Types of Bipolar Disorder
The main difference between bipolar disorder and other conditions, like depression, is experiencing the overly
excited state called mania, says Amit Anand, MD, a professor of medicine at the Cleveland Clinic Lerner College of Medicine, vice-chair for research for the Center for Behavioral Health, and director of the Mood and Emotional Disorders Across the Life Span program at the Cleveland Clinic in Ohio. People who are manic are unusually outgoing or happy. In some cases, mania also causes intense irritability and restlessness.
Understanding and Managing Bipolar Triggers
Bipolar episodes can be triggered by certain lifestyle and environmental factors. Recognizing your triggers and avoiding them, Anand says, are often key tomanaging the condition.Factors that may worsen this disorder symptoms or trigger an episode include:
Stress. In many cases, a major life change or stressful event — such as losing aloved one or having financial troubles — can trigger an initial episode. As a result, how you cope with stress could also affect how your this disorder progresses.
Childbirth. The link between childbirth and bipolar disorder has been well documented in a number of scientific studies, according to a 2012 review in JAMA Psychiatry. A study published in this Disorders in 2014 found that the transition from depression to this disorder was up to 18 times higher for postpartum women compared to similar studies in men and women who weren’t pregnant. The researchers concluded that women affected by depression should be closely monitored for manic symptoms after giving birth.
Medication. Some antidepressants, such as fluoxetine and sertraline, may worsen bipolar symptoms and possibly even trigger a manic episode, Anand says. He says that people with bipolar disorder should not take an antidepressant without also taking a mood stabilizer or antipsychotic medication. Also, stimulants used to treat attention deficit hyperactivity disorder (ADHD) may also trigger a manic episode in people with bipolar disorder.
Seasonal changes. For some people with bipolar disorder, there’s a seasonal pattern to mood episodes. Anand says there’s some evidence that more manias occur during the spring and summer months, while more episodes of depression take place in the fall and winter. Some people, however, experience the opposite effect. Closely monitoring your symptoms during seasonal changes can help manage bipolar.
Poor sleep. Lack of sleep is a frequent trigger of bipolar mood episodes, according to Anand. Poor sleep or a disruption of normal sleeping patterns, including jet lag, can trigger these intense mood swings.
Drug and alcohol use. According to NAMI, substance abuse is common among people with this disorder disorder. Anand cautions against using drugs or alcohol to “treat” symptoms of the condition. Drinking or taking drugs, he says, can actually worsen this disorder mood swings and lead to an increase in suicidal thoughts or behaviors.