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Bipolar Depression Disorder Symptoms Bipolar depression can trigger problems at work or at school and difficult relationships with family and friends. The risk of alcoholism and drug abuse is also increased. Unmanaged symptoms can also lead to feelings such as anxiety or thoughts of suicide. In addition to periods of extreme “down” moods, some people have manic episodes. These can include being able to sense, hear or smell things that aren't there (hallucinations) and believing in things that aren't real (delusions). 1. Feelings of despair or hopelessness Bipolar depression is characterized by feelings of despair and desperation. In a depressive episode a person may feel down and empty, or even hopeless and may also experience feelings of guilt or a sense of worthlessness. These symptoms can make it difficult to cope with daily life and can cause a loss of interest in activities that once brought pleasure. In extreme instances, feeling devalued may trigger thoughts of self-harm or suicide. In addition to feeling worthless Some people who suffer from bipolar disorder are having trouble connecting with their strengths and believe that they aren't worthy of being loved. This can be particularly difficult in close relationships, such as those with parents or romantic partners. If this happens, it's essential to seek assistance from a mental health professional, or contact 911 or the 988 Suicide and Crisis Lifeline to talk to someone 24 hours a day. Bipolar disorder can cause both depression and mania simultaneously. This is referred to as a mixed episode. In this case it is possible for a person to experience depression-like symptoms and the energy boost and false beliefs that are associated with mania at the same time. Symptoms of mania can include feeling excited and happy, spending much of the time laughing and talking as well as being overly confident and ambitious, and experiencing hallucinations or delusions that include seeing or hearing things that aren't there. A combination of medication and therapy can help treat these symptoms. Strategies for reducing stress including a healthy diet, and a consistent sleep schedule can also help. It is crucial to adhere to the treatment program recommended by your physician because abruptly stopping it can trigger severe episodes. Psychotherapy (talk therapy) can help you work through the issues that are contributing to your mood swings. 2. You no longer enjoy the activities you used to enjoy Depression is manifests itself in a lack of interest in the activities that you normally like to do. This can include hobbies, work or spending time with friends and family. Keep in mind that depression is a chronic illness that can take some time to feel better. You should consult with your doctor for treatment of your symptoms. Bipolar disorder is characterised by extreme mood swings, changes in energy levels and levels of activity. This can cause periods where you feel “up,” elated or energized, or extremely “up” (known by the term mania), to periods when you feel “down,” sad, and “down.” Bipolar disorder can cause mood swings that can be present for a few days, weeks, or even months. The most frequent kind of depression is known as major depressive disorder. It can be triggered by a difficult event in your life, such as losing your job or the loss of a family member. It's important to note that depression is not like the temporary negative feelings you may feel in response to an incident. Depression is severe, persistent and doesn't go away by itself. Your doctor may treat your depression with psychotherapy or medication. Medication can control your mood disorders and may even prevent them from happening. But, you must use your medication according to the instructions of your doctor. Antidepressants, mood stabilizers, such as lithium and other medications are often prescribed to treat depression. You can find more details about specific medications with regard to side effects, as well as warnings on the FDA website. Some people can benefit from a treatment called brain stimulation, which involves using electrical or magnetic waves to activate or inhibit certain areas of their brain. 3. Trouble concentrating Bipolar disorder is characterised by prolonged periods of energy and activity (manic episodes or “manic episodes”), which are followed by severe depression. This can cause difficulty in focusing on other tasks or work. It can also cause problems at home and in relationships. Often family members and friends are the first to observe changes in a person's behavior. A head injury or neurological problem can cause problems with concentration. Patients suffering from these issues need to talk to their physician and receive an assessment. It is normal for people to have trouble concentrating, especially when they are stressed or tired. However, this is usually temporary and improves as the person finds rest or is calmer. Mental illness like depression or anxiety can also cause difficulty concentrating. It is crucial to get an accurate diagnosis, since it will aid the doctor decide on the best treatment. In a study that used self-report measures and an actual sample of patients researchers discovered that difficulty concentrating was linked with trait worry and all three indices of clinical severity. This is different than previous findings, which revealed that difficulties in concentrating were not associated with other symptoms related to GAD when depression was statistically controlled (Joormann & Stober 1999). If you're concerned about your concentration, speak to your health care provider. A combination of medications and therapy may aid. It may be necessary to look for months or years to find the right treatment plan. However, seeking treatment as early as possible can reduce the severity of manic and depression-related episodes. It also can prevent them from returning. Other strategies for prevention include keeping a journal of your mood to identify the symptoms of an episode and prevent or reduce stress. 4. Feelings of guilt and worthlessness The intense lows of depression can be associated with feelings of self-loathing and worthlessness. physiological symptoms of depression to remember these feelings aren't your fault and that you don't deserve these feelings. If your mood is becoming more extreme and you are contemplating of suicide it's an emergency in your mental health and you should seek treatment immediately. People who suffer from bipolar disorder experience episodes of both depression and mania. These are known as mixed episodes. During a mixed episode you may feel both low and high, however, the highs aren't as intense as the lows. There are also rapid mood changes, causing you to jump from one state to another. The symptoms of hypomania or manic include a surge in energy and excitement in addition to increased irritability, higher levels of activity and impulsive behavior, false beliefs (delusions), or paranoid or irrational behaviour. When you're in a manic or hypomanic period, you're more likely to spend money and engage in risky behavior. If you're having trouble managing your finances, you should think about appointing someone to handle them on your behalf. Consult your physician If you've been experiencing mood-related symptoms for more than 2 weeks. They will ask you about your symptoms, and look for indications of bipolar disorder. They may suggest keeping a mood journal or chart to identify patterns. They might refer you to your local NHS community mental health team (CMHT) in the event that they believe that you're suffering from a serious manic or depressive episode or if there are concerns about your safety. You will find a list of helpful contacts and information on the Bipolar UK website. 5. Feelings of hopelessness or a sense of worthlessness Bipolar depression can be difficult to identify. It is important to tell your doctor about any feelings of despair, sadness or worthlessness that you experience. It could take a few months or even years before you and your physician find the right treatment plan for you. Bipolar disorder is defined by intense elation, excitement and energy (known collectively as manic episodes) and also by periods of extreme sadness, despair, and indifference (known collectively as depressive episodes). These mood changes can make daily tasks more difficult. These mood swings can be accompanied by feelings of irritability and impulsiveness as well as racing thoughts. They can also cause problems sleeping and an increase in appetite. These episodes can last for several weeks and may occur at regular intervals throughout your life. These episodes can be caused by alcohol or drugs or other life events. Life events that stress you, like moving, divorced or married, or even getting a new job or losing one can cause a psychotic attack. Cocaine, ecstasy and amphetamines are other substances that can trigger an episode. Certain over-the-counter medicines, such as antidepressants and sleep aids, could trigger an episode. Bipolar disorder depression can be severe and is associated with the risk of suicide being higher. Suicide is more likely for people who have frequent depressive episodes or mixed episodes or a family history of suicide or early onset of the disorder. Other risk factors include previous suicide attempts, a history of drug or alcohol abuse, as well as an ancestry of psychotic disorders. There is no cure for bipolar disorder. However, with proper medical treatment and an effective treatment plan that incorporates therapies, medications and lifestyle modifications, you can manage your symptoms and lead a an active and healthy life. Even even if you feel better it is important to stick to the treatment plan you have chosen.