Very often in bipolar disorder, people with hypomania may not realize it's a problem. They may even enjoy it, finding it to be a productive time. Or they may fear that taking medicine will make them depressed and they'll miss feeling good. Others struggle with depression, not getting the help that could relieve their suffering.
For a variety of reasons, people with bipolar disorder won't go to a doctor for help. They shrug off a friend or family member's concern. Others view their illness as a distraction or a weakness, and they don't want to give in to it. Still others put their health at a very low priority compared with other things in their lives.
The bipolar spectrum is a term used to refer to conditions that include not only bipolar disorder as traditionally defined (that is, clear episodes of mania or hypomania as well as depressive syndromes) but also other types of mental conditions that can involve depression or mood swings without manic or hypomanic episodes -- including some impulse control disorders, anxiety disorders, personality disorders, and forms of substance abuse. Some psychiatrists find the "bipolar spectrum" concept to be...
Often, fear is the reason for not seeing a doctor. That's especially true if there is a family history of emotional problems. People in denial are protected from their worst fears. They can stay comfortable in their everyday routines -- even though relationships and careers can be at stake.
If you're concerned about a loved one who could have bipolar disorder, talk to him or her about seeing a doctor. Sometimes, simply suggesting a health checkup is the best approach. With other people, it works best to be direct about your concern regarding a mood disorder. Include these points in the discussion:
It's not your fault. You have not caused this disorder. Genetics and stressful life events put people at greater vulnerability for bipolar disorder.
Millions of Americans have bipolar disorder. It can develop at any point in a person's life -- though it usually develops in young adulthood -- and is responsible for enormous suffering.
There's a medical explanation for bipolar disorder. Disruptions in brain chemistry and nerve cell pathways are involved. The brain circuits -- those that control emotion -- are not working the way they should. Because of this, people experience certain moods more intensely, for longer periods of time, and more frequently.
Good treatments are available. These treatments have been tested and found to be effective for many, many people with bipolar disorder. Medications can help stabilize your moods. Through therapy, you can discuss feelings, thoughts, and behaviors that cause problems in your social and work life. You can learn how to master these so you can function better and live a more satisfying life.
By not getting treatment, you risk having worse mood episodes -- and even becoming suicidal when depressed. You risk damaging your relationships with friends and family. You could put your job at risk. And your long-term physical health can also be affected, since emotional disturbances affect other systems in the body. This is very serious.