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Mental health services: Bipolar

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Allina Health Mental Health - Bipolar disorder detection

Manic phase symptoms

The manic phase may last from days to months. It can include the following symptoms:

  • mood that seems really good, high or euphoric
  • optimism (with no reason)
  • grandiose delusions (false beliefs)
  • risky behavior or feelings that nothing bad will happen (invincibility)
  • hyperactivity, rapid speech and making lots of unrealistic plans
  • ideas and thoughts racing through the mind
  • less need for sleep
  • suddenly being irritable, distracted or having rage or paranoia.

These symptoms of mania occur with bipolar disorder I. In people with bipolar disorder II, the symptoms of mania are similar but less intense.


Source: Allina Patient Education, Bipolar Disorder (Manic Depression), mh-ahc-11452 (11/05)
Reviewed by: Allina Patient Education
First Published: 11/01/2005
Last Reviewed: 11/01/2005

Depressed phase symptoms

The depressed phase of both types of bipolar disorder includes the following symptoms:

  • Daily low mood or sadness
  • Difficulty concentrating, remembering, or making decisions
  • Eating problems
  • Loss of appetite and weight loss
  • Overeating and weight gain
  • Fatigue or lack of energy
  • Feeling worthless, hopeless, or guilty
  • Loss of pleasure in activities once enjoyed
  • Loss of self-esteem
  • Thoughts of death and suicide
  • Trouble getting to sleep or sleeping too much
  • Pulling away from friends or activities that were once enjoyed

There is a high risk of suicide with bipolar disorder. Patients may abuse alcohol or other substances, which can make the symptoms and suicide risk worse. Sometimes the two phases overlap. Manic and depressive symptoms may occur together or quickly one after the other in what is called a mixed state.


Source: Allina Patient Education, Bipolar Disorder (Manic Depression), mh-ahc-11452 (11/05)
Reviewed by: Allina Patient Education
First Published: 11/01/2005
Last Reviewed: 11/01/2005