Bipolar Disorder – How To Handle It?

Bipolar Disorder – How To Handle It?


By Dr. Bakyaraj, Psychiatry

Bipolar disorder is also known as manic depression. It is characterized by extreme mood swings in which you feel both emotional highs such as mania or hypomania but you also feel depressed at different times. There is no particular time at which your mood swings may occur but they may occur anytime between only a few times in a year all the way to several times every week. Here is everything you need to know about bipolar disorder…


As mentioned earlier, bipolar disorder has either a very euphoric or a very depressed episode in which your behavior will be drastically different from what it normally was. Here are the symptoms of each episode

Manic Episode:

  1. Elated or irritable mood
  2. Increased levels of energy
  3. Increased activity
  4. Spending the money and property unwanted and excessively
  5. Incresed sexual drive
  6. Incresed self esteem
  7. Tall claims
  8. Talking excessively

Depressed Episode:

  1. Low mood
  2. Tiredness
  3. Loss of interest in hobbies
  4. Lack of concentration and memory disturbance
  5. Decreased appetite
  6. Hopelessness about the future
  7. Suicidal thoughts
  8. Decreased libido
  9. Loss of weight without dieting
  10. Feeling worthless

Mania and depression used to occur in episodes. Attimes is the same episode.


1. Biological Reasons

Studies show that people who have bipolar disorder have significant changes in the neurotransmitters of their brains.

2. Inheritance

It is very common to inherit traits from a sibling or parent as well.


1. Medications:

There are various medications which can be given. These include mood stabilizers, antidepressants and even antipsychotics.

2. Cognitive Behavioral Therapy:

Cognitive behavioral therapy helps you channel unhealthy negative thoughts and turn them into rewarding positive ones.

3. Electro Convulsive Therapy (ECT): 

Electro convulsive therapy is a procedure in which micro voltage of electric current applied over scalp. This produces rearrangement of brain function. In Bipolar mood disorder it is useful in severe depression with suicidal thoughts, manic excitement conditions and Bipolar mood disorder also called as manic depressive disorder.


1. Mania

2. Hypomania

3. Depression

4. Mixed episode

Cognitive behavioural therapy is used to correct the cognitive errors and improve the coping skill strategy. It reduces the relapses. Pharmacotherapy Drugs are used depends upon the patient’s conditions Mood stabilizer, antipsychotic drugs, antidepressants, sedatives. Recurrent episodes of mood disorders will impair the individuals functions and severity of illness. Suicide and drug abuse are also common with untreated mood disorders.