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Bipolar Depression Disorder Symptoms People with bipolar depression may experience difficulty staying at school or at work as well as strained relationships with friends and family members, and an increased risk of alcohol and drug abuse. Unmanaged symptoms may also result in feelings like anxiety or thoughts of suicide. In addition, to periods of extreme “down” moods, a few sufferers experience manic episodes. These can include experiencing, hearing or smelling things that aren't there (hallucinations) and believing things that aren't (delusions). 1. Feelings of despair or hopelessness Feelings of desperation or despair are a typical symptom of bipolar depression. During a depressive phase the person may feel depressed, hopeless or even guilty. They might also feel guilty or unworthy. These symptoms can make it difficult to deal with everyday life and may lead to a loss of interest in activities that previously brought enjoyment. In severe instances, feeling unworthy may trigger thoughts of self-harm or suicide. Certain people suffering from bipolar disorder are also prone to feeling devalued and believing they aren't worthy of love, also have trouble connecting to their positive characteristics. This can be particularly difficult in close relationships like those with families or romantic partners. When this happens, it's important to seek assistance from an expert in mental health, or contact 911 or the 988 Suicide and Crisis Lifeline to chat with a person 24 hours a day. Bipolar disorder can cause depression and mania simultaneously. This is called a mixed episode. A person may feel both the negative emotions that are associated with depression as well as the high levels of energy and false beliefs that are associated with mania, all at the same time. Mania is defined as feeling enthusiastic and happy as well as laughing and talking often, feeling confident and ambitious, and experiencing hallucinations and thoughts of delusions. Combining therapy and medication can help alleviate these ailments. Strategies for reducing stress including a healthy diet, and a regular sleeping schedule can also aid. It is important that you adhere to the treatment plan that your doctor has prescribed since abruptly stopping treatment can trigger severe episodes. Additionally, psychotherapy (talk therapy) can help you work through the issues the cause of your mood swings. 2. Decreased interest in activities you once enjoyed A decline in interest in activities you normally enjoy is one of the telltale signs of depression. This could be related to hobbies, work or just spending time with family and friends. It's important to remember that depression is a real condition and it can take a while to get better. It is still recommended to consult your doctor for treatment of your symptoms. People suffering from bipolar disorder are prone to extreme changes in mood levels, energy levels, and activity levels. It can lead to periods where you feel “up,” elated or exuberant, or even “up” (known by the term mania) and then periods where you feel “down,” sad, and “down.” Bipolar disorder mood swings can be a matter of weeks, days, or even months. Major depression is the most well-known form of depression. It can be triggered by a stressful event in your life, such as losing a job or the death of a close relative. However, it's crucial to keep in mind that depression is not the same as the normal negative feelings that you may experience in response to a life event. Depression is severe, persistent and doesn't disappear on its own. Psychotherapy or medication can be recommended by your doctor to combat depression. Medication can control your mood swings, and even prevent them from happening. But you must take the medication prescribed by your physician. The medications for depression include antidepressants as well as mood stabilizers, like lithium. On the FDA website, you can find out more about the specific medications, including side effects and warnings. Certain people may benefit from brain stimulation therapy which uses magnetic or electrical waves to stimulate or block specific brain areas. 3. Difficulty concentrating A person suffering from bipolar disorder experiences periods of unusually high energy and activity (mania or “manic” episodes) that are followed by depression that is severe. This can make it difficult to focus on work or other activities. It can also cause issues at home, as well as in relationships. Friends and family members are often the first to observe changes in a person's behavior. Concentration problems can be a sign of a medical condition such as a head injury or neurological issue. Anyone suffering from these issues should talk to their physician and seek an assessment. It is normal for people to experience trouble concentrating, especially when they are stressed or tired. It is usually temporary and improves when the person is relaxed or more relaxed. Difficulty concentrating may also be a symptom of mental illness, such as anxiety or depression. It is important to get an accurate diagnosis, since it will assist the doctor decide on the most effective treatment. In a study that used self-report measures as well as a diagnosed sample, researchers found that difficulty concentrating was associated with trait worry and all three indicators of clinical severity. This is different than previous studies, which found that difficulties in concentrating were not associated with other GAD-related symptoms after depression was statistically controlled (Joormann and Stober 1999). If you're concerned about your concentration, talk to your doctor. A combination of medications and therapy could help. It could take months or even years to come up with the most effective treatment plan and you'll need to follow it carefully. But getting treatment as early as possible can reduce the severity of manic or depressive episodes. It also can prevent them from occurring again. Other strategies for prevention include keeping a journal of your mood, so you can notice the early symptoms of an episode and avoid or minimize stress. 4. symptoms of depression in women of guilt, shame and a sense of inadequacy Depression can lead to feelings of self-loathing and despair. Keep in mind that these feelings do not originate from you and they aren't your fault. If your mood gets too severe and you have thoughts of suicide, it's an emergency in your mental health and you should seek treatment immediately. Some people with bipolar disorder have episodes of mania and depression. These are referred to as mixed episodes. During a mixed episode you may feel both high and low, however, the highs aren't as intense as the lows. You might also experience rapid changes in your mood, causing you to change between states quickly. The signs of hypomania or mania can include feelings of energy and excitement and irritability that is heightened, as well as heightened activity levels as well as false beliefs (delusions), and paranoid or irrational behavior. In a manic or hypomanic period, you're more likely to take risks and spend money. If you're having trouble managing your finances, you should consider appointing someone to manage them on your behalf. Talk to your doctor when you've experienced mood swings for more than two weeks. They'll ask about your symptoms and look for the signs of bipolar disorder. They may recommend that you keep an account of your mood or chart to identify patterns. They might refer you to your local NHS community mental health team (CMHT) if they think that you're suffering from serious depressive or manic episode, or if there are concerns regarding your safety. You can find a list of useful contacts and resources on the Bipolar UK website. 5. Feelings of hopelessness or worthlessness It is difficult to recognize. It is essential to inform your doctor about any feelings of despair, sadness or feelings of utter despair that you are experiencing. It may take months or years for you and your doctor to find the best treatment plan. People suffering from bipolar disorder experience distinct periods of extremely up, elated and energized behavior (known as manic episodes) and also very depressed sad, indifferent, or hopeless periods (known as depressive episodes). These mood swings can make it difficult to carry out everyday tasks. These mood changes can be accompanied by feelings of irritability, impulsiveness and racing thoughts. They can also cause problems sleeping and an increase in appetite. These episodes may last more than a week and occur at regular intervals in your life. These episodes can be triggered by drugs or alcohol and also by certain life events. For instance stressful life events such as moving, getting married or divorced, finding a job or losing one can cause an episode. Cocaine, ecstasy and amphetamines are other substances that can cause an episode. So can some over-the-counter cold medicines, antidepressants, sleep aids, some stimulant medications and thyroid medication. Depression in bipolar disorder is severe and may increase the risk of suicide. Suicide is more frequent in people with frequent depressive episodes, a mixed episode and the history of suicide or early onset. Other risk factors include previous attempts, a history of drug or alcohol abuse and a family history of psychotic disorders. Bipolar disorder cannot be treated but you can manage the symptoms and maintain a healthy lifestyle with the aid of a medical professional and a treatment plan that includes medication, therapy, and lifestyle changes. Even when you feel better, it is crucial to adhere to your treatment plan.