Bipolar disorder has episodes of manic behavior, hypomania, and depression. Bipolar I and bipolar to our subtypes of bipolar disorder.
Bipolar I disorder has manic episodes and always experience major depressive states and hypomanic states. Patient can go through rapid cycling, psychotic features, increased anxiety or catatonia.
Bipolar II can have hypomania and depressive states but will not have manic episodes. There can be anxiety cycling psychosis catatonia in this category.
Disruption of mood, activity, sleep, energy, cognition behavior can occur due to bipolar disorder. Patients with a diagnosis of bipolar disorder has difficulty maintaining interpersonal relationships and employment.
Patients with bipolar clinic experience mood lability or mood swings such as irritability, aggressiveness, agitation, anxiety, sleep disturbance, and may experience hyperactivity.
Manic episodes would experience mood issues, increased energy and activity hypersexuality increased use of drugs and alcohol sleep issues, and possibly impaired cognition. Elevated mood, labile mood, irritability are core symptoms of mania. Patients have feelings of euphoria, high mood, disinhibition, has poor social boundaries, expansive mood, and can be very flirtatious, lengthy telephone calls, renewing old friendships. The elevated mood may have infectious quality but initially engages others however patients become offensive due to their insensitivity to the needs of others and may have relationship issues after.
Persistent increased energy and activity, impulsivity, poor judgment without regard to risks, multiple business ventures, spending sprees, sexual infidelity with strangers reckless driving, multiple projects at hand with increased goal-directed activity or common symptoms. Patients or manic has decreased need for sleep, despite feeling tired. Some manic patients can be well-rested and energetic or are able to sleep for a few hours and may go for days without sleep.
Manic patients have a sense of grandiosity of psychotic proportions and may believe that they have relationships with God or feel that they are celebrities and process talents surpass other people. Increased self-esteem is a very common symptom.
Patients may have racing thoughts, are very distractible, have a flight of ideas with abrupt changes from one topic to the next, and may not recall these events that are occurring during these manic episodes.
Their speech may be pressured, loud, accelerated, and very difficult to interrupt. He may swear more than usual or very dramatic as well.
There is marked impairment of psychosocial functioning and may need hospitalization during a manic phase because behavior can lead to negative consequences of divorce, financial, and behavioral issues. Some can go into psychosis and might not have insight regarding impairment.
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