Understanding Bipolar Disorder 

Bipolar disorder is one of the more misunderstood mental health conditions. This is a condition that is marked by extreme mood swings, ranging from emotional highs and overwhelming happiness to lows of debilitating depression. Living with bipolar disorder is like constantly swinging on a pendulum, except without predictable, rhythmic movement. 

Individuals with bipolar disorder suffer from extreme shifts in their emotional state. They might feel euphoric and hyperactive, which can lead to extreme behaviors, like impulsivity, substance use, and getting little sleep. These behaviors can then propel a swing to the opposite end of the spectrum, where hopelessness, depression, disinterest, and fatigue rule their life. 

The unpredictableness of bipolar disorder can make it difficult for those on the outside to understand. The shifts in mood can happen suddenly and without any noticeable trigger. 

Those living with bipolar disorder may find it challenging to maintain healthy relationships, maintain employment, or keep up with the daily tasks of living. This is a condition that often feels overwhelming and all-consuming. 

For more resources about bipolar disorder and other mental health conditions, we recommend the Substance Abuse and Mental Health Services Administration (SAMHSA). The SAMHSA website offers many resources on mental health and substance abuse, along with an online directory of mental health providers in your area. 

What Is the Length of Bipolar Disorder 

Bipolar disorder is generally viewed as a lifelong condition, although the symptoms and episodes may become less frequent or more severe over time. How the duration of bipolar disorder affects an individual is largely influenced by factors such as stress, changes in routine, sleep disturbances, trauma, and substance abuse, to name a few. 

Another significant factor in how bipolar affects a person throughout their life is treatment. Undiagnosed or untreated bipolar disorder can have a significantly more impactful negative effect on a person’s mental health and quality of life. 

Duration & Frequency of Bipolar Episodes 

Bipolar disorder typically isn’t consistent. Meaning that there are variables in how it presents and how someone with bipolar responds to triggers. There will be days and even extended periods of time when bipolar disorder appears to be in quiet remission. 

Bipolar symptoms tend to appear in what are called “episodes”, and there is a fluctuation between manic and depressive episodes. In general, someone with bipolar disorder will have two or more cycles of episodes per year, with seasonal changes being a common time for onset. 

When a person experiences more than four cycles per year, this is called rapid cycling. This isn’t necessarily an indicator of bipolar disorder becoming worse. It’s not uncommon to experience a stage of rapid cycling, followed by a return to slower cycling. 

Extremes in energy and mood characterize manic episodes. It’s normal to experience high levels of energy to the point that sleep becomes difficult. There may also be characteristic signs, including euphoria and racing thoughts. 

According to diagnostic criteria, a manic episode must last no fewer than seven days for a diagnosis of bipolar I. With bipolar II, manic episodes last for months, ranging from four months to about a year. 

Depressive episodes are a sharp contrast to mania. These bring intense feelings of sadness and hopelessness. There are some characteristics shared between manic and depressive episodes, although they can affect the person differently.

For example, sleep disturbances are common in both. However, with mania, high energy, and racing thoughts can keep a person awake. In a depressive episode, it may be worry and loss of interest in daily activities that lead to sleep disturbances. 

Depressive episodes typically have a longer duration than manic episodes. It’s not uncommon for a depressive episode that’s associated with bipolar disorder to last months, potentially up to six months or longer. 

How Bipolar Treatment Affects the Duration 

When left untreated, bipolar disorder can be unpredictable. Bipolar disorder treatment can help individuals better understand the cycles and what might trigger them. Treatment can help manage the duration and the severity of both manic and depressive episodes, giving bipolar disorder less control over a person’s life. 

Evidence-based therapies such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and acceptance and commitment therapy are just a few examples of therapeutic options that can be used either alone or in conjunction with medication treatment. 

Effective Bipolar Disorder Treatment in Massachusetts

The duration and severity of bipolar disorder is different for each person. Bipolar disorder is considered a lifelong condition, and while there isn’t a cure, there are highly effective ways to treat and manage it. 

The unpredictable nature of bipolar disorder can make it difficult to manage on your own. Still, with therapy, lifestyle adjustments, and, for some, medication, it will no longer control your life. If you’re ready to learn more about treatment for bipolar disorder, we encourage you to contact us at Rockland Recovery for a consultation. We provide evidence-based care combined with holistic therapies that treat the needs of the whole person. Reach out to us today at 888-299-4833.