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Bipolar Disorder Guide

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Bipolar disorder is a mood disorder. It causes you to have cycles of extreme mood changes that go beyond normal ups and downs. You will have periods of feeling joyful, energized, and excited (called mania). These are followed by periods of feeling sad and depressed. For this reason, it’s also called manic depression.

Bipolar affects your body, mood, and thoughts. It also affects how you eat and sleep, think about things and feel about yourself. It’s not the same as being unhappy or in a blue mood. It’s not a sign of weakness or a condition that can be willed away. Treatment is often needed and is key to recovery.

Bipolar disorder affects equal numbers of men and women. But women tend to have more symptoms of depression than of mania. This disorder often starts in the teens or early adulthood.

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You can also take steps to help yourself. Consider the following:

  • Get help. If you think you may have bipolar disorder, see a healthcare provider right away.
  • Set realistic goals and don’t take on too much at a time.
  • Break large tasks into small ones. Set priorities and do what you can as you can.
  • Try to be with other people and confide in someone. It's usually better than being alone and secretive.
  • Do things that make you feel better. Going to a movie, gardening, or taking part in religious, social, or other activities may help. Doing something nice for someone else can also help you feel better.
  • Get regular exercise.
  • Expect your mood to get better slowly, not right away. Feeling better takes time.
  • Eat healthy, well-balanced meals.
  • Don't drink alcohol or use illegal drugs. These can make bipolar disorder worse.
  • As difficult as it may be, tell your family and friends that you are not feeling well and let them help you.
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There is no cure for bipolar disorder, but treatment works well for many people. Treatment may include one or a combination of the following:

  • Medicine: Many different medicines are available for bipolar disorder. But it often takes four to six weeks for medicines to work their best. It’s important to keep taking the medicine even if it doesn’t seem to be working at first. Long Acting Injectable medication may be an option. It’s also important to talk with your healthcare provider before stopping or changing the medicine dose. Some people must switch medicines or add medicines to get results.
  • Therapy: This treatment is most often cognitive-behavioral or interpersonal therapy. It focuses on changing the distorted views you have of yourself and your environment. It works to improve your interpersonal relationship skills. It also helps you find out what your stressors are and how to manage them.
  • Electroconvulsive therapy (ECT): This treatment may be used in people with severe, life-threatening depression that has not responded to medicines. A brief electrical current is passed through the brain, triggering a mild seizure. For unknown reasons, this treatment helps restore the normal balance of chemicals in the brain and ease symptoms.

In most cases, you will need consistent, long-term treatment to stabilize the mood swings and provide the support needed to manage bipolar disorder. Life charts can be very helpful to manage the condition. In a life chart, you record daily mood, symptoms, treatments, sleep patterns and life events. You can share this life chart information with your healthcare provider. The chart can help your healthcare provider see patterns and figure out the best treatment. Family therapy can also be very helpful.

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  • 988 Suicide & Crisis Lifeline - it’s like 911, but it’s 988. Dial 988 for confidential, free, 24/7/365 support from a trained counselor for mental health, substance use or suicidal crisis. You can also text 988 for support (English only).
  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders. Call 1-800-662-HELP (1-800-662-4357)
  • NAMI HelpLine is available Monday through Friday from 10 a.m. to 10 p.m. Eastern. Connect by phone at 1-800-950-6264 or text "Helpline" to 62640, or chat.
  • The Trevor Project (hotline for LGBT youth): 1-866-488-7386
  • Chat is available 24/7: SuicidePreventionLifeline.org/chat
  • Trans Lifeline: 1-877-565-8860. Hotline for transgender people (volunteers and staff are transgender, as well.)
  • Crisis Text Line: 741-741. Trained crisis counselor replies within minutes.
  • Veterans Crisis Line: 1-800-273-8255, press 1. VeteransCrisisLine.net
  • National Crisis Text Line for the Deaf: Text HAND to 839863