Bi-Polar
Bipolar Disorders manifests as long periods of manic and hypomanic episodes that potentially were onset from a depressive episode. Multiple suicide attempts and ideation are common with diagnostic criteria. In-between episodes individuals can seem to have meet a more stabilized environment or continue in a depressed or anxious state.
People with bipolar experience both episodes of severe depression, and episodes of mania – overwhelming joy, excitement or happiness, huge energy, a reduced need for sleep, and reduced inhibitions. The experience of bipolar is uniquely personal. No two people have exactly the same experience.
Three critical domains to assess hypomania, mania and depression. Hypomania and Mania are similar in diagnostic criteria however hypomania is notable by others and does not cause occupational or social function and does not require hospitalization. Manic episodes cause impairment in social and occupational functioning. While depression has many similarities as mania and hypomanic it can be ruled out due to its nature of causing social or occupational impairment and symptomatology that is unique to Major Depressive Disorder.
There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, and energized behavior (known as manic episodes) to very sad, “down,” or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.
• Bipolar I Disorder- defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depression and manic symptoms at the same time) are also possible.
• Bipolar II Disorder— defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes described above.
• Cyclothymic Disorder (also called cyclothymia)— defined by numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
• Other Specified and Unspecified Bipolar and Related Disorders— defined by bipolar disorder symptoms that do not match the three categories listed
Mood Disorder's are a part of the mental health services we provide that meets the American Psychiatrist Association standards and the American Association of Nurse Practitioners.
Bipolar disorder statistics 2022
46 million people around the world, including 2.8% of the U.S. population, have bipolar disorder. See more bipolar statistics here.
Changes in Past-Year Serious Mental Illness (SMI) among Adults Aged 18 or Older in New York, Region 2, and the United States (Annual Averages, 2008–2010 and 2017–2019.
Among adults aged 18 or older in New York, the annual average percentage with SMI in the past year did not significantly change between 2008–2010 and 2017–2019.
During 2017–2019, the annual average prevalence of past-year SMI in New York was 3.7% (or 569,000), similar to the regional average (3.6%) but lower than the national average (4.8%).
Proper treatment helps most people living with bipolar disorder control their mood swings and other symptoms. Because bipolar disorder is a chronic illness, treatment must be ongoing. If left untreated, the symptoms of bipolar disorder get worse, so diagnosing it and beginning treatment early is important.
Treatment for bipolar disorder, formerly called manic-depression, generally involves medications and forms of psychotherapy — whether you have bipolar I or bipolar II. Bipolar II disorder is not a milder form of bipolar I disorder, but a separate diagnosis.
While the manic episodes of bipolar I disorder can be severe and dangerous, individuals with bipolar II disorder can be depressed for longer periods, which can cause significant impairment with substantial consequences.
In addition to medication for bipolar disorder, other treatment approaches include:
- Psychotherapy. As a key part of treatment, your psychiatric care provider may recommend cognitive behavioral therapy to identify unhealthy, negative beliefs and behaviors and replace them with healthy, positive ones. Other types of therapy also may help, such as social rhythm therapy — establishing a consistent routine for better mood management.
- Substance abuse treatment. Many people with bipolar disorder also have alcohol, tobacco or drug problems. Drugs or alcohol may seem to ease symptoms, but they can actually trigger, prolong or worsen depression or mania. If you have a problem with alcohol or other drugs, tell your provider so that both your substance use and bipolar disorder can be treated.
- Treatment programs. Participation in an outpatient treatment program for bipolar disorder can be very beneficial. However, your provider may recommend hospitalization if your bipolar disorder significantly affects your functioning or safety.
- Self-management strategies. In addition to medications and other types of treatment, successful management of your bipolar disorder includes living a healthy lifestyle, such as getting enough sleep, eating a healthy diet and being physically active. Keeping to a regular schedule, getting involved in social activities and joining a support group may also help. If you need advice in these areas, talk with your provider.
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