Conditions
Bipolar disorder
Periods of depression and periods of high mood (mania) — how it is recognised and managed.
In plain terms
Bipolar disorder involves distinct episodes of elevated mood and energy — mania or hypomania — usually with periods of depression and more settled periods in between. Bipolar I is defined by a manic episode: depression is common but is not required for the diagnosis. Bipolar II involves hypomanic episodes together with major depressive episodes, and is assessed differently. Only a full clinical assessment can make either diagnosis.
Signs to look for
Why it happens
Because people usually seek help during the low periods, bipolar disorder can be missed or diagnosed late. It helps your clinician to know about any past periods of unusually high, energised or irritable mood, not just the low times. Ordinary ups and downs are not enough on their own — what matters is a clear change from your usual self.
What helps
Medicines
Treatment is episode-specific: mania, bipolar depression and staying well between episodes call for different decisions. Mood stabilisers such as lithium are monitored with blood tests.
Talking therapy
Therapy and psychoeducation help you recognise early warning signs and act on them.
Routine & support
Regular sleep, routine and a shared plan with your team help you stay well.
You’re not alone
A shared plan with your care team helps you spot early warning signs and act early. Some changes need help straight away rather than at the next appointment: going without sleep for days, behaviour that puts you or others at risk, losing touch with reality, or thoughts of suicide. Call 000 or go to an emergency department if there is immediate danger. In Australia you can call 13YARN 13 92 76, Beyond Blue 1300 22 4636, Lifeline 13 11 14, or 000 in an emergency.
Where this information comes from
Official translated information
Official translated information, published by the organisation named in each link — we never translate anything ourselves.
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This sheet is general information, not personal medical advice. Always follow the instructions from your own doctor or pharmacist.