Mar 1, 2012 Table of Contents

Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education Web site.

Information from Your Family Doctor

Bipolar Disorders

Am Fam Physician. 2012 Mar 1;85(5):499-500.

See related article on bipolar disorders.

What are bipolar disorders?

They are mental conditions that cause different types of mood changes (episodes). The cause of bipolar disorders is unclear, but they may run in families. Bipolar disorders can cause depression. They can also cause symptoms of mania, which can make you feel energized and impulsive. You can have symptoms of both depression and mania. This is called a mixed episode. Hypomania is similar to mania, but less severe.

If you have a bipolar disorder, you may sometimes lose touch with reality, misunderstand information, and hear things that aren't there. Some people with bipolar disorders have thoughts of harming themselves or others. Call your doctor right away if you are having these thoughts.

Symptoms usually switch between depression and mania, hypomania, or mixed episodes. This cycle can happen over days, weeks, or years. Some people have only one bipolar episode in their lifetime.

What are the symptoms?

  • Depression: sadness, anxiety, crying, change in sleep or appetite, less interest in things you used to enjoy, difficulty concentrating, feelings of guilt, thoughts of hurting yourself or others

  • Mania: bursts of energy, feeling better than usual, little or no need for sleep, racing thoughts, talking more than usual, risky behavior (e.g., increased spending, driving fast, suddenly quitting a job)

  • Mixed episode: depression with increased energy and racing thoughts

  • Hypomania: less severe symptoms of mania

Who gets bipolar disorders?

Anyone can get a bipolar disorder, but certain factors make it more likely. These include:

  • Stress

  • Changes in season or exposure to daylight (such as daylight savings time or change in time zone)

  • Previous depression

  • Family members with depression or mental illness

How are bipolar disorders treated?

Your doctor may prescribe a medicine called a mood stabilizer. You may need additional medicines to help control your mood episodes. Your doctor may also recommend therapy to help you cope with your feelings.

Some people will improve within a few weeks of starting treatment. Others may have symptoms for several months, especially those with more severe symptoms or who have had symptoms in the past.

What else can I do to feel better?

Talk with your doctor about making an action plan. The plan should include specific things you can do to help you feel better. Make sure that you have a friend or family member you can talk to if you are depressed or have thoughts of hurting yourself.

Where can I get more information?

Your doctor

AAFP's Patient Education Resource

Web site: http://familydoctor.org/familydoctor/en/diseases-conditions/bipolar-disorder.html

Bipolar Significant Others

Web site: http://www.bpso.org

Depression and Bipolar Support Alliance

Web site: http://www.dbsalliance.org

National Alliance on Mental Illness

Web site: http://www.nami.org

Suicide Awareness Voices of Education

Web site: http://www.save.org


This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at http://familydoctor.org.

This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.

Copyright © 2012 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.

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