https://journalbipolardisorders.springeropen.com/articles/10.1186/s40345-022-00280-6","title":{"tagName":"span","source":"Elowe J, et al. (2022). Psychotic features, particularly mood incongruence, as a hallmark of severity of bipolar I disorder."}},{"displayLink":"ncbi.nlm.nih.gov/books/NBK558998/","link":"https://www.ncbi.nlm.nih.gov/books/NBK558998/","title":{"tagName":"span","source":"Jain A, et al. (2022). Bipolar affective disorder."}},{"displayLink":"frontiersin.org/articles/10.3389/fpsyt.2022.926594/full","link":"https://www.frontiersin.org/articles/10.3389/fpsyt.2022.926594/full","title":{"tagName":"span","source":"Menculini G, et al. (2022). Sex differences in bipolar disorders: Impact on psychopathological features and treatment response."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC5461862/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461862/","title":{"tagName":"span","source":"Naguy A. (2017). Bipolar in women: Any gender-based difference?"}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC4539870","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4539870/","title":{"tagName":"span","source":"Parial S. (2015). Bipolar disorder in women."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC3660126/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3660126/","title":{"tagName":"span","source":"Qureshi NA, et al. (2013). Mood disorders and complementary and alternative medicine: a literature review."}},{"displayLink":"tandfonline.com/doi/pdf/10.1080/15622975.2021.2013041?needAccess=true","link":"https://www.tandfonline.com/doi/pdf/10.1080/15622975.2021.2013041?needAccess=true","title":{"tagName":"span","source":"Sarris J, et al. (2022). Clinician guidelines for the treatment of psychiatric disorders with nutraceuticals and phytoceuticals: The World Federation of Societies of Biological Psychiatry (WFSBP) and Canadian Network for Mood and Anxiety Treatments (CANMAT) Taskforce."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC5310104/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5310104/","title":{"tagName":"span","source":"Shah N, et al. (2017). Clinical practice guidelines for management of bipolar disorder."}},{"displayLink":"ncbi.nlm.nih.gov/labs/pmc/articles/PMC4882968/","link":"https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC4882968/","title":{"tagName":"span","source":"Shakeri J, et al. (2016). Effects of omega-3 supplement in the treatment of patients with bipolar I disorder."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC6323556/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323556/","title":{"tagName":"span","source":"Spoorthy MS, et al. (2019). Comorbidity of bipolar and anxiety disorders: An overview of trends in research."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC7676479/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676479/","title":{"tagName":"span","source":"Sylvia LG, et al. (2019). Pilot study of a lifestyle intervention for bipolar disorder: Nutrition exercise wellness treatment (new tx)."}},{"displayLink":"ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t4/?report=objectonly","link":"https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t4/?report=objectonly","title":{"tagName":"span","source":"Table 3.4 DSM-IV to DSM-5 Major Depressive Episode/Disorder Comparison. (2016)."}},{"displayLink":"ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t9/?report=objectonly","link":"https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t9/?report=objectonly","title":{"tagName":"span","source":"Table 3.8 DSM-IV to DSM-5 Major Depressive Episode/Disorder Comparison. (2016)."}},{"displayLink":"ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t7/?report=objectonly","link":"https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t7/?report=objectonly","title":{"tagName":"span","source":"Table 11 DSM-IV to DSM-5 Major Depressive Episode/Disorder Comparison. (2016)."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC3609426/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3609426/","title":{"tagName":"span","source":"Van Meter AR, et al. (2012). Cyclothymic disorder in youth: why is it overlooked, what do we know and where is the field headed?"}}],"byline":{"authors":[{"id":49,"name":{"display":"Kimberly Holland","first":"Kimberly","last":"Holland"},"link":"/authors/kimberly-holland","type":{"value":"author","label":"Author"},"nid":"159200","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eKimberly is a freelance health, travel, and lifestyle writer and editor living in Birmingham, AL. She has previously written for Cooking Light, Eating Well, Coastal Living, Real Simple, Reader\u0026#8217;s Digest, and more. When she\u0026#8217;s not writing, you\u0026#8217;ll likely find her watching “Murder, She Wrote” and sorting her collection of books that she\u0026#8217;ll certainly one day find time to read, or planning her next vacation, preferably to an island, please.\u003c/p\u003e\n"},"avatar":{"title":"","width":200,"height":200,"src":"https://post.healthline.com/wp-content/uploads/2019/03/200x200_Kimberly_Holland.png"}},{"id":211,"name":{"display":"Crystal Raypole","first":"Crystal","last":"Raypole"},"link":"/authors/crystal-raypole","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eCrystal Raypole\u0026#8217;s work appears on Healthline, and she\u0026#8217;s previously worked as a writer and editor for GoodTherapy. Her interests include Japanese language and translation, cooking, natural sciences, sex positivity, and mental health. In particular, she’s committed to helping decrease stigma around mental health issues. She hopes to someday write fiction — if she can stop reading fiction long enough to write more than a few chapters of anything.\u003c/p\u003e\n"},"avatar":{"title":"","width":200,"height":200,"src":"https://post.healthline.com/wp-content/uploads/2020/01/200x200_Crystal_Raypole.png"}},{"id":5332,"name":{"display":"Alina Sharon","first":"Alina","last":"Sharon"},"link":"/authors/alina-sharon","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003e\u003cspan data-sheets-value=\"{\u0026quot;1\u0026quot;:2,\u0026quot;2\u0026quot;:\u0026quot;Alina Sharon is an Updates editor for Medical News Today. She currently resides in Chicago but has also lived in Europe and the Middle East. She speaks several languages fluently and has worked as a journalist and editor for more than 10 years for U.S. and international media. She’s excited to dedicate herself to her passion for the creation of informative and reliable health content. Outside of work, she’s also the mom of two rambunctious boys.\u0026quot;}\" data-sheets-userformat=\"{\u0026quot;2\u0026quot;:8961,\u0026quot;3\u0026quot;:{\u0026quot;1\u0026quot;:0},\u0026quot;11\u0026quot;:4,\u0026quot;12\u0026quot;:0,\u0026quot;16\u0026quot;:10}\"\u003eAlina Sharon is a Chicago-based editor for Medical News Today, Healthline, Healthgrades, and HelloMedicare focusing on health, wellness, and Medicare content. She has a master\u0026#8217;s degree in journalism and has worked as a writer and editor for over 10 years for U.S. and international media. She’s excited to dedicate herself to her passion for creating informative and reliable content that makes it easier for people to navigate their healthcare. Outside of work, she’s also the mom of two rambunctious boys. Connect with her on \u003ca href=\"https://www.linkedin.com/in/adsharon\"\u003eLinkedIn.\u003c/a\u003e\u003c/span\u003e\u003c/p\u003e\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.healthline.com/wp-content/uploads/2021/06/Alina-Sharon-500x500-Bio.png"}}],"medicalReviewers":[{"id":4990,"name":{"display":"Nicole Washington, DO, MPH","first":"Nicole","last":"Washington, DO, MPH"},"userLogin":"nwashington","links":{"website":"http://www.drnicolepsych.com","facebook":"www.facebook.com/drnicolepsych","linkedin":"www.linkedin/in/drnicolepsych","twitter":"www.twitter.com/drnicolepsych","instagram":"www.instagram.com/drnicolepsych","tiktok":"https://www.tiktok.com/@drnicolepsych"},"link":"/reviewers/nicole-washington-do-mph","type":{"value":"medical_reviewer","label":"Medical Advisor"},"nid":"164742","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003eDr. Nicole Washington is an \u003c/span\u003e\u003ca href=\"https://www.abms.org/board-certification/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eABMS board certified\u003c/span\u003e\u003c/a\u003e\u003cspan style=\"font-weight: 400;\"\u003e psychiatrist and the chief medical officer of Elocin Psychiatric Services, a primarily virtual practice where she focuses on the mental health needs of the busy professional. Dr. Washington has spent most of her career caring and advocating for people who aren\u0026#8217;t typically consumers of mental health services, namely underserved communities and high-performing professionals.\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEducation\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eOklahoma State University College of Osteopathic Medicine, DO\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eUniversity of Illinois at Chicago, MPH\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eUniversity of Oklahoma School of Community Medicine, Psychiatric Residency\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eCertifications\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAmerican Board of Psychiatry and Neurology \u0026#8211; Psychiatry\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eProfessional Accomplishments\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAuthor of \u0026#8220;From Introspection to Action: The High-Level Professional’s 28 Day Journey to Improving Mental Health\u0026#8221;\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003cspan style=\"font-weight: 400;\"\u003ePodcast host of \u0026#8220;The C-Suite Confidant”\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eCompleted an internship at Griffin Memorial Hospital\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eAffiliations\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003ca href=\"https://www.psychiatry.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAmerican Psychiatric Association (APA)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003ca href=\"https://www.blackpsychiatrists.org/about\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eBlack Psychiatrists of America (BPA)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003ca href=\"https://www.oklapsychiatry.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eOklahoma Psychiatric Physicians Association (OPPA)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\"\u003e\u003ca href=\"https://www.nmanet.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eNational Medical Association (NMA)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003c/ul\u003e\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.healthline.com/wp-content/uploads/2022/01/Nicole-Washington-500x500-Bio.png"}}],"id":"wp-4007393","updateReason":[],"editor":"Alina Sharon","factCheckedBy":"","factCheckers":[],"articleHistory":{"2018-01-18":{"updateReason":[],"authors":"Kimberly Holland, Emma Nicholls, The Healthline Editorial Team","editor":"Nizam Khan (TechSpace)","medicallyReviewedBy":"Timothy J. Legg, PhD, PsyD"},"2021-11-29":{"updateReason":[],"authors":"Kimberly Holland, Crystal Raypole","editor":"Kelly Morrell","copyEditor":"Emily Schalk","medicallyReviewedBy":"Tiffany Taft, PsyD"},"2023-01-25":{"updateReason":[],"authors":"Kimberly Holland, Crystal Raypole, Alina Sharon","editor":"Alina Sharon","copyEditor":"Siobhan DeRemer","medicallyReviewedBy":"Nicole Washington, DO, MPH"},"2024-12-18":{"updateReason":[],"authors":"Kimberly Holland, Crystal Raypole, Alina Sharon","editor":"Alina Sharon","copyEditor":"Copy Editors","medicallyReviewedBy":"Nicole Washington, DO, MPH"}},"articleDates":{"factChecked":{"date":null,"display":""},"medicallyReviewed":{"date":1734544022,"display":"December 18, 2024"},"published":{"date":1516272060,"display":"January 18, 2018"},"lastUpdates":{"date":1734544022,"display":"December 18, 2024"},"modified":{"date":1734544102,"display":"December 18, 2024"},"postDraftCreationDate":{"date":1731714302,"display":"November 15, 2024"},"versionFirstPublish":{"date":1734569228,"display":"December 19, 2024"}},"type":"healthfeature","language":"en"},"readNext":{"items":[{"title":["Finding Your Own Support When You Care for a Person Living with Bipolar Disorder"],"text":["Caring for a loved one who has bipolar disorder can be overwhelming and take a toll on your own mental health. These resources can help you find…"],"link":"/health/bipolar-disorder/finding-caregiver-support","imageAlt":"Finding Your Own Support When You Care for a Person Living with Bipolar Disorder","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/2022/07/senior-caregiver-732x549-thumbnail-732x549.jpg","medicallyReviewedBy":{"reviewerName":"Tiffany Taft, PsyD","reviewerImage":{"path":"https://media.post.rvohealth.io/wp-content/uploads/2022/01/Tiffany-Taft-500x500-Bio.png","width":200,"height":200,"altText":""}},"isNutrition":false,"authors":[{"id":191,"name":{"display":"Stephanie Watson","first":"Stephanie","last":"Watson"},"userLogin":"watsonwrites","links":{"website":"","facebook":"","linkedin":"","twitter":"","instagram":"","tiktok":""},"link":"/authors/stephanie-watson","type":{"value":"author","label":"Author"},"nid":"159209","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eStephanie Watson is a North Carolina–based freelance writer who specializes in consumer health but dabbles in other subjects. She has written about virtually every medical condition in existence for several leading publications. Her goal is to educate consumers so they can take more control over their own health care.\u003c/p\u003e\n"},"avatar":{"title":"","width":200,"height":200,"src":"https://post.healthline.com/wp-content/uploads/2019/03/Stephanie_Watson_bw.png"}}],"reviewedByHeader":"Medically reviewed by"},{"title":["Tips for Practicing Self-Care with Bipolar Disorder"],"text":["Self-care can improve quality of life and help lessen the everyday impact of bipolar disorder."],"link":"/health/bipolar-disorder/self-care","imageAlt":"Tips for Practicing Self-Care with Bipolar Disorder","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/2022/05/self-care-female-asian-meditating-eyes-closed-routine-732x549-thumbnail-732x549.jpg","medicallyReviewedBy":{"reviewerName":"Francis Kuehnle, MSN, RN-BC","reviewerImage":{"path":"https://media.post.rvohealth.io/wp-content/uploads/2022/01/Francis-Kuehnle-500x500-Bio.png","width":200,"height":200,"altText":""}},"isNutrition":false,"authors":[{"id":191,"name":{"display":"Stephanie Watson","first":"Stephanie","last":"Watson"},"userLogin":"watsonwrites","links":{"website":"","facebook":"","linkedin":"","twitter":"","instagram":"","tiktok":""},"link":"/authors/stephanie-watson","type":{"value":"author","label":"Author"},"nid":"159209","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eStephanie Watson is a North Carolina–based freelance writer who specializes in consumer health but dabbles in other subjects. 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