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Bipolar Disorder and Depression Symptoms

The dramatic mood episodes of bipolar disorder do not follow a predictable pattern. Depression does not always follow mania. A person may experience the same mood state several times -- for weeks, months, even years at a time before experiencing a remission or change in mood state. Also, the severity of mood phases can differ from person to person.

The periods of depression can be equally intense. Sadness and anxiety affect every aspect of life -- thoughts, feelings, sleeping, eating, physical health, relationships, and ability to function at work. If depression is not treated, it only grows worse. There may seem to be no way out of this overwhelming mood.

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Mixed Bipolar Disorder

Mixed episodes in bipolar disorder are a form of mental illness. In most forms of bipolar disorder, moods alternate between elevated and depressed over time. A person with mixed episodes experiences both mood "poles" -- mania and depression -- simultaneously or in rapid sequence.  Technically, mixed episodes are described only in people with bipolar I disorder (not bipolar II disorder), although this distinction is expected to change as the psychiatric diagnostic classification system is currently...

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These depressed feelings have been described this way:

Depression:I doubt completely my ability to do anything well. It seems as though my mind has slowed down and burned out to the point of being virtually useless... . [I am] haunt[ed] ... with the total, the desperate hopelessness of it all. Others say, "It's only temporary, it will pass, you will get over it," but, of course, they haven't any idea of how I feel, although they are certain they do. If I can't feel, move, think, or care, then what on earth is the point?

An episode of depression involves five or more of these symptoms most of the day -- nearly every day -- for two weeks or longer:

Symptoms of depression:

  • Feeling sad or blue
  • Loss of energy
  • Feelings of guilt, hopelessness, or worthlessness
  • Loss of interest or enjoyment from things that were once pleasurable
  • Difficulty concentrating
  • Low energy
  • Feeling physically or mentally sluggish or restless and agitated
  • Increased need for sleep or inability to sleep (insomnia)
  • Change in appetite causing weight loss or gain
  • Thoughts of death or suicide or attempting suicide

In addition, people experiencing a major depressive episode may also feel anxious, irritable, and tearful or have trouble making everyday types of decisions.

When a person experiencing a depression has psychosis, there may be delusions of guilt or worthlessness -- perhaps there is an inaccurate belief of being ruined and penniless, or having committed a terrible crime or sin.

If untreated, episodes of depression can recur and may sometimes come closer together and may then be harder to treat. They may switch into mania. But treatment can help to prevent this from happening. With medication and therapy, it’s possible to live normally -- to have a happy, productive life.

Hypomania and Mania in Bipolar Disorder

Bipolar mania, hypomania, and depression are symptoms of bipolar disorder. The dramatic mood episodes of bipolar disorder do not follow a predictable pattern. Depression does not always follow mania. A person may experience the same mood state several times -- for weeks, months, even years at a time -- before their mood normalizes, or before they develop an episode of the opposite mood state. Also, the severity of mood phases can differ from person to person.

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