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Bipolar Disorder Signs & Symptoms

Sam DiFranco

People with bipolar disorder experience periods of unusually intense emotion, changes in sleep patterns and activity levels, and unusual behaviors. These distinct periods are called “mood episodes.” Mood episodes are drastically different from the moods and behaviors that are typical for the person. Extreme changes in energy, activity, and sleep go along with mood episodes.

People having a manic episode may:People having a depressive episode may:

  1. Feel very “up,” “high,” or elated

  2. Have a lot of energy

  3. Have increased activity levels

  4. Feel “jumpy” or “wired”

  5. Have trouble sleeping

  6. Become more active than usual

  7. Talk really fast about a lot of different things

  8. Be agitated, irritable, or “touchy”

  9. Feel like their thoughts are going very fast

  10. Think they can do a lot of things at once

  11. Do risky things, like spend a lot of money or have reckless sex

  12. Feel very sad, down, empty, or hopeless

  13. Have very little energy

  14. Have decreased activity levels

  15. Have trouble sleeping, they may sleep too little or too much

  16. Feel like they can’t enjoy anything

  17. Feel worried and empty

  18. Have trouble concentrating

  19. Forget things a lot

  20. Eat too much or too little

  21. Feel tired or “slowed down”

  22. Think about death or suicide

Sometimes a mood episode includes symptoms of both manic and depressive symptoms. This is called an episode with mixed features. People experiencing an episode with mixed features may feel very sad, empty, or hopeless, while at the same time feeling extremely energized.

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